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Noninvasive Vascular Lab Testing for Carotids, Vertebrals, and Transcranial Doppler

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Extracranial Carotid and Vertebral Artery Disease

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Abstract

Duplex ultrasound has supplanted almost every other noninvasive diagnostic test to evaluate patients with suspected cerebrovascular disease. Improvements in technology and expertise in interpretation have led to reliance on duplex testing in many cases as the sole diagnostic test in these patients with few limitations. While plaque characterization is important, physiologic hemodynamic measurements are very accurate in determining the degree of stenosis in carotid, vertebral, and intracranial arterial systems. Multi-specialty consensus criteria have now been established for vascular laboratories that do not have internally validated criteria of their own. Accreditation of vascular laboratories has resulted in an expectation of minimal baseline quality of testing. Advances continue to occur in further refinement of equipment, new imaging tools, and interpretation criteria.

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Authors and Affiliations

  1. Department of Surgery, Division of Vascular Surgery and Diseases, The Ohio State University College of Medicine, Columbus, OH, USA

    Hosam Farouk El Sayed & Bhagwan Satiani

  2. McLaren Bay Region Hospital, Bay City, MI, USA

    Nicolas J. Mouawad

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  1. Hosam Farouk El Sayed
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  2. Nicolas J. Mouawad
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  3. Bhagwan Satiani
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Correspondence to Bhagwan Satiani .

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Editors and Affiliations

  1. Wayne State University School of Medicine, Detroit, MI, USA

    Sachinder Singh Hans

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El Sayed, H.F., Mouawad, N.J., Satiani, B. (2018). Noninvasive Vascular Lab Testing for Carotids, Vertebrals, and Transcranial Doppler. In: Hans, S. (eds) Extracranial Carotid and Vertebral Artery Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-91533-3_6

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  • DOI: https://doi.org/10.1007/978-3-319-91533-3_6

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