Clinical Physiology of Circulation

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


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

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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

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.

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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