Digital tapping of the superficial temporal artery: significance in carotid duplex sonography
To determine whether tapping on the superficial temporal artery correctly identifies the ECA during carotid sonography, prospective evaluation of the reflection of the temporal tap on the spectral waveform was recorded and graded as 3+, 2+, 1+, or 0 in each ECA, ICA, and CCA, with 3+ being the most...
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| Veröffentlicht in: | Journal of ultrasound in medicine 1996-06, Vol.15 (6), p.459-464 |
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| container_title | Journal of ultrasound in medicine |
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| creator | Budorick, N. E Rojratanakiat, W O'Boyle, M. K Engelbrecht, D. E Gosink, B. B |
| description | To determine whether tapping on the superficial temporal artery correctly identifies the ECA during carotid sonography, prospective evaluation of the reflection of the temporal tap on the spectral waveform was recorded and graded as 3+, 2+, 1+, or 0 in each ECA, ICA, and CCA, with 3+ being the most brisk response in each carotid system (ipsilateral CCA, ICA, and ECA). The pattern of response was evaluated in patients with and without hemodynamically significant (> than 50% diameter) stenoses in CCA, ICA, and ECA. The most frequent pattern of response to tapping on the superficial temporal artery was 3+ in the ECA, 2+ in the CCA, and 1+ or 0 in the ICA. This pattern was found in 41% (82/200) of systems overall. Whether or not stenoses were present in any branch of the extracranial carotid system, the strongest response (3+) was found in the ECA (58/200 [87%] with stenosis; 119/200 [89%] without stenosis, and lesser responses in the other arteries: 2+ in the CCA 31/200 [46%] with stenosis; 63/200 [47%] without stenosis, and 1+ or 0 in the ICA 58/200 [87%] with stenosis and 103/200 [77%] without stenosis). This pattern was unaltered by the degree of stenosis in the ECA or in the ICA. In 92.5% of the systems interrogated, the response was greater in the ECA than in the ICA. Tapping on the superficial temporal artery may be used as a reliable method of identifying the ipsilateral ECA even in instances of significant atherosclerotic disease in the ECA, CCA, or ICA. |
| doi_str_mv | 10.7863/jum.1996.15.6.459 |
| format | Article |
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E ; Rojratanakiat, W ; O'Boyle, M. K ; Engelbrecht, D. E ; Gosink, B. B</creator><creatorcontrib>Budorick, N. E ; Rojratanakiat, W ; O'Boyle, M. K ; Engelbrecht, D. E ; Gosink, B. B</creatorcontrib><description>To determine whether tapping on the superficial temporal artery correctly identifies the ECA during carotid sonography, prospective evaluation of the reflection of the temporal tap on the spectral waveform was recorded and graded as 3+, 2+, 1+, or 0 in each ECA, ICA, and CCA, with 3+ being the most brisk response in each carotid system (ipsilateral CCA, ICA, and ECA). The pattern of response was evaluated in patients with and without hemodynamically significant (> than 50% diameter) stenoses in CCA, ICA, and ECA. The most frequent pattern of response to tapping on the superficial temporal artery was 3+ in the ECA, 2+ in the CCA, and 1+ or 0 in the ICA. This pattern was found in 41% (82/200) of systems overall. Whether or not stenoses were present in any branch of the extracranial carotid system, the strongest response (3+) was found in the ECA (58/200 [87%] with stenosis; 119/200 [89%] without stenosis, and lesser responses in the other arteries: 2+ in the CCA 31/200 [46%] with stenosis; 63/200 [47%] without stenosis, and 1+ or 0 in the ICA 58/200 [87%] with stenosis and 103/200 [77%] without stenosis). This pattern was unaltered by the degree of stenosis in the ECA or in the ICA. In 92.5% of the systems interrogated, the response was greater in the ECA than in the ICA. Tapping on the superficial temporal artery may be used as a reliable method of identifying the ipsilateral ECA even in instances of significant atherosclerotic disease in the ECA, CCA, or ICA.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.7863/jum.1996.15.6.459</identifier><identifier>PMID: 8738991</identifier><identifier>CODEN: JUMEDA</identifier><language>eng</language><publisher>Laurel, MD: Am inst Ulrrasound Med</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cardiovascular system ; Carotid Arteries - diagnostic imaging ; Carotid Artery, Common - diagnostic imaging ; Carotid Artery, External - diagnostic imaging ; Carotid Artery, Internal - diagnostic imaging ; Carotid Stenosis - diagnostic imaging ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Prospective Studies ; Reproducibility of Results ; Temporal Arteries - diagnostic imaging ; Ultrasonic investigative techniques ; Ultrasonography, Doppler, Duplex - methods</subject><ispartof>Journal of ultrasound in medicine, 1996-06, Vol.15 (6), p.459-464</ispartof><rights>2016 by the American Institute of Ultrasound in Medicine</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4399-52dd416c3b722a6e5fd11893a7fdb2d9f12433d946d33422d198bfee2dd026e43</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.7863%2Fjum.1996.15.6.459$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.7863%2Fjum.1996.15.6.459$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3217000$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8738991$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Budorick, N. E</creatorcontrib><creatorcontrib>Rojratanakiat, W</creatorcontrib><creatorcontrib>O'Boyle, M. K</creatorcontrib><creatorcontrib>Engelbrecht, D. E</creatorcontrib><creatorcontrib>Gosink, B. B</creatorcontrib><title>Digital tapping of the superficial temporal artery: significance in carotid duplex sonography</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>To determine whether tapping on the superficial temporal artery correctly identifies the ECA during carotid sonography, prospective evaluation of the reflection of the temporal tap on the spectral waveform was recorded and graded as 3+, 2+, 1+, or 0 in each ECA, ICA, and CCA, with 3+ being the most brisk response in each carotid system (ipsilateral CCA, ICA, and ECA). The pattern of response was evaluated in patients with and without hemodynamically significant (> than 50% diameter) stenoses in CCA, ICA, and ECA. The most frequent pattern of response to tapping on the superficial temporal artery was 3+ in the ECA, 2+ in the CCA, and 1+ or 0 in the ICA. This pattern was found in 41% (82/200) of systems overall. Whether or not stenoses were present in any branch of the extracranial carotid system, the strongest response (3+) was found in the ECA (58/200 [87%] with stenosis; 119/200 [89%] without stenosis, and lesser responses in the other arteries: 2+ in the CCA 31/200 [46%] with stenosis; 63/200 [47%] without stenosis, and 1+ or 0 in the ICA 58/200 [87%] with stenosis and 103/200 [77%] without stenosis). This pattern was unaltered by the degree of stenosis in the ECA or in the ICA. In 92.5% of the systems interrogated, the response was greater in the ECA than in the ICA. Tapping on the superficial temporal artery may be used as a reliable method of identifying the ipsilateral ECA even in instances of significant atherosclerotic disease in the ECA, CCA, or ICA.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular system</subject><subject>Carotid Arteries - diagnostic imaging</subject><subject>Carotid Artery, Common - diagnostic imaging</subject><subject>Carotid Artery, External - diagnostic imaging</subject><subject>Carotid Artery, Internal - diagnostic imaging</subject><subject>Carotid Stenosis - diagnostic imaging</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Reproducibility of Results</subject><subject>Temporal Arteries - diagnostic imaging</subject><subject>Ultrasonic investigative techniques</subject><subject>Ultrasonography, Doppler, Duplex - methods</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtv1DAUhS1EVYbCD2CBlAWwS-prO3aM2KDyKFURG7pElie2M67ywk4U5t_jKKPZdnWte865PvoQegO4EBWn149zV4CUvICy4AUr5TO0g7LEueRAn6MdJqLKGZHiBXoZ4yPGBINgl-iyErSSEnbozxff-Em32aTH0fdNNrhsOtgszqMNztd-lWw3DiE9dJhsOH7Mom96n0Td1zbzfVbrMEzeZGYeW_svi0M_NEGPh-MrdOF0G-3r07xCD9--_r65ze9_ff9x8_k-rxmVMi-JMQx4TfeCEM1t6QxAJakWzuyJkQ4Io9RIxg2ljBADsto7a1MME24ZvUIftrtjGP7ONk6q87G2bat7O8xRiYoQzhh-0giloLQCSEbYjHUYYgzWqTH4ToejAqxW9iqxVyv7lFFcJfYp8_Z0fN531pwTJ9hJf3fSdax160Li5-PZRgkIjNeOnzbb4lt7fPpfdffwc11AybcW77f4wTeHxQerYqfbNnUCtSzLue1_24atDw</recordid><startdate>199606</startdate><enddate>199606</enddate><creator>Budorick, N. E</creator><creator>Rojratanakiat, W</creator><creator>O'Boyle, M. K</creator><creator>Engelbrecht, D. E</creator><creator>Gosink, B. B</creator><general>Am inst Ulrrasound Med</general><general>American Institute of Ultrasound in Medicine</general><scope>IQODW</scope><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>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>199606</creationdate><title>Digital tapping of the superficial temporal artery: significance in carotid duplex sonography</title><author>Budorick, N. E ; Rojratanakiat, W ; O'Boyle, M. K ; Engelbrecht, D. E ; Gosink, B. B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4399-52dd416c3b722a6e5fd11893a7fdb2d9f12433d946d33422d198bfee2dd026e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular system</topic><topic>Carotid Arteries - diagnostic imaging</topic><topic>Carotid Artery, Common - diagnostic imaging</topic><topic>Carotid Artery, External - diagnostic imaging</topic><topic>Carotid Artery, Internal - diagnostic imaging</topic><topic>Carotid Stenosis - diagnostic imaging</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Reproducibility of Results</topic><topic>Temporal Arteries - diagnostic imaging</topic><topic>Ultrasonic investigative techniques</topic><topic>Ultrasonography, Doppler, Duplex - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Budorick, N. 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K</au><au>Engelbrecht, D. E</au><au>Gosink, B. B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Digital tapping of the superficial temporal artery: significance in carotid duplex sonography</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>1996-06</date><risdate>1996</risdate><volume>15</volume><issue>6</issue><spage>459</spage><epage>464</epage><pages>459-464</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><coden>JUMEDA</coden><abstract>To determine whether tapping on the superficial temporal artery correctly identifies the ECA during carotid sonography, prospective evaluation of the reflection of the temporal tap on the spectral waveform was recorded and graded as 3+, 2+, 1+, or 0 in each ECA, ICA, and CCA, with 3+ being the most brisk response in each carotid system (ipsilateral CCA, ICA, and ECA). The pattern of response was evaluated in patients with and without hemodynamically significant (> than 50% diameter) stenoses in CCA, ICA, and ECA. The most frequent pattern of response to tapping on the superficial temporal artery was 3+ in the ECA, 2+ in the CCA, and 1+ or 0 in the ICA. This pattern was found in 41% (82/200) of systems overall. Whether or not stenoses were present in any branch of the extracranial carotid system, the strongest response (3+) was found in the ECA (58/200 [87%] with stenosis; 119/200 [89%] without stenosis, and lesser responses in the other arteries: 2+ in the CCA 31/200 [46%] with stenosis; 63/200 [47%] without stenosis, and 1+ or 0 in the ICA 58/200 [87%] with stenosis and 103/200 [77%] without stenosis). This pattern was unaltered by the degree of stenosis in the ECA or in the ICA. In 92.5% of the systems interrogated, the response was greater in the ECA than in the ICA. Tapping on the superficial temporal artery may be used as a reliable method of identifying the ipsilateral ECA even in instances of significant atherosclerotic disease in the ECA, CCA, or ICA.</abstract><cop>Laurel, MD</cop><pub>Am inst Ulrrasound Med</pub><pmid>8738991</pmid><doi>10.7863/jum.1996.15.6.459</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0278-4297 |
| ispartof | Journal of ultrasound in medicine, 1996-06, Vol.15 (6), p.459-464 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Cardiovascular system Carotid Arteries - diagnostic imaging Carotid Artery, Common - diagnostic imaging Carotid Artery, External - diagnostic imaging Carotid Artery, Internal - diagnostic imaging Carotid Stenosis - diagnostic imaging Female Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Prospective Studies Reproducibility of Results Temporal Arteries - diagnostic imaging Ultrasonic investigative techniques Ultrasonography, Doppler, Duplex - methods |
| title | Digital tapping of the superficial temporal artery: significance in carotid duplex sonography |
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