Doppler colour flow imaging after carotid endarterectomy
Identifieur interne : 000836 ( Main/Curation ); précédent : 000835; suivant : 000837Doppler colour flow imaging after carotid endarterectomy
Auteurs : Wolfgang Steinke [Allemagne] ; Michael Hennerici [Allemagne] ; Christof Kloetzsch [Allemagne] ; Wilhelm Sandmann [Allemagne]Source :
- European Journal of Vascular Surgery [ 0950-821X ] ; 1991.
English descriptors
Abstract
Sixty-six patients (72 carotid arteries) were examined after carotid endarterectomy (CEA) using Doppler colour flow imaging (DCFI). Examinations were performed 4–18 days (mean: 7 days) after surgery (32 patients, 34 arteries) or between 2 and 100 months (mean: 39 months) after CEA (34 patients, 38 arteries). Minor vessel wall abnormalities were found in 36% in the internal carotid artery (ICA) and in 55% in the common carotid artery (CCA) or bifurcation. One patient had a minor residual ICA stenosis after surgery; two low-grade stenoses and three ICA-occlusions were diagnosed at follow-up. Altered flow patterns occurred most in CCA (90%) and were predominantly located adjacent to the vessel wall and in dilated vascular segments of the CCA. Disturbed haemodynamics in the ICA were less marked (57%) and frequently found in the central vessel lumen or diffusely distributed. We conclude that surgically induced changes of the vessel geometry and residual or recurrent vascular wall abnormalities are often associated with distinct haemodynamic disturbances, which can reliably be detected by DCFI.
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DOI: 10.1016/S0950-821X(05)80340-8
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Hennerici MD, Dept. of Neurology, University of Heidelberg, Theodor-Kutzer-Ufer, D-6800 Mannheim 1, Germany.</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Please address all correspondence to: M. Hennerici MD, Dept. of Neurology, University of Heidelberg, Theodor-Kutzer-Ufer, D-6800 Mannheim 1</wicri:regionArea></affiliation></author><author><name sortKey="Kloetzsch, Christof" sort="Kloetzsch, Christof" uniqKey="Kloetzsch C" first="Christof" last="Kloetzsch">Christof Kloetzsch</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Heinrich-Heine University, Düsseldorf</wicri:regionArea></affiliation></author><author><name sortKey="Sandmann, Wilhelm" sort="Sandmann, Wilhelm" uniqKey="Sandmann W" first="Wilhelm" last="Sandmann">Wilhelm Sandmann</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Heinrich-Heine University, Düsseldorf</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:53776742F89CDFF3E422BE78647ACE81B4B3D01E</idno><date when="1991" year="1991">1991</date><idno type="doi">10.1016/S0950-821X(05)80340-8</idno><idno type="url">https://api.istex.fr/document/53776742F89CDFF3E422BE78647ACE81B4B3D01E/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">000842</idno><idno type="wicri:Area/Main/Curation">000836</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Doppler colour flow imaging after carotid endarterectomy</title><author><name sortKey="Steinke, Wolfgang" sort="Steinke, Wolfgang" uniqKey="Steinke W" first="Wolfgang" last="Steinke">Wolfgang Steinke</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Heinrich-Heine University, Düsseldorf</wicri:regionArea></affiliation></author><author><name sortKey="Hennerici, Michael" sort="Hennerici, Michael" uniqKey="Hennerici M" first="Michael" last="Hennerici">Michael Hennerici</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Heinrich-Heine University, Düsseldorf</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Please address all correspondence to: M. Hennerici MD, Dept. of Neurology, University of Heidelberg, Theodor-Kutzer-Ufer, D-6800 Mannheim 1, Germany.</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Please address all correspondence to: M. Hennerici MD, Dept. of Neurology, University of Heidelberg, Theodor-Kutzer-Ufer, D-6800 Mannheim 1</wicri:regionArea></affiliation></author><author><name sortKey="Kloetzsch, Christof" sort="Kloetzsch, Christof" uniqKey="Kloetzsch C" first="Christof" last="Kloetzsch">Christof Kloetzsch</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Heinrich-Heine University, Düsseldorf</wicri:regionArea></affiliation></author><author><name sortKey="Sandmann, Wilhelm" sort="Sandmann, Wilhelm" uniqKey="Sandmann W" first="Wilhelm" last="Sandmann">Wilhelm Sandmann</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurology, Heinrich-Heine University, Düsseldorf, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Heinrich-Heine University, Düsseldorf</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j">European Journal of Vascular Surgery</title><title level="j" type="abbrev">EURJVS</title><idno type="ISSN">0950-821X</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1991">1991</date><biblScope unit="volume">5</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="527">527</biblScope><biblScope unit="page" to="534">534</biblScope></imprint><idno type="ISSN">0950-821X</idno></series><idno type="istex">53776742F89CDFF3E422BE78647ACE81B4B3D01E</idno><idno type="DOI">10.1016/S0950-821X(05)80340-8</idno><idno type="PII">S0950-821X(05)80340-8</idno><idno type="ArticleID">05803408</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0950-821X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Carotid endarterectomy</term><term>Doppler colour flow imaging</term><term>Ultrasound</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Sixty-six patients (72 carotid arteries) were examined after carotid endarterectomy (CEA) using Doppler colour flow imaging (DCFI). Examinations were performed 4–18 days (mean: 7 days) after surgery (32 patients, 34 arteries) or between 2 and 100 months (mean: 39 months) after CEA (34 patients, 38 arteries). Minor vessel wall abnormalities were found in 36% in the internal carotid artery (ICA) and in 55% in the common carotid artery (CCA) or bifurcation. One patient had a minor residual ICA stenosis after surgery; two low-grade stenoses and three ICA-occlusions were diagnosed at follow-up. Altered flow patterns occurred most in CCA (90%) and were predominantly located adjacent to the vessel wall and in dilated vascular segments of the CCA. Disturbed haemodynamics in the ICA were less marked (57%) and frequently found in the central vessel lumen or diffusely distributed. We conclude that surgically induced changes of the vessel geometry and residual or recurrent vascular wall abnormalities are often associated with distinct haemodynamic disturbances, which can reliably be detected by DCFI.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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