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Research ArticleINTERVENTIONAL

Contrast-Enhanced Carotid Color-Coded Duplex Sonography for Carotid Stenting Follow-Up Assessment

Kazumichi Yoshida, Kazuhiko Nozaki, Ken-ichiro Kikuta, Akiyo Sadato, Susumu Miyamoto and Nobuo Hashimoto
American Journal of Neuroradiology May 2003, 24 (5) 992-995;
Kazumichi Yoshida
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Kazuhiko Nozaki
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Ken-ichiro Kikuta
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Akiyo Sadato
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Susumu Miyamoto
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Nobuo Hashimoto
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    Fig 1.

    Benefit of CE-CCCD sonography in a patient with overlapped stents (patient 14).

    A, Nonenhanced CCCD image did not allow visualization of blood flow in the overlapped stents.

    B, CE-CCCD sonogram provides anatomic information almost equivalent to that on the DSA image.

    C, Corresponding lateral radiograph (left) and DSA (right) images.

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    Fig 2.

    Benefit of CE-CCCD sonography in a patient with a high cervical lesion (patient 5).

    A, Nonenhanced CCCD image allowed visualization of only the proximal half of the stented lumen.

    B, After the application of the contrast agent, flow in the distally positioned stent could fully be detected by means of CE-CCCD imaging.

    C, Corresponding lateral X-p (left) and DSA (right) images.

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    TABLE 1:

    Summary of CS procedures, follow-up findings, and depiction of the stented lumen at CCCD and CE-CCCD sonography

    PatientSideLocation and Type of Stent*Patency on DSACCCDCE-CCCD
    1RC2, overlapped (Smart)No stenosisPartialComplete‡
    2RC2–C3, single (Smart)No stenosisPartialComplete‡
    3RC2–C3, single (Palmaz)No stenosisPartialComplete‡
    4RC2–C4, single (Smart)Intimal hyperplasia§PartialPartial
    5RC2–C4, single (Palmaz)No stenosisPartialComplete‡
    6LC3, single (Palmaz)Not evaluatedPartialComplete‡
    7LC3–C4, single (Palmaz)No stenosisCompleteComplete
    8LC3–C4, single (Smart)No stenosisCompleteComplete
    9RC3–C4, single (Palmaz)No stenosisCompleteComplete
    10RC3–C4, single (Palmaz)No stenosisCompleteComplete
    11RC3–C4, single (Palmaz)No stenosisCompleteComplete
    12RC3–C5, single (Palmaz)No stenosisCompleteComplete
    13RC4–C5, single (Smart)No stenosisCompleteComplete
    14LC4–C5, overlapped (Palmaz, Wiktor)No stenosisPartialComplete‡
    15LC6–T1, single (Smart)No stenosisCompleteComplete
    • * C indicates cervical vertebra; T, thoracic vertebra. Smart, Smart stent; Palmaz, Palmaz stent; Wiktor, Wiktor stent.

    • † SA indicates digital subtraction angiography.

    • ‡ In six patients who had overlapped stents or a high cervical lesion, CE-CCCD was helpful for visualization of the entire stented lumen. The location of the stent was confirmed on cervical radiograph, lateral views.

    • § Asymptomatic intimal hyperplasia with luminal narrowing of approximately 50%.

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American Journal of Neuroradiology: 24 (5)
American Journal of Neuroradiology
Vol. 24, Issue 5
1 May 2003
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Contrast-Enhanced Carotid Color-Coded Duplex Sonography for Carotid Stenting Follow-Up Assessment
Kazumichi Yoshida, Kazuhiko Nozaki, Ken-ichiro Kikuta, Akiyo Sadato, Susumu Miyamoto, Nobuo Hashimoto
American Journal of Neuroradiology May 2003, 24 (5) 992-995;

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Contrast-Enhanced Carotid Color-Coded Duplex Sonography for Carotid Stenting Follow-Up Assessment
Kazumichi Yoshida, Kazuhiko Nozaki, Ken-ichiro Kikuta, Akiyo Sadato, Susumu Miyamoto, Nobuo Hashimoto
American Journal of Neuroradiology May 2003, 24 (5) 992-995;
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