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001-es BibID:	BIBFORM015608
035-os BibID:	12364728
Első szerző:	Schulte-Altedorneburg, Gernot
Cím:	Detection of carotid artery stenosis by in vivo duplex ultrasound: correlationwith planimetric measurements of the corresponding postmortem specimens / Gernot Schulte-Altedorneburg, Dirk W. Droste, Szabolcs Felszeghy, Laszlo Csiba, Vasile Popa, Katalin Hegedus, Jozsef Kollar, Laszlo Modis, E. Bernd Ringelstein
Dátum:	2002
ISSN:	0039-2499 (Linking)
Megjegyzések:	BACKGROUND AND PURPOSE: The correct detection and quantification of carotidartery disease are of decisive impact on patient prognosis and adequatetreatment. In this study, we evaluated the ability of ultrasonography to detectand to grade carotid artery stenosis through a comparison of the in vivoultrasound findings with the planimetric analysis of the corresponding postmortemspecimens. METHODS: Shortly before their death, 59 critically ill neurologicalpatients (mean age, 70 years) were prospectively examined by extracranial andintracranial Doppler sonography and color-coded duplex ultrasound. Carotidstenosis was classified by hemodynamic and morphological ultrasound criteria.Carotid specimens were removed in toto during autopsy. Under standardizedconditions, specimens were redistended, sectioned, and histologically processed.Computerized planimetric measurements of the arteries were carried out andcompared with the ultrasound findings. Correlation of the ultrasound andpostmortem planimetric findings was available in 93 carotid bifurcations.RESULTS: Through both techniques, 46 carotid arteries were found to be normal.Steno-occlusive carotid lesions ranged from 8.5% to 100% lumen reduction.Overall, r=0.96 and adjusted R(2)=0.90. For the steno-occlusive carotid lesions,r=0.91. CONCLUSIONS: Extracranial and intracranial Doppler and color-coded duplexultrasound permits reliable detection and quantification of carotid arterystenoses and occlusions even under difficult examination conditions in criticallyill patients.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban Adult Aged Aged, 80 and over Blood Flow Velocity Carotid Arteries/pathology/physiopathology/ultrasonography Carotid Artery Thrombosis/classification/pathology/ultrasonography Female Hemodynamics Humans Hungary Intracranial Hypertension/radiography Male Middle Aged Predictive Value of Tests Prospective Studies Sensitivity and Specificity Tomography, X-Ray Computed Ultrasonography, Doppler, Color Ultrasonography, Doppler, Transcranial Vascular Patency egyetemen (Magyarországon) készült közlemény
Megjelenés:	Stroke. - 33 : 10 (2002), p. 2402-2407. -
További szerzők:	Droste, Dirk W. Felszeghy Szabolcs Béla (1972-) (fogorvos, anatómus, kötőszövetbiológus) Csiba László (1952-) (neurológus, pszichiáter) Popa, Vasile Hegedűs Katalin (1946-2017) (ideggyógyász, neuropathológus) Kollár József (1950-) (radiológus) Módis László (1939-) (anatómus, kötőszövetbiológus) Ringelstein, E. Bernd
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat elektronikus elérés DOI
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