Doctor insights on:
Interpreting Carotid Doppler Results
Doppler Ultrasound: Ultrasound has proven to be cost-effective and quite accurate in determining the degree of narrowing in the carotid artery. Many vascular surgeons, including myself, solely rely on it to decide whether someone needs an operation. Mra is not so good and over-estimates the actual degree of narrowing. I would not rely on its findings to decide on operating. As mentioned a cta is much better. ...Read moreSee 1 more doctor answer
Debatable: Few vascular surgeons make decisions on carotid artery stenosis based on mr, as carotid doppler (ultrasound) has been proven to be very reliable when a good technologist performs the study. From what you're describing, your carotid arteries are likely without disease as the reporting standards for ultrasound haven't quite been set. In my lab you'd likely be found to have no disease at all. ...Read more
Carotid artery disease, what to believe, if different results from duplex ultrasound vs. Ct angiogram (cta)?
Carotid artery disease, different results from duplex ultrasound vs. Ct angiogram (cta), is that possible?
Different: Criteria may be used. Best to discuss results with your doctor. Results not always straight forward. ...Read more
Is a cardiac doppler echo/ tte accurate if performed correctly for finding physical malformations that cause murmur?
High accuracy: For investigation of the possible causes of a heart murmur, a properly performed transthoracic echocardiogram will have high accuracy as long as the imaging windows are good. If the echocardiogram is normal and the quality of images obtained is good, no further investigation is required. ...Read moreSee 1 more doctor answer
Pretty much all of: Them, with few exceptions.Get a more detailed answer ›
Excellent: Ultrasound duplex imaging of the cervical carotid arteries is very good at determining significant arterial narrowing. Changes in the flow patterns of the carotid arteries can also suggest disease in the internal carotid arteries further on in at the skull base even though the arteries themselves cannot be seen at that level. ...Read more
No screening: There is nothing called screening for mesenteric stenosis. If you have no symptoms then you no need to screen for occlusion. If you have chronic symptoms then duplex ultrasound is a good starting test but has a lot of limitations. In cases of acute ischemia then ct scan is best to start with. ...Read moreSee 2 more doctor answers
M37.Have low HDL/high TriG.Did tests, results ok.ABI, EKG, Chest XRay, UltraSound Carotid+whole abdomen,Echo Treadmill Stress. repeat tests how often?
Family history?: much of this hinges I feel on your family history. If you have parents, grandparents, aunts, uncles or siblings with coronary artery disease under the age of 55 then I repeat testing in 5 years, otherwise probably in 10 years. There is no consensus on this: therefore this is my own opinion as interventional cardiologist. ...Read more
Very: Carotid ultrasounds are very accurate. Not only can the plaque morphology be evaluated, but the degree of narrowing can be accurately estimated by measuring the peak systolic velocities. Complete carotid ultrasounds also evaluate the vertebral, subclavian and intracranial arteries. Ct angiograms are often done to confirm ultrasound findings prior to surgery. ...Read moreSee 1 more doctor answer
Carotid doppler ultrasound showed elevated psv in right ica but normal ica/cca. What's this mean?
When measuring ascending aorta size(horiz)from sinotobular junction to innominate artery is cardiac mri/mra for morphology more accurate test than cta?
Depends: Done properly, ideally with ECG gating, an aortic MRA is equivalent to an aortic CTA. The opinion from some vascular docs is an overestimation on MRA. This was probably from movement artifact and older scanners. The benefit of MRA is the lack of iodinated contrast and lack of radiation. It is in routine use at many large medical facilities to periodically track aortic enlargement- kids/adults ...Read more
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