Carotid artery imaging
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Carotid artery imaging. Assessment of amaurosis fugax, Assessment of hemispheric transient ischaemic attacks (TIAs). Fully referenced neurology checklist.
Carotid duplex sonography: indications
- Assessment of amaurosis fugax
- Assessment of hemispheric transient ischaemic attacks (TIAs)
- Assessment of asymptomatic carotid stenosis of >50%
- Assessment of people with multiple atherosclerosis risk factors
- Assessment of stroke risk in people with coronary or peripheral vascular disease
- Assessment of suitability for post-stroke revascularization surgery
- Monitoring cervical artery bruit in asymptomatic patients
- Monitoring of people after revascularization surgery
- Intra-operative monitoring of carotid endarterectomy (CEA) or stenting
Catheter angiography: indications
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Carotid MR angiogram (MRA) or CT angiogram (CTA): indications
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Digital subtraction angiography (DSA)
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References
- Brott TG, Halperin JL, Abbara S, et al. 2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS guideline on the management of patients with extracranial carotid and vertebral artery disease: executive summary. Circulation 2011; 124:489-532.
- Kasner SE, Liebeskind DS, Cucchiara BL, et al. Internal carotid artery "spring sign". Neurology 2002; 58:1099.
- Latchaw RE, Alberts MJ, Lev MH, et al. Recommendations for imaging of acute ischemic stroke: a scientific statement from the American Heart Association. Stroke 2009; 40: 3646-3678.