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Nonatherosclerotic Pathology of the Neck Vessels: Prevalence and Flow Patterns
Ist Teil von
Vascular and endovascular surgery, 2007-10, Vol.41 (5), p.417-427
Ort / Verlag
Los Angeles, CA: SAGE Publications
Erscheinungsjahr
2007
Quelle
MEDLINE
Beschreibungen/Notizen
Objectives: To determine the prevalence and flow characteristics of nonatherosclerotic pathologies of the cervical vessels.
Design: From 1997 to 2003, 11 480 ultrasound tests were performed for neck vessel evaluation on patients with cerebrovascular symptoms and trauma, and on asymptomatic patients with a bruit, cervical mass, or prior to aortocoronary bypass. When necessary, these findings were confirmed by other imaging modalities.
Results: A total of 3010 repeated tests were excluded, leaving 8470 patients. The prevalence of nonatherosclerotic pathologies (n = 55) was 0.65%. The most common was thromboembolism (n = 19, 0.22%), followed by dissection (n = 16, 0.19%), carotid body tumors (n = 5, 0.06%), aneurysms (n = 4, 0.05%), fibromuscular dysplasia (n = 4, 0.05%), Takayasu's arteritis (n = 1, 0.01%), pseudoaneurysms (n = 5, 0.06%), and arteriovenous fistulae (n = 1, 0.01%). Cerebrovascular symptoms were present in 27 patients (49%).
Conclusion: Nonatherosclerotic pathology accounts for 0.65% of patients referred for neck vessel evaluation. About half of them are symptomatic. Diagnosis of these pathologies and knowledge of their flow characteristics is important for patient management.