Background: The preventive task force reaffirmed its 2007 recommendation against screening for asymptomatic carotid stenosis with Doppler ultrasound (US). This recommendation was not tailored to include high risk subgroups (diabetics with coronary artery disease). Methods: We conducted a retrospective case control study on previously asymptomatic, elderly, diabetic patients with history of coro...

Carotid disease is a common finding in patients with coronary artery disease (CAD) and its presence is associated with worse clinical outcomes. Intima-media thickness provides incremental value over traditional risk factors in predicting cardiovascular events; however, it does not predict the absence of CAD or its extent and severity. The presence of carotid plaques is associated with an increa...

Twenty-two cervical carotid artery bifurcations were evaluated in 11 patients using a high-resolution computed tomographic (CT) technique with image reformation permitting display of the bifurcation anatomy. Arteriography was also done in eight of the patients, two of whom subsequently underwent carotid endarterectomy. The CT study showed patency of the proximal internal carotid artery in every...

Doppler ultrasonic assessment of extracranial carotid occlusive disease has been modified to decrease the incidence of false positive and negative diagnoses. The technique, which assessed directional flow in the frontal artery and the influence of sequential compression of each temporal, infraorbital, facial and common carotid artery, was performed on 152 vessels visualized by contrast arteriog...

Ultrasound examination of the carotid artery has recently become an accepted procedure in screening patients with transient ischemic attacks. We report a patient with fibromuscular hyperplasia of the carotid artery diagnosed successfully with digital gray scale contact ultrasonic scanning and confirmed with arteriography.

the management of carotid artery stenosis reduces the risk of stroke and its related deaths.   management options include risk factor modification and medical therapy, carotid endarterectomy (cea), and carotid artery stenting (cas). although several randomized controlled trials (rcts), mostly conducted in late-1980s and mid-1990s, have proved cea to be effective in the prevention of ipsilateral...

Lundberg, C. 2015. Screening for Atherosclerosis with Magnetic Resonance Imaging and Ultrasound. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 1074. 81 pp. Uppsala: Acta Universitatis Upsaliensis. ISBN 978-91-554-9179-6. Atherosclerosis is a major cause of death and disability worldwide. Although traditional risk factors can identify the healthy or severe...

BACKGROUND Screening of peripheral atherosclerosis is increasingly used, but few trials have examined its clinical impact. We aimed to assess whether carotid plaque screening helps smokers to improve their health behaviors and cardiovascular risk factors. METHODS We randomly assigned 536 smokers aged 40 to 70 years to carotid plaque ultrasonographic screening (US group) vs no screening (contr...