Quantitative carotid phonoangiography.

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

Stroke

journal_title

Stroke

authors

Knox R,Breslau P,Strandness DE Jr

doi

10.1161/01.str.12.6.798

subject

Has Abstract

pub_date

1981-11-01 00:00:00

pages

798-803

issue

6

eissn

0039-2499

issn

1524-4628

journal_volume

12

pub_type

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