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Need help with Results of carotid artery ultrasound
This US was ordered by my ENT for tinnitus. . He reviewed
it and texted me today that there are no alarming issues noted. I did reply that I was concerned about the stenosis and the artheromateous disease,.
Should I be concerned that he is not concerned or is this a normal part of aging?
Narrative & Impression
General: A bilateral carotid duplex was performed.
Previous: No previous study.
Right: RIGHT: Doppler flow velocity represents ICA stenosis of 1-39%. Heterogeneous
plaque noted.
Proximal ICA PSV/EDV (highest) = 112/26.3cm/s
ICA/CCA ratio = 0.9
Antegrade vertebral artery flow noted.
Left: LEFT: Doppler flow velocity represents ICA stenosis of 1-39%. Heterogeneous
calcified plaque noted.
Mid ICA PSV/EDV (highest) = 106/31.4cm/s
ICA/CCA ratio = 1.0
Antegrade vertebral artery flow noted.
Conclusions
1. RIGHT ICA: 1-39% ICA stenosis - (Mild atheromatous disease).
2. LEFT ICA: 1-39% ICA stenosis - (Mild atheromatous disease).
3. Antegrade vertebral artery flow noted bilaterally.
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The best tests available are the latest generation carotid ultrasound
and calcium score on CT. Lipoprotein analysis is important.
HS-Cardiac CRP for inflammation is helpful as inflammation is a factor in atherosclerosis. Functional echo stress can miss the plaque.
Gold standard is still angiography now available through an artery in our wrist.
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2 ReactionsI did have a carotid ultrasound. I don’t know if it was the latest generation or what that means. I will ask my doctor about the calcium score on the CT etc..
About a month ago my brain surgeon who performed surgery for an aneurysm did and IR carotid artery arteriogram. It showed that the right carotid artery was 78% blocked due to stenosis. And also showed that the left carotid artery is blocked due to stenosis at 50%. I need to know whether I should change doctors or go to a cardiac thoracic surgeon to have the blockage fixed. Please help! I'm having lots of terrible symptoms. In addition the surgeons area that he opened my skull on are growing further apart and there is a bulge on my forehead that has occurred. I left a message for the surgeon that did my brain surgery and how concerned I am about this but have not heard back from his office. What should I do?
@phobson
Go to a vascular surgeon for your carotids. Has nothing to do with thoracic surgery. My mother had similar blockages and surgery to correct them. Your skull is unrelated, but also needs proper attention- keep calling.
@phobson sorry
Did you mean to reply to my post?