AJDRAJNR - American Journal of Neuroradiology

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Poststenotic Flow and Intracranial Hemodynamics in Patients with Carotid Stenosis: Transoral Carotid Ultrasonography Study

Masahiro Kamouchia,c, Kazuhiro Kishikawaa, Yasushi Okadaa, Tooru Inoueb, Setsuro Ibayashic and Mitsuo Iidac

a Department of Cerebrovascular Disease, Cerebrovascular Center and Clinical Research Institute, National Kyushu Medical Center
b Department of Neurosurgery, Cerebrovascular Center and Clinical Research Institute, National Kyushu Medical Center
c Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Japan



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FIG 1. Variables in the poststenotic portion of the ICA plotted against the number of the collateral pathways. Asterisk indicates P < .005 versus patients with no collaterals; section symbol, P < .005 versus patients with one collateral; andnumber sign, P < .005 versus patients with two collaterals.

A, Poststenotic diameter.

B, Poststenotic blood flow.



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FIG 2. Sensitivity-specificity curve. Optimal threshold value of poststenotic blood flow for predicting collateral pathways is 5 mL/s.



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FIG 3. Baseline and postacetazolamide asymmetry index in the MCA territory plotted against poststenotic blood flow. Group I indicates patients with flow <5 mL/s; Group II, patients with flow ≥5 mL/s; asterisk, P < .005; and section symbol, P < .01 versus group II.

A, Before acetazolamide.

B, After acetazolamide.