Role of Color Doppler Ultrasonography in Evaluation of Extracranial Carotid Artery in Stroke Patients: A Prospective Study

Authors

  • Ajay Kumar Yadav Birat Medical College and Teaching Hospital https://orcid.org/0000-0001-8507-3767
  • Binit Dev Birat Medical College and Teaching Hospital
  • Sushil Taparia Birat Medical College and Teaching Hospital
  • Neha Yadav B.P. Koirala Institute of Health Sciences, Dharan, Sunsari, Nepal
  • Bishal Babu Upadhyaya Birat Medical College and Teaching Hospital
  • Parvez Kumar Birat Medical College and Teaching Hospital
  • Rakesh Mandal Birat Medical College and Teaching Hospital
  • Lalit Kumar Rajbanshi Birat Medical College and Teaching Hospital

DOI:

https://doi.org/10.3126/bjhs.v5i2.31412

Keywords:

Carotid artery, color doppler ultrasonography, stenosis, stroke

Abstract

Introduction: Stroke is life threatening & debilitating neurological disease, defined as focal neurological deficit of sudden onset lasting >24 hours & vascular in origin. Significant association between ischemic type of stroke with carotid artery disease seen, more prevalent with carotid artery stenosis. 

Objectives: This study was done to show association between extracranial carotid artery disease & cerebrovascular accidents (CVAs) with the help of Color Doppler Sonography (CDS). The association between carotid artery disease with associated risk factors were also assessed. 

Methodology: In this ethically approved prospective study, carotid CDS was done in 79 consecutive patients with diagnosis of acute ischemic stroke (AIS). The various parameters studied included peak systolic velocity (PSV) of internal carotid artery (ICA) & common carotid artery (CCA), ICA/CCA PSV ratio & plaque characteristics. The data collected was analyzed with appropriate statistical test of significance was calculated. 

Results: Total 79 patients with AIS included out of which 53 were males & 26 were females. The most common presenting complains were hemiparesis (30.4%) & most commonly associated risk factors included hypertension (62.02%). Right sided strokes were most common (44.3%) & middle cerebral artery was most commonly involved vascular territory. Significant stenosis (≥50%) of carotid artery was seen in 27 patients with ICA most common site (45.8%) for plaque formation. Bilateral carotid artery involvement (52.1%) with hypoechoic echotexture of atheromatous plaques (46.6%) was most responsible for significant stenosis & increased intima media thickness. Increased value of PSV & EDV was seen in the stenotic area in the proportion of stenosis with increased PSV ICA/CCA ratio of more than three indicates >60% stenosis. 

Conclusion: The present study showed well documented role of carotid doppler in detection of site & extent of carotid artery stenosis due to atheromatous plaques of various characteristics playing critical role in thromboembolic phenomenon responsible for development of stroke.

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Author Biographies

Ajay Kumar Yadav, Birat Medical College and Teaching Hospital

Lecturer, Department of Radiodiagnosis

Binit Dev, Birat Medical College and Teaching Hospital

Lecturer, Department of Radiodiagnosis

Sushil Taparia, Birat Medical College and Teaching Hospital

Consultant, Department of Radiodiagnosis

Neha Yadav, B.P. Koirala Institute of Health Sciences, Dharan, Sunsari, Nepal

Junior Resident, Department of Microbiology & Infectious Disease

Bishal Babu Upadhyaya, Birat Medical College and Teaching Hospital

Lecturer, Department of Radiodiagnosis

Parvez Kumar, Birat Medical College and Teaching Hospital

Senior Consultant, Department of Medicine

Rakesh Mandal, Birat Medical College and Teaching Hospital

Senior Consultant, Department of Medicine

Lalit Kumar Rajbanshi, Birat Medical College and Teaching Hospital

Associate professor, Department of Anesthesia & Critical care

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Published

2020-10-01

How to Cite

Yadav, A. K., Dev, B., Taparia, S., Yadav, N., Upadhyaya, B. B., Kumar, P., Mandal, R., & Rajbanshi, L. K. (2020). Role of Color Doppler Ultrasonography in Evaluation of Extracranial Carotid Artery in Stroke Patients: A Prospective Study. Birat Journal of Health Sciences, 5(2), 1091–1098. https://doi.org/10.3126/bjhs.v5i2.31412

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Section

Original Research Articles