Ultrasonic duplex scanning in atherosclerotic disease of the innominate, subclavian and vertebral arteries. A comparative study with angiography
Ultrasonic duplex scanning of the vertebral artery has a sensitivity of 0.80 and a specificity of 0.83 for the detection of an obstructive lesion of 50% or more at the site of the ostium. For the subclavian arteries these values are respectively 0.73 and 0.91. For both vessels the test has a very hi...
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| Veröffentlicht in: | Ultrasound in medicine & biology 1984-07, Vol.10 (4), p.409-418 |
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| container_title | Ultrasound in medicine & biology |
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| creator | Ackerstaff, R.G.A. Hoeneveld, H. Slowikowski, J.M. Moll, F.L. Eikelboom, B.C. Ludwig, J.W. |
| description | Ultrasonic duplex scanning of the vertebral artery has a sensitivity of
0.80 and a specificity of
0.83 for the detection of an obstructive lesion of 50% or more at the site of the ostium. For the subclavian arteries these values are respectively
0.73 and
0.91. For both vessels the test has a very high negative predictive value of respectively
0.96 and
0.97. Therefore duplex ultrasound scanning is a reliable test in screening patients suspected of multi-level atherosclerotic disease of the extracranial cerebral vessels. The problem remains in classifying the degree of stenosis. In the case of the vertebral artery the sample volume of the pulsed Doppler is usually too large in relation to the vessel diameter. In the case of the subclavian and innominate artery one of the main problems is the range of the pulsed Doppler system. A subclavian steal syndrome is easily diagnosed without any special test. |
| doi_str_mv | 10.1016/0301-5629(84)90195-9 |
| format | Article |
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0.80 and a specificity of
0.83 for the detection of an obstructive lesion of 50% or more at the site of the ostium. For the subclavian arteries these values are respectively
0.73 and
0.91. For both vessels the test has a very high negative predictive value of respectively
0.96 and
0.97. Therefore duplex ultrasound scanning is a reliable test in screening patients suspected of multi-level atherosclerotic disease of the extracranial cerebral vessels. The problem remains in classifying the degree of stenosis. In the case of the vertebral artery the sample volume of the pulsed Doppler is usually too large in relation to the vessel diameter. In the case of the subclavian and innominate artery one of the main problems is the range of the pulsed Doppler system. A subclavian steal syndrome is easily diagnosed without any special test.</description><identifier>ISSN: 0301-5629</identifier><identifier>EISSN: 1879-291X</identifier><identifier>DOI: 10.1016/0301-5629(84)90195-9</identifier><identifier>PMID: 6390900</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Angiography ; Arteriosclerosis - diagnosis ; Arteriosclerosis - diagnostic imaging ; Arteriosclerosis - pathology ; Blood flow velocity ; Brachiocephalic Trunk - pathology ; Duplex-scanning ; Female ; Humans ; Innominate artery ; Intracranial Arteriosclerosis - diagnosis ; Intracranial Arteriosclerosis - diagnostic imaging ; Intracranial Arteriosclerosis - pathology ; Male ; Middle Aged ; Subclavian artery ; Subclavian Artery - pathology ; Subclavian Steal Syndrome - diagnosis ; Ultrasonics ; Ultrasonography ; Vertebral artery ; Vertebral Artery - pathology</subject><ispartof>Ultrasound in medicine & biology, 1984-07, Vol.10 (4), p.409-418</ispartof><rights>1984</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-ca9c625d55a7fdb71b1541a494117d45c9c6a98c8891917cbd82e9b0407320733</citedby><cites>FETCH-LOGICAL-c403t-ca9c625d55a7fdb71b1541a494117d45c9c6a98c8891917cbd82e9b0407320733</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0301-5629(84)90195-9$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6390900$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ackerstaff, R.G.A.</creatorcontrib><creatorcontrib>Hoeneveld, H.</creatorcontrib><creatorcontrib>Slowikowski, J.M.</creatorcontrib><creatorcontrib>Moll, F.L.</creatorcontrib><creatorcontrib>Eikelboom, B.C.</creatorcontrib><creatorcontrib>Ludwig, J.W.</creatorcontrib><title>Ultrasonic duplex scanning in atherosclerotic disease of the innominate, subclavian and vertebral arteries. A comparative study with angiography</title><title>Ultrasound in medicine & biology</title><addtitle>Ultrasound Med Biol</addtitle><description>Ultrasonic duplex scanning of the vertebral artery has a sensitivity of
0.80 and a specificity of
0.83 for the detection of an obstructive lesion of 50% or more at the site of the ostium. For the subclavian arteries these values are respectively
0.73 and
0.91. For both vessels the test has a very high negative predictive value of respectively
0.96 and
0.97. Therefore duplex ultrasound scanning is a reliable test in screening patients suspected of multi-level atherosclerotic disease of the extracranial cerebral vessels. The problem remains in classifying the degree of stenosis. In the case of the vertebral artery the sample volume of the pulsed Doppler is usually too large in relation to the vessel diameter. In the case of the subclavian and innominate artery one of the main problems is the range of the pulsed Doppler system. A subclavian steal syndrome is easily diagnosed without any special test.</description><subject>Angiography</subject><subject>Arteriosclerosis - diagnosis</subject><subject>Arteriosclerosis - diagnostic imaging</subject><subject>Arteriosclerosis - pathology</subject><subject>Blood flow velocity</subject><subject>Brachiocephalic Trunk - pathology</subject><subject>Duplex-scanning</subject><subject>Female</subject><subject>Humans</subject><subject>Innominate artery</subject><subject>Intracranial Arteriosclerosis - diagnosis</subject><subject>Intracranial Arteriosclerosis - diagnostic imaging</subject><subject>Intracranial Arteriosclerosis - pathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Subclavian artery</subject><subject>Subclavian Artery - pathology</subject><subject>Subclavian Steal Syndrome - diagnosis</subject><subject>Ultrasonics</subject><subject>Ultrasonography</subject><subject>Vertebral artery</subject><subject>Vertebral Artery - pathology</subject><issn>0301-5629</issn><issn>1879-291X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc9q3DAQxkVpSLdp36AFnUoLdSrZkmVdAiH0TyDQSwO9ibE0u6tiy64kb7tvkUeutrvkmINGgu_3jZhvCHnD2SVnvP3EGsYr2db6fSc-aMa1rPQzsuKd0lWt-c_nZPWIvCAvU_rFGFNto87JedtophlbkYf7IUdIU_CWumUe8C9NFkLwYUN9oJC3GKdkh1LzAfEJISGd1rQohQjT6ANk_EjT0tsBdh6KKzi6w5ixjzBQKI_oMV3Sa2qncYYI2e-Qpry4Pf3j87YYNn7aRJi3-1fkbA1Dwten-4Lcf_n84-Zbdff96-3N9V1lBWtyZUHbtpZOSlBr1yvecyk4CC04V05IW2TQne06zTVXtnddjbpngqmmLqe5IO-Ofec4_V4wZTP6ZHEYIOC0JKOk0ppLVkBxBG0JIkVcmzn6EeLecGYOizCHlM0hZdMJ838RRhfb21P_pR_RPZpOyRf96qhjGXLnMZpkPQaLzke02bjJP_3BP1G3mo4</recordid><startdate>198407</startdate><enddate>198407</enddate><creator>Ackerstaff, R.G.A.</creator><creator>Hoeneveld, H.</creator><creator>Slowikowski, J.M.</creator><creator>Moll, F.L.</creator><creator>Eikelboom, B.C.</creator><creator>Ludwig, J.W.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198407</creationdate><title>Ultrasonic duplex scanning in atherosclerotic disease of the innominate, subclavian and vertebral arteries. A comparative study with angiography</title><author>Ackerstaff, R.G.A. ; Hoeneveld, H. ; Slowikowski, J.M. ; Moll, F.L. ; Eikelboom, B.C. ; Ludwig, J.W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-ca9c625d55a7fdb71b1541a494117d45c9c6a98c8891917cbd82e9b0407320733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Angiography</topic><topic>Arteriosclerosis - diagnosis</topic><topic>Arteriosclerosis - diagnostic imaging</topic><topic>Arteriosclerosis - pathology</topic><topic>Blood flow velocity</topic><topic>Brachiocephalic Trunk - pathology</topic><topic>Duplex-scanning</topic><topic>Female</topic><topic>Humans</topic><topic>Innominate artery</topic><topic>Intracranial Arteriosclerosis - diagnosis</topic><topic>Intracranial Arteriosclerosis - diagnostic imaging</topic><topic>Intracranial Arteriosclerosis - pathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Subclavian artery</topic><topic>Subclavian Artery - pathology</topic><topic>Subclavian Steal Syndrome - diagnosis</topic><topic>Ultrasonics</topic><topic>Ultrasonography</topic><topic>Vertebral artery</topic><topic>Vertebral Artery - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ackerstaff, R.G.A.</creatorcontrib><creatorcontrib>Hoeneveld, H.</creatorcontrib><creatorcontrib>Slowikowski, J.M.</creatorcontrib><creatorcontrib>Moll, F.L.</creatorcontrib><creatorcontrib>Eikelboom, B.C.</creatorcontrib><creatorcontrib>Ludwig, J.W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ultrasound in medicine & biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ackerstaff, R.G.A.</au><au>Hoeneveld, H.</au><au>Slowikowski, J.M.</au><au>Moll, F.L.</au><au>Eikelboom, B.C.</au><au>Ludwig, J.W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ultrasonic duplex scanning in atherosclerotic disease of the innominate, subclavian and vertebral arteries. A comparative study with angiography</atitle><jtitle>Ultrasound in medicine & biology</jtitle><addtitle>Ultrasound Med Biol</addtitle><date>1984-07</date><risdate>1984</risdate><volume>10</volume><issue>4</issue><spage>409</spage><epage>418</epage><pages>409-418</pages><issn>0301-5629</issn><eissn>1879-291X</eissn><abstract>Ultrasonic duplex scanning of the vertebral artery has a sensitivity of
0.80 and a specificity of
0.83 for the detection of an obstructive lesion of 50% or more at the site of the ostium. For the subclavian arteries these values are respectively
0.73 and
0.91. For both vessels the test has a very high negative predictive value of respectively
0.96 and
0.97. Therefore duplex ultrasound scanning is a reliable test in screening patients suspected of multi-level atherosclerotic disease of the extracranial cerebral vessels. The problem remains in classifying the degree of stenosis. In the case of the vertebral artery the sample volume of the pulsed Doppler is usually too large in relation to the vessel diameter. In the case of the subclavian and innominate artery one of the main problems is the range of the pulsed Doppler system. A subclavian steal syndrome is easily diagnosed without any special test.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>6390900</pmid><doi>10.1016/0301-5629(84)90195-9</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Ultrasound in medicine & biology, 1984-07, Vol.10 (4), p.409-418 |
| issn | 0301-5629 1879-291X |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Angiography Arteriosclerosis - diagnosis Arteriosclerosis - diagnostic imaging Arteriosclerosis - pathology Blood flow velocity Brachiocephalic Trunk - pathology Duplex-scanning Female Humans Innominate artery Intracranial Arteriosclerosis - diagnosis Intracranial Arteriosclerosis - diagnostic imaging Intracranial Arteriosclerosis - pathology Male Middle Aged Subclavian artery Subclavian Artery - pathology Subclavian Steal Syndrome - diagnosis Ultrasonics Ultrasonography Vertebral artery Vertebral Artery - pathology |
| title | Ultrasonic duplex scanning in atherosclerotic disease of the innominate, subclavian and vertebral arteries. A comparative study with angiography |
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