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.
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