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. 2025; 22 (1): 1-114 ➤ Причины ошибок в определении степени стеноза внутренней сонной артерии при ультразвуковом исследовании и ангиографии

Causes of errors in determining the degree of stenosis of the internal carotid artery during ultrasound and angiography

Authors: Gansukh A.1, Byambajav O.1, Gansukh T.1, Shumilina M.V.2, Shchanitsyn I.N.2, Yusifov A.S.2

Company:
1 «Oyun-Onosh» Center of the Mongolian Academy of Sciences, Ulaanbaatar, Mongolia
2 Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2025-22-1-89-106

UDC: 616.133-007.271-073.43

Link: Clinical Physiology of Blood Circulaiton. 2025; 22 (1): 89-106

Quote as: Gansukh A., Byambajav O., Gansukh T., Shumilina M.V., Shchanitsyn I.N., Yusifov A.S. Causes of errors in determining the degree of stenosis of the internal carotid artery during ultrasound and angiography. Clinical Physiology of Circulation. 2025; 22(1): 89–106. DOI: 10.24022/1814-6910-2025-22-1-89-106

Keywords:  stroke carotid artery stenosis duplex ultrasound diagnostic criteria

Received / Accepted:  17.02.2025 / 28.02.2025

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Abstract

The aim of the work was to evaluate the diagnostic accuracy of ultrasound and determine the causes of errors in determining the degree of ICA stenosis.

Materials and methods. A single-center retrospective comparative study was conducted. The study included 602 patients (1179 arteries) with a full examination (ultrasound + angiography).

Results. Based on the analysis of the results of ultrasound and angiography of the carotid arteries, a comparative assessment of the diagnostic accuracy of hemodynamic and planimetric determination of the degree of ICA stenosis was carried out, modified hemodynamic criteria for ICA stenosis with greater diagnostic accuracy were identified, the causes of errors in ultrasound were determined, and factors influencing the hemodynamic parameters of blood flow were determined.

Conclusion. Our study demonstrated high sensitivity and specificity of the use of complex planimetric assessment and assessment of hemodynamic parameters in the diagnosis of ICA stenosis. However, further research is needed to standardize the hemodynamic criteria for varying degrees of ICA stenosis. We have systematized the causes of ultrasound errors. It is necessary to take into account the factors potentially influencing the ultrasound results, especially at threshold values of the degree of ICA stenosis, when errors can lead to the choice of the wrong treatment tactics.

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About Authors

  • Amarjargal Gansukh, Associate Professor, Ultrasonic and Neuroradiology Diagnostician, ORCID
  • Oyun Byambajav, Cand. Med. Sci., Professor, Ultrasonic and Neuroradiology Diagnostician; ORCID
  • Tserenchunt Gansukh, Cand. Med. Sci., Researcher, Professor of Radiology and Neuroradiology; ORCID
  • Margarita V. Shumilina, Dr. Med. Sci., Professor, Head of the Department of Ultrasound Studies of Cardiovascular and Organ Pathology, Ultrasonic Diagnostician; ORCID
  • Ivan N. Shchanitsyn, Cand. Med. Sci., Researcher, Cardiovascular Surgeon; ORCID
  • Ali S. Yusifov, Cand. Med. Sci., Researcher, Cardiologist; ORCID

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