Carotid artery stenosis

Case contributed by Dr Bruno Di Muzio

Presentation

Routine carotid Doppler examination.

Patient Data

Age: 70 years
Gender: Female

Carotid Doppler study

Ultrasound

Left ICA PSV is greater than 230 cm/sec (267.5 cm/sec). Left CCA PSV is 81.9 cm/sec. ICA/CCA index > 2.

DSA

DSA (angiography)

Angiography study confirms stenosis greater than 70% in the left ICA.

Case Discussion

Carotid Doppler study performed as screening test in a patient with history of coronary disease revealed a ICA stenosis greater than 70%. Further angiography study confirmed the significant stenosis. 

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