Abstract:
:One hundred and sixteen carotid artery bruits were assessed using quantitative phonoangiography (spectral bruit analysis - SBA). This technique uses the averaged break frequency of the bruit to calculate the diameter of he residual lumen at the site of stenosis. Biplanar contrast arteriography was performed on 43 (37%) of the sides. All 116 sides were also evaluated with an ultrasonic Duplex scanner. Ten (8.6%) bruits could not be analyzed by the SBA, leaving 106 sides in which the residual lumen diameter could be estimated. The diameter of the vessel at the site of stenosis estimated by SBA and arteriography were compared and found to agree within 1 mm of each other in 85% of patients. A linear relationship was demonstrated between absolute lumen diameter and percent stenosis as measured from the arteriograms, but we were unable to correlate the absolute diameter of hte residual lumen as assessed by arteriography or SBA with the assessment of the degree of the stenosis derived from spectral analysis of the pulsed Doppler signal. The significance of these findings is discussed with relevance to the clinical application of spectral bruit analysis.
journal_name
Strokejournal_title
Strokeauthors
Knox R,Breslau P,Strandness DE Jrdoi
10.1161/01.str.12.6.798subject
Has Abstractpub_date
1981-11-01 00:00:00pages
798-803issue
6eissn
0039-2499issn
1524-4628journal_volume
12pub_type
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