Carotid Stenosis progression

Largest progression
November 2013 to June 2014
Lets see the progression
60-70% stenosis
November 19, 2013
60-70% stenosis of right ICA
227/103cm/s
2.0mm lumen
Homogeneous plaque
Antegrade vertebral artery
>85% Stenosis
June 17, 2014
>85% stenosis of right ICA
594/246cm/s
1.4mm lumen
Hypoechoic/ homogeneous plaque
Absent vertebral artery
Plaque progression
from 2009-2014
Grayscale
Color Doppler
Color Doppler and Pulsed Waved
Measurements
Grayscale images
Color Doppler Images
Spectral Doppler Images
Velocities through the years
2009- 153/50cm/s 40-50%
2010- 187/76cm/s 40-50%
2011- 188/78cm/s 40-50%
2012- 219/65cm/s 50-60%
2012- 227/80cm/s 50-60%
2013- 237/97cm/s 60-70%
2014- 522/207cm/s >85%
Measurement Images
Measurements through the years
2009- 4.1mm
2010- 1.7mm
2011- 2.7mm
2012- 2.4mm
2013- 2.0mm
2014- 1.4mm
Right Carotid Endartectomy
July 2,2014

Post Op- CEA
Discrepencies
Where did that vertebral artery go?!?!
2009.. Color and spectral
2010.. Only spectral
2011 only color?
2013 not buying it
2014 this is how its done
2014.. This guy comes and goes
The End
#SONOLIFE