30 SECONDS VASCULAR ULTRASOUND CHALLENGE: CAROTID DISEASE. SEE DESCRIPTION FOR FULL CASE EXPLANATION

💻 Learn more about carotid plaques
👉👉👉abcvascular.com/courses/carot...
👩‍⚕️👨‍⚕️ABC VASCULAR has launched a new video format. You can now watch a 30 seconds video and try to attempt making a diagnosis. The idea is to familiarise healthcare professionals with a variety of vascular ultrasound cases.
🔍We are going to post the case description here in the description session in one week, so stay tuned.
💻 In the video, the most relevant ultrasound findings are presented with some comments so to make a first attempt diagnosis feasible.
🧐 CASE: carotid arteries atherosclerosis disease in a patient with acute stroke.
🗒 Try to describe the carotid plaque echogenicity, surface, texture and extension within the lumen and the impact on the blood flow. Share your thoughts in the comment session.
👩‍⚕️👨‍⚕️CASE SOLUTION: This video demonstrates the presence of a hypo-echoic (low echo) plaque with regular surface noted at the level of the posterior wall of the internal carotid artery (ICA). The plaque is associated to flow turbulence of the proximal ICA, as demonstrated by the presence of colour flow arising within the lumen of the ICA. The maximum peak systolic velocity recorded within the ICA at the level of the colour flow aliasing is 255cm/sec. Despite a multiparametric approach yields a high accuracy in grading carotid stenosis, the use of the PSV at the level of the stenosis is highly suggestive of a 70-79% stenosis of the proximal ICA. Hypo-echoic plaques are more likely to be linked to neuromuscular events.
#stroke #strokeawareness #atherosclerosis #neurology #neuroscience #ultrasound #vascularsystem #sonography

Пікірлер: 7

  • @ABCVascularUltrasound
    @ABCVascularUltrasound Жыл бұрын

    Full case explanation now available in the video description. Well done everyone.

  • @ankushsingh4277
    @ankushsingh4277 Жыл бұрын

    Internal carotid artery Atherosclerotic plaque

  • @peugie1
    @peugie1 Жыл бұрын

    Why not also mark the smooth echolucent plaque at the anterior wall which also seems to be present at the distal CCA? The marked plaque looks like an ulcerated plaque, there is a piece missing at the posterior wall, you see the eddy, stenosis will be >70% (but to be sure you have to know the velocity in the distal (unaffected) CCA, view from multiple scanplanes and power Doppler could also usefull in this case). And when measuring you should adjust the PRF to the height of the velocity (where is the velocity at its max, could also be distal to the plaque, measure through the stenosis).

  • @subasreeramakrishnan7605
    @subasreeramakrishnan7605 Жыл бұрын

    Floating thrombus