Problems in ultrasound diagnosis of atherosclerotic stenoses of the carotid arteries in Poland
Journal Title: Postępy Nauk Medycznych - Year 2012, Vol 25, Issue 8
Abstract
The ultrasound evaluation of the carotid arteries is currently considered as the basic examination in diagnostics of pathology of the carotid arteries. In most recommendations and conducted studies on atherosclerosis of the carotid arteries, it is recognized as the main tool in diagnostics and in planning the treatment strategy. The main purpose of the ultrasound evaluation of the carotid and vertebral arteries is confirming or ruling out the pathology within these vessels. Authors of this paper present the main problems related to interpretation of vascular exam, the correct examination technique and various implications directly linked to the obtained diagnosis of the carotid pathology (indications for an invasive treatment, adequate qualification process). In conclusion, they make a point that the ultrasound exam of the carotid arteries may result in the decision to treat each individual patient with conservative or surgical method. None of the strategies implicated is free from limitations and complications. Therefore, a false ultrasound diagnosis may result in wrong decision making regarding treatment strategy, which may be potentially fatal to the patient.
Authors and Affiliations
Grzegorz Madycki, Andrzej Gabrusiewicz, Paweł Dąbek, Walerian Staszkiewicz
Keywords
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