Clinical Physiology of Circulation

ISSN 1814-6910 (Print)
ISSN 2410-9134 (Online)

 

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Issue's catalogue ➤ КФК. 2023; 20 (2): 89-202 ➤ Особенности выявления стенозов внутренних сонных и позвоночных артерий: возможности различных инструментальных методов

Features of detection of hemodynamically significant internal carotid and vertebral artery stenosis: the possibilities of various instrumental methods

Authors: Emets Е.V.1, Shumilina М.V.2

Company:
1 Institute of Training of Highly Qualified Personnel and Professional Education of Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation
2 Voronezh Regional Clinical Hospital No. 1, Voronezh, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2023-20-2-107-118

UDC: 616.133+616.134.9]-007.271

Link: Clinical Physiology of Blood Circulaiton. 2023; 2 (20): 107-118

Quote as: Emets Е.V., Shumilina М.V. Features of detection of hemodynamically significant internal carotid and vertebral artery stenosis: the possibilities of various instrumental methods. Clinical Physiology of Circulation. 2023; 20 (2): 107–18 (in Russ.). DOI: 10.24022/1814-6910-2023-20-2-107-118

Keywords:  diagnostics NASCET EСST duplex scanning сomputed tomography magnetic resonance imaging

Received / Accepted:  04.05.2023 / 30.05.2023

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Abstract

Over the past few decades, various instrumental techniques have been developed to visualize internal carotid artery stenosis (ICAS), in particular digital subtraction angiography (DSA), colour flow duplex scanning (CFDS or Triplex Scanning), computed tomographic angiography (CTA) and magnetic resonance angiography (MRA). For the prevention of strokes, early diagnosis of both hemodynamically significant ICAS and atherosclerotic plaques with decay is of exceptional importance. The article discusses the critical parameters and degree of visualization of plaques in the ICAS using three diagnostic methods: CFDS, CTA and MRA (standard reference method – DSA). However, all the methods used have diagnostic features that determine their reliability. Data are accumulating indicating that the reference method for assessing the ICAS should be CFDS. Optical coherence tomography which allows obtaining high-quality images of plaques in the ICAS is promising and requiring further development method. The purpose of this article is to analyze the possibilities of various instrumental methods in identifying problematic stenoses of the preserebral arteries.

References

  1. Емец Е.В., Шумилина М.В. Церебральный гиперперфузионный синдром: проблема разграничения близких синдромов, вероятные механизмы развития, клинические проявления и факторы риска. Клиническая физиология кровообращения. 2021; 18 (2): 118–27. DOl: 1024022/18146910-2021-18-2-118-127
  2. Diana F., Frauenfelder G., Botto A., Saponiero R., Romano D.G. Cerebral hyperperfusion syndrome after intracranial stenting: case report and systematic review. Interv. Neuroradiol. 2021; 27 (6): 843–49. DOI: 10.1177/15910199211011860
  3. Howard D.P.J., Gaziano L., Rothwell P.M. Risk of stroke in relation to degree of asymptomatic carotid stenosis: a population-based cohort study, systematic review, and meta-analysis. Lancet Neurol. 2021; 20 (3): 193–202. DOI: 10.1016/S1474-4422(20)30484-1
  4. Saxena A., Ng E.Y.K., Lim S.T. Imaging modalities to diagnose carotid artery stenosis: progress and prospect. Biomed. Eng. Online. 2019; 18 (1): 66. DOI: 10.1186/s12938-019-0685-7
  5. Cassola N., Baptista-Silva J.C., Nakano L.C., Flumignan C.D., Sesso R., Vasconcelos V. et al. Duplex ultrasound for diagnosing symptomatic carotid stenosis in the extracranial segments. Cochrane Database Syst. Rev. 2022; 7 (7): CD013172. DOI: 10.1002/14651858
  6. Шумилина М.В. Комплексная ультразвуковая диагностика патологии периферических сосудов: учебно-методическое руководство. Изд. 2-е, доп. М.: НЦССХ им. А.Н. Бакулева; 2012
  7. Ricotta J.J., Pagan J., Xenos M., Alemu Y., Einav S., Bluestein D. Cardiovascular disease management: the need for better diagnostics. Med. Biol. Eng. Computing. 2008; 46 (11): 1059–68. DOI: 10.1007/s11517-008- 0416-x
  8. Lan W.-C., Chen Y.-H., Liu S.-H. Non-invasive imaging modalities for the diagnosis of coronary artery disease: the present and the future. Tzu Chi Med. J. 2013; 25: 206–12.
  9. Dowsley T., Al-Mallah M., Ananthasubramaniam K., Dwivedi G., McArdle B., Chow B.J.W. The role of noninvasive imaging in coronary artery disease detection, prognosis, and clinical decision making. Can. J. Cardiol. 2013; 29: 285–96. DOI: 10.1016/j.cjca.2012.10.022
  10. Canpolat U., Ozer N. Noninvasive cardiac imaging for the diagnosis of coronary artery disease in women. Anadolu Kardiyol. Derg. 2014; 14 (8): 741–6. DOI: 10.5152/akd.2014.5406
  11. Kuntz K.M., Skillman J.J., Whittemore A.D., Kent K.C. Carotid endarterectomy in asymptomatic patients – is contrast angiography necessary? A morbidity analysis. J. Vas. Surg. 1995; 22 (6): 706–16. DOI: 10.1016/s0741-5214(95)70061-7
  12. Цвибель В.Дж., Пеллерито Д.С. Ультразвуковое исследование сосудов: Пер. с англ. Под ред. В.В. Митькова, Ю.М. Никитина, Л.В. Осипова. М.: Издательский дом «Видар-М»; 2008.
  13. Куликов В.П. Основы ультразвукового исследования сосудов. М.: Издательский дом «Видар»; 2015.
  14. Поморцев А.В., Шевелев В.И., Багдасарян К.А. Ультразвуковая диагностика патологий сонных артерий. REJR. 2020; 10 (2): 195–204. DOI: 10.21569/2222-7415-2020-10-2-195-204
  15. Чернявский М.А., Иртюга О.Б., Янишевский С.Н., Алиева А.С., Самочерных К.А., Абрамов К.Б. и др. Российский консенсус по диагностике и лечению пациентов со стенозом сонных артерий. Российский кардиологический журнал. 2022; 27 (11): 5284. DOI: 10.15829/1560-4071-2022-5284
  16. Di Muzio B., Foo M., Gaillard F. et al. Carotid artery stenosis. Reference article. Available at: Radiopaedia.org. DOI: 10.53347/rID-31763 (accessed on May 22, 2023).
  17. Шумилина М.В., Аракелян В.С., Дарвиш Н.А. Алгоритм ультразвукового обследования брахиоцефальных сосудов: учебно-методическое пособие. М.: НМИЦ ССХ им. А.Н. Бакулева МЗ РФ; 2019.
  18. Manchev L. Diagnostic imaging of carotid artery. In: Edited by R. Rezzani, L.F. Rodella (eds.). Carotid artery – gender and health [Internet]. IntechOpen; 2018. Available at: http://dx.doi.org/10.5772/intechopen.73939 . DOI: 10.5772/intechopen.79762 (accessed on May 22, 2023).
  19. Huston J., James E.M., Brown R.D.Jr., Lefsrud R.D., Ilstrup D.M., Robertson E.F. et al. Redefined duplex ultrasound criteria for diagnosis of carotid artery stenosis. Mayo Clin. Proc. 2000; 75 (11): 1133–40. DOI: 10.4065/75.11.1133
  20. Jahromi A.S., Cinà C.S., Liu Y., Clase C.M. Sensitivity and specifcity of color duplex ultrasound measurement in the estimation of internal carotid artery stenosis: a systematic review and meta-analysis. J. Vasc. Surg. 2005; 41 (6): 962–72. DOI: 10.1016/j.jvs.2005.02.044
  21. Nederkoorn P.J., Mali W.P.T.M., Eikelboom B.C., Elgersma O.E.H., Buskens E., Hunink M.G.M. et al. Preoperative diagnosis of carotid artery stenosis accuracy of noninvasive testing. Stroke. 2002; 33 (8): 2003–8. DOI: 10.1161/01.str.0000021900.58396.44
  22. Jager H.R., Moore E.A., Bynevelt M., Coley S., Mounfeld P., Kitchen N. et al. Contrast-enhanced MR angiography in patients with carotid artery stenosis: comparison of two diferent techniques with an unenhanced 2D time-offight sequence. Neuroradiology. 2000; 42: 240–8. DOI: 10.1007/s002340050879
  23. Nederkoorn P.J., Van Der Graaf Y., Hunink M.G.M. Duplex ultrasound and magnetic resonance angiography compared with digital subtraction angiography in carotid artery stenosis: a systematic review. Stroke. 2003; 34 (5): 1324–31. DOI: 10.1161/01.STR.0000068367.08991.A2
  24. Marks M.P., Napel S., Jordan J.E., Enzmann D.R. Diagnosis of carotid artery disease: preliminary experience with maximum-intensity-projection spiral CT angiography. Am. J. Roentgenol. 1993; 160 (6): 1267–71. DOI: 10.2214/ajr.160.6.8498231
  25. Farrés M.T., Grabenwöger F., Magometschnig H., Trattnig S., Heimberger K., Lammer J. Spiral CT angiography: study of stenoses and calcifcation at the origin of the vertebral artery. Neuroradiology. 1996; 38 (8): 738–43. DOI: 10.1007/s002340050339
  26. Anderson G.B., Ashforth R., Steinke D.E., Ferdinandy R., Findlay J.M. CT angiography for the detection and characterization of carotid artery bifurcation disease. Stroke. 2000; 31 (9): 2168–74. DOI: 10.1161/01.STR.31.9.2168
  27. Koelemay M.J.W., Nederkoorn P.J., Reitsma J.B., Majoie C.B. Systematic review of computed tomographic angiography for assessment of carotid artery disease. Stroke. 2004; 35 (10): 2306–12. DOI: 10.1161/01.STR.0000141426.63959.cc.
  28. Wardlaw J.M., Chappell F.M., Stevenson M., De Nigris E., Thomas S., Gillard J. et al. Accurate, practical and cost-effective assessment of carotid stenosis in the UK. Health Technol. Assess. 2006; 10 (30): 1–182. DOI: 10.3310/hta10300
  29. Cosottini M., Pingitore A., Puglioli M., Michelassi M.C., Lupi G., Abbruzzese A. et al. Contrast-enhanced threedimensional magnetic resonance angiography of atherosclerotic internal carotid stenosis as the noninvasive imaging modality in revascularization decision making. Stroke. 2003; 34 (3): 660–4. DOI: 10.1161/01.STR. 0000057462.02141.6F
  30. Kelly A.G., Holloway R.G. Review: noninvasive imaging techniques may be useful for diagnosing 70% to 99% carotid stenosis in symptomatic patients. ACP J. Club. 2006; 145 (3): 77.
  31. Вишнякова М.В. (мл.), Пронин И.Н., Ларьков Р.Н., Вишнякова М.В. Диагностика критических поражений внутренних сонных артерий при КТ-ангиографии. Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко. 2021; 85 (6): 37–42. DOI: 10.17116/neiro20218506137
  32. Вишнякова М.В., Ларьков Р.Н., Загаров С.С., Саломатин П.В. КТ-ангиография в оценке состояния артерий и вещества головного мозга при патологических извитостях внутренних сонных артерий. Диагностическая и интервенционная радиология. 2022; 16 (3): 6–14. DOI: 10.25512/DIR.2022.16.3.01
  33. Gornik H.L., Rundek T., Gardener H., Benenati J.F., Dahiya N., Hamburg N.M. et al. Optimization of duplex velocity criteria for diagnosis of internal carotid artery (ICA) stenosis: a report of the Intersocietal Accreditation Commission (IAC) Vascular Testing Division Carotid Diagnostic Criteria Committee. J. Vasc. Med. 2021; 74 (3). DOI: 10.1016/j.jvs.2021.06.005
  34. Takekawa H., Tsukui D., Kobayasi S., Suzuki K., Hamaguchi H. Ultrasound diagnosis of carotid artery stenosis and occlusion. J. Med. Ultrasonics. 2022; 49 (4): 675–87. DOI: 10.1007/s10396-022-01259-7
  35. Yoshimura S., Kawasaki M., Yamada K., Hattori A., Nishigaki K., Minatoguchi S. et al. OCT of human carotid arterial plaques. JACC Cardiovasc. Imaging. 2011; 4 (4): 432–6. DOI: 10.1016/j.jcmg.2011.01.013
  36. Cilingiroglu M., Hakeem A., Feldman M., Wholey M. Optical coherence tomography imaging in asymptomatic patients with carotid artery stenosis. Cardiovasc. Revasc. Med. 2013; 14 (1): 53–6. DOI: 10.1016/j.carrev.2012.09.004
  37. Chang H., Yoon H.J., Hong J.-H., Kim C.-H., Sohn S., Lee C.-Y. A lotus root-like appearance in carotid stenosis on optical coherence tomography. J. Neurointerv. Surg. 2015; 8 (6): e21. DOI: 10.1136/neurintsurg-2015- 011685.rep
  38. Oushy S., Flemming KD., Cloft H., Savastano L.E. Use of intravascular optical coherence tomography to confirm the diagnosis of a carotid web in a patient with recurrent ipsilateral embolic strokes and evaluate the response to stenting. Interv. Neuroradiol. 2023; 29 (2): 217–21. DOI: 10.1177/15910199221080878
  39. De Donato G., Pasqui E., Alba G., Giannace G., Panzano C., Cappelli A. et al. Clinical considerations and recommendations for OCT-guided carotid artery stenting. Expert Rev. Cardiovasc. Ther. 2020; 18 (4): 219–29. DOI: 10.1080/14779072.2020. 1756777
  40. Базылев В.В., Бартош Ф.Л., Дудин Д.С., Никонова И.В. Оценка пиковой систолической скорости кровотока при изолированных стенозах внутренней сонной артерии различной степени выраженности с использованием триплексного сканирования. Ангиология и сосудистая хирургия. 2022; 28 (4): 31–5. DOI: 10.33029/1027-6661-2022-28-4-31-35
  41. McLaughlin M., McNally J.S. Imaging of the carotid artery. In: Park M.S., Kalani M.Y.S., de Havenon A., McNally J.S. (Eds.). Carotid artery disease: evaluation and management. Springer, Cham; 2020: 33–48. DOI: 10.1007/978-3-030-41138-1_3
****
  1. Emets Е.М., Shumilina M.V. Cerebral hyperperfusion syndrome: the problem of distinguishing between similar syndromes, probable mechanisms оf development, clinical manifestations and risk factors. ClinicaI Physiology of Circulation. 2021; 18 (2): 118–27 (in Russ.). DOl: 1024022/18146910-2021-18- 2-118-127
  2. Diana F., Frauenfelder G., Botto A., Saponiero R., Romano D.G. Cerebral hyperperfusion syndrome after intracranial stenting: case report and systematic review. Interv. Neuroradiol. 2021; 27 (6): 843–49. DOI: 10.1177/15910199211011860
  3. Howard D.P.J., Gaziano L., Rothwell P.M. Risk of stroke in relation to degree of asymptomatic carotid stenosis: a population-based cohort study, systematic review, and meta-analysis. Lancet Neurol. 2021; 20 (3): 193–202. DOI: 10.1016/S1474-4422(20)30484-1
  4. Saxena A., Ng E.Y.K., Lim S.T. Imaging modalities to diagnose carotid artery stenosis: progress and prospect. Biomed. Eng. Online. 2019; 18 (1): 66. DOI: 10.1186/s12938-019-0685-7
  5. Cassola N., Baptista-Silva J.C., Nakano L.C., Flumignan C.D., Sesso R., Vasconcelos V. et al. Duplex ultrasound for diagnosing symptomatic carotid stenosis in the extracranial segments. Cochrane Database Syst. Rev. 2022; 7 (7): CD013172. DOI: 10.1002/14651858
  6. Shumilina M.V. Complex ultrasound diagnosis of peripheral vascular pathology. 2nd ed. Moscow, 2012 (in Russ.).
  7. Ricotta J.J., Pagan J., Xenos M., Alemu Y., Einav S., Bluestein D. Cardiovascular disease management: the need for better diagnostics. Med. Biol. Eng. Computing. 2008; 46 (11): 1059–68. DOI: 10.1007/s11517-008- 0416-x
  8. Lan W.-C., Chen Y.-H., Liu S.-H. Non-invasive imaging modalities for the diagnosis of coronary artery disease: the present and the future. Tzu Chi Med. J. 2013; 25: 206–12.
  9. Dowsley T., Al-Mallah M., Ananthasubramaniam K., Dwivedi G., McArdle B., Chow B.J.W. The role of noninvasive imaging in coronary artery disease detection, prognosis, and clinical decision making. Can. J. Cardiol. 2013; 29: 285–96. DOI: 10.1016/j.cjca.2012.10.022
  10. Canpolat U., Ozer N. Noninvasive cardiac imaging for the diagnosis of coronary artery disease in women. Anadolu Kardiyol. Derg. 2014; 14 (8): 741–6. DOI: 10.5152/akd.2014.5406
  11. Kuntz K.M., Skillman J.J., Whittemore A.D., Kent K.C. Carotid endarterectomy in asymptomatic patients – is contrast angiography necessary? A morbidity analysis. J. Vas. Surg. 1995; 22 (6): 706–16. DOI: 10.1016/s0741-5214(95)70061-7
  12. Zwiebel W.J., Pellerito J.S. Vascular ultrasonography. Fifth Edition. Philadelphia: Elsevier Inc., 2004 (in Russ.).
  13. Kulikov V.P. Fundamentals of ultrasound examination of blood vessels. Moscow; 2015 (in Russ.).
  14. Pomortsev A.V., Shevelev V.I., Baghdasaryan K.A. Ultrasound diagnostics of carotid arteries pathologies. REJR. 2020; 10 (2): 195–204 (in Russ.). DOI: 10.21569/2222-7415-202010-2-195-204
  15. Chernyavsky M.A., Irtyuga O.B., Yanishevsky S.N., Alieva A.S., Samochernykh K.A., Abramov K.B. et al. Russian consensus statement on the diagnosis and treatment of patients with carotid stenosis. Russian Journal of Cardiology. 2022; 27 (11): 5284 (in Russ.). DOI: 10.15829/1560- 4071-2022-5284
  16. Di Muzio B., Foo M., Gaillard F. et al. Carotid artery stenosis. Reference article. Available at: Radiopaedia.org. DOI: 10.53347/rID-31763 (accessed on May 22, 2023).
  17. Shumilina M.V., Arakelyan V.S., Darvish N.A. Algorithm of ultrasound examination of brachiocephalic vessels. Moscow; 2019 (in Russ.).
  18. Manchev L. Diagnostic imaging of carotid artery. In: Edited by R. Rezzani, L.F. Rodella (eds.). Carotid artery – gender and health [Internet]. IntechOpen; 2018. Available at: http://dx.doi.org/10.5772/intechopen.73939 DOI: 10.5772/intechopen.79762 (accessed on May 22, 2023).
  19. Huston J., James E.M., Brown R.D.Jr., Lefsrud R.D., Ilstrup D.M., Robertson E.F. et al. Redefined duplex ultrasound criteria for diagnosis of carotid artery stenosis. Mayo Clin. Proc. 2000; 75 (11): 1133–40. DOI: 10.4065/75.11.1133
  20. Jahromi A.S., Cinà C.S., Liu Y., Clase C.M. Sensitivity and specifcity of color duplex ultrasound measurement in the estimation of internal carotid artery stenosis: a systematic review and meta-analysis. J. Vasc. Surg. 2005; 41 (6): 962–72. DOI: 10.1016/j.jvs.2005.02.044
  21. Nederkoorn P.J., Mali W.P.T.M., Eikelboom B.C., Elgersma O.E.H., Buskens E., Hunink M.G.M. et al. Preoperative diagnosis of carotid artery stenosis accuracy of noninvasive testing. Stroke. 2002; 33 (8): 2003–8. DOI: 10.1161/01.str.0000021900.58396.44
  22. Jager H.R., Moore E.A., Bynevelt M., Coley S., Mounfeld P., Kitchen N. et al. Contrast-enhanced MR angiography in patients with carotid artery stenosis: comparison of two diferent techniques with an unenhanced 2D time-offight sequence. Neuroradiology. 2000; 42: 240–8. DOI: 10.1007/s002340050879
  23. Nederkoorn P.J., Van Der Graaf Y., Hunink M.G.M. Duplex ultrasound and magnetic resonance angiography compared with digital subtraction angiography in carotid artery stenosis: a systematic review. Stroke. 2003; 34 (5): 1324–31. DOI: 10.1161/01.STR.0000068367.08991.A2
  24. Marks M.P., Napel S., Jordan J.E., Enzmann D.R. Diagnosis of carotid artery disease: preliminary experience with maximum-intensity-projection spiral CT angiography. Am. J. Roentgenol. 1993; 160 (6): 1267–71. DOI: 10.2214/ajr.160.6.8498231
  25. Farrés M.T., Grabenwöger F., Magometschnig H., Trattnig S., Heimberger K., Lammer J. Spiral CT angiography: study of stenoses and calcifcation at the origin of the vertebral artery. Neuroradiology. 1996; 38 (8): 738–43. DOI: 10.1007/s002340050339
  26. Anderson G.B., Ashforth R., Steinke D.E., Ferdinandy R., Findlay J.M. CT angiography for the detection and characterization of carotid artery bifurcation disease. Stroke. 2000; 31 (9): 2168–74. DOI: 10.1161/01.STR.31.9.2168
  27. Koelemay M.J.W., Nederkoorn P.J., Reitsma J.B., Majoie C.B. Systematic review of computed tomographic angiography for assessment of carotid artery disease. Stroke. 2004; 35 (10): 2306–12. DOI: 10.1161/01.STR.0000141426.63959.cc.
  28. Wardlaw J.M., Chappell F.M., Stevenson M., De Nigris E., Thomas S., Gillard J. et al. Accurate, practical and cost-effective assessment of carotid stenosis in the UK. Health Technol. Assess. 2006; 10 (30): 1–182. DOI: 10.3310/hta10300
  29. Cosottini M., Pingitore A., Puglioli M., Michelassi M.C., Lupi G., Abbruzzese A. et al. Contrast-enhanced threedimensional magnetic resonance angiography of atherosclerotic internal carotid stenosis as the noninvasive imaging modality in revascularization decision making. Stroke. 2003; 34 (3): 660–4. DOI: 10.1161/01.STR. 0000057462.02141.6F
  30. Kelly A.G., Holloway R.G. Review: noninvasive imaging techniques may be useful for diagnosing 70% to 99% carotid stenosis in symptomatic patients. ACP J. Club. 2006; 145 (3): 77.
  31. Vishnyakova M.V. Jr., Pronin I.N., Larkov R.N., Vishnyakova M.V. Ct-angiography in assessment of critical occlusive carotid artery disease. Zh. Vopr. Neirokhir. Im. N.N. Burdenko. 2021; 85 (6): 37–42 (in Russ., in Engl.). DOI: 10.17116/neiro20218506137
  32. Vishnyakova M.V., Larkov R.N., Zagarov S.S., Salomatin P.V. CT angiography in assessing the state of arteries and brain matter in pathological tortuosities of internal carotid arteries. Journal of Diagnostic and Interventional Radiology. 2022; 16 (3): 6–14 (in Russ.). DOI: 10.25512/DIR.2022.16.3.01
  33. Gornik H.L., Rundek T., Gardener H., Benenati J.F., Dahiya N., Hamburg N.M. et al. Optimization of duplex velocity criteria for diagnosis of internal carotid artery (ICA) stenosis: a report of the Intersocietal Accreditation Commission (IAC) Vascular Testing Division Carotid Diagnostic Criteria Committee. J. Vasc. Med. 2021; 74 (3). DOI: 10.1016/j.jvs.2021.06.005
  34. Takekawa H., Tsukui D., Kobayasi S., Suzuki K., Hamaguchi H. Ultrasound diagnosis of carotid artery stenosis and occlusion. J. Med. Ultrasonics. 2022; 49 (4): 675–87. DOI: 10.1007/s10396-022-01259-7
  35. Yoshimura S., Kawasaki M., Yamada K., Hattori A., Nishigaki K., Minatoguchi S. et al. OCT of human carotid arterial plaques. JACC Cardiovasc. Imaging. 2011; 4 (4): 432–6. DOI: 10.1016/j.jcmg.2011.01.013
  36. Cilingiroglu M., Hakeem A., Feldman M., Wholey M. Optical coherence tomography imaging in asymptomatic patients with carotid artery stenosis. Cardiovasc. Revasc. Med. 2013; 14 (1): 53–6. DOI: 10.1016/j.carrev.2012.09.004
  37. Chang H., Yoon H.J., Hong J.-H., Kim C.-H., Sohn S., Lee C.-Y. A lotus root-like appearance in carotid stenosis on optical coherence tomography. J. Neurointerv. Surg. 2015; 8 (6): e21. DOI: 10.1136/neurintsurg-2015- 011685.rep
  38. Oushy S., Flemming KD., Cloft H., Savastano L.E. Use of intravascular optical coherence tomography to confirm the diagnosis of a carotid web in a patient with recurrent ipsilateral embolic strokes and evaluate the response to stenting. Interv. Neuroradiol. 2023; 29 (2): 217–21. DOI: 10.1177/15910199221080878
  39. De Donato G., Pasqui E., Alba G., Giannace G., Panzano C., Cappelli A. et al. Clinical considerations and recommendations for OCT-guided carotid artery stenting. Expert Rev. Cardiovasc. Ther. 2020; 18 (4): 219–29. DOI: 10.1080/14779072.2020. 1756777
  40. Bazylev V.V., Bartosh F.L., Dudin D.S., Nikonova I.V. Assessment of peak systolic blood flow rate in isolated stenoses of the internal carotid artery of varying severity using triplex scanning. Angiology and Vascular Surgery. 2022; 28 (4): 31–5 (in Russ.). DOI: 10.33029/1027-6661-2022-28-4-31-35
  41. McLaughlin M., McNally J.S. Imaging of the carotid artery. In: Park M.S., Kalani M.Y.S., de Havenon A., McNally J.S. (Eds.). Carotid artery disease: evaluation and management. Springer, Cham; 2020: 33–48. DOI: 10.1007/978-3-030-41138-1_3

About Authors

  • Емец Екатерина Викторовна, аспирант, врач функциональной диагностики; ORCID
  • Шумилина Маргарита Владимировна, д-р мед. наук, профессор кафедры кардиологии и функциональной диагностики, заведующий группой ультразвуковых исследований сердечнососудистой и органной патологии; ORCID

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