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Common Carotid Artery Occlusion:Evaluation with Duplex Sonography
AJNR 16:1099-1105, Chang,Y.J.,et al, 1995
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Article Abstract
Thirteen cases(0.24%)of CCAO were diagnosed by carotid duplex ultrasonography,including five cases of isolated CCAO.Seven cases were proved by cerebral angiography.Cerebral angiography failed to demonstrate patent internal carotid arteries in two cases of isolated CCAO.Mean age of onset was 67+/-9 years.The main clinical presentation was stroke in nine cases(69%).The most common vascular risk factors were hypertension(62%)and heart diseases(54%).Three patients had a history of radiation therapy to the neck.Two of five patients with isolated CCAO had major stroke,with good recovery in one,whereas five of eight patients with CCAO had major stroke;among them,only one had good recovery.Patients with isolated CCAO may have a better outcome than patients with CCAO.Duplex sonograpy, particularly with color-coded flow imaging,provides an accurate examination to define the patency of the arteries distal to the carotid bifurcation.The clinical features of CCAO are similar to those of internal carotid artery occlusion except for the low prevalence of CCAO.
 
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carotid artery occlusion,neck
doppler
doppler,color
duplex ultrasound
prognosis
ultrasonography
ultrasonography,carotid artery

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