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Angiology
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Carotid Ultrasonography - The New "Gold Standard" Surgical and Angiographic Correlation

Michael I. Weintraub, M.D., F.A.C.A.

Department of Neurology, Phelps Memorial Hospital, North Tarrytown, New York

Dianne Lambert, R.T.

Department of Neurology, Phelps Memorial Hospital, North Tarrytown, New York

Allan L. Rothman, M.D.

Department of Neurology, Phelps Memorial Hospital, North Tarrytown, New York

Atherosclerotic plaques and high grade stenosis in the carotid circulation are responsible for symptoms of cerebral and retinal ischemia. Identification of these lesions by angiography has been the "gold standard" for which the decision of endarterectomy depended. The recent introduction of high resolution carotid ultrasonography has allowed us to compare thirty-seven surgical specimens with the results of preopertive screening with angiography. UCI had a 97% correlation whereas angiography was accurate only 70%. More importantly there were ten negative angiograms in patients with clinically active ulcerative plaque disease. If surgery were based solely on the angiographic appearance of ulcerative plaques or high grade stenosis, then less than half of the patients have received the correct treatment. UCI deserves to be considered the new reference standard.

Angiology, Vol. 36, No. 1, 19-22 (1985)
DOI: 10.1177/000331978503600103
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This article has been cited by other articles:


Home page
 ANGIOLOGYHome page
T.-H. Lee, S.-J. Ryu, S.-T. Chen, and J.-L. Chan
Carotid Ultrasonographic Findings in Intracranial Internal Carotid Artery Occlusion
Angiology, August 1, 1993; 44(8): 607 - 613.
[Abstract] [PDF]


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