Can contrast-enhanced ultrasound with second-generation contrast agents replace computed tomography angiography for distinguishing between occlusion and pseudo-occlusion of the internal carotid artery?

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorVENTURA, Carlos Augusto Pinto
dc.contributor.authorSILVA, Erasmo Simao da
dc.contributor.authorCERRI, Giovanni Guido
dc.contributor.authorLEAO, Pedro Puech
dc.contributor.authorTACHIBANA, Adriano
dc.contributor.authorCHAMMAS, Maria Cristina
dc.date.accessioned2015-07-01T20:15:57Z
dc.date.available2015-07-01T20:15:57Z
dc.date.issued2015
dc.description.abstractOBJECTIVE: The purpose of this study was to evaluate the effectiveness of contrast-enhanced ultrasound with a second-generation contrast agent in distinguishing between occlusion and pseudo-occlusion of the cervical internal carotid artery, comparing it with that of conventional Doppler ultrasound and the gold standard, computed tomography angiography. METHOD: Between June 2006 and June 2012, we screened 72 symptomatic vascular surgery outpatients at a public hospital. Among those patients, 78 cervical internal carotid arteries were previously classified as occluded by Doppler ultrasound (without contrast). The patients were examined again with Doppler ultrasound, as well as with contrast-enhanced ultrasound and computed tomography angiography. The diagnosis was based on the presence or absence of flow. RESULTS: Among the 78 cervical internal carotid arteries identified as occluded by Doppler ultrasound, occlusion was confirmed by computed tomography angiography in only 57 (73.1%), compared with 59 (77.5%) for which occlusion was confirmed by contrast-enhanced ultrasound (p>0.5 vs. computed tomography angiography). Comparing contrast-enhanced ultrasound with Doppler ultrasound, we found that the proportion of cervical internal carotid arteries classified as occluded was 24.4% higher when the latter was used (p<0.001). CONCLUSIONS: We conclude that, in making the differential diagnosis between occlusion and pseudo-occlusion of the cervical internal carotid artery, contrast-enhanced ultrasound with a second-generation contrast agent is significantly more effective than conventional Doppler ultrasound and is equally as effective as the gold standard (computed tomography angiography). Our findings suggest that contrast-enhanced ultrasound could replace computed tomography angiography in this regard.
dc.description.indexMEDLINE
dc.identifier.citationCLINICS, v.70, n.1, p.1-6, 2015
dc.identifier.doi10.6061/clinics/2015(01)01
dc.identifier.eissn1980-5322
dc.identifier.issn1807-5932
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/9225
dc.language.isoeng
dc.publisherHOSPITAL CLINICAS, UNIV SAO PAULO
dc.relation.ispartofClinics
dc.rightsopenAccess
dc.rights.holderCopyright HOSPITAL CLINICAS, UNIV SAO PAULO
dc.subjectCarotid Artery
dc.subjectInternal
dc.subjectArterial Occlusive Diseases
dc.subjectContrast Media
dc.subjectMicrobubbles
dc.subjectCarotid Artery Diseases/Ultrasonography
dc.subject.otherdigital-subtraction-angiography
dc.subject.othermr-angiography
dc.subject.otherct angiography
dc.subject.otherstenosis
dc.subject.otherduplex
dc.subject.otherechocardiography
dc.subject.othermulticenter
dc.subject.otherdiagnosis
dc.subject.othercolor
dc.subject.otherprinciples
dc.subject.wosMedicine, General & Internal
dc.titleCan contrast-enhanced ultrasound with second-generation contrast agents replace computed tomography angiography for distinguishing between occlusion and pseudo-occlusion of the internal carotid artery?
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalTACHIBANA, Adriano:Univ Sao Paulo, Hosp Clin, Fac Med, Dept Radiol, Sao Paulo, Brazil
hcfmusp.citation.scopus21
hcfmusp.contributor.author-fmusphcCARLOS AUGUSTO VENTURA PINTO
hcfmusp.contributor.author-fmusphcERASMO SIMAO DA SILVA
hcfmusp.contributor.author-fmusphcGIOVANNI GUIDO CERRI
hcfmusp.contributor.author-fmusphcPEDRO PUECH LEAO
hcfmusp.contributor.author-fmusphcMARIA CRISTINA CHAMMAS
hcfmusp.description.beginpage1
hcfmusp.description.endpage6
hcfmusp.description.issue1
hcfmusp.description.volume70
hcfmusp.origemWOS
hcfmusp.origem.pubmed25672421
hcfmusp.origem.scieloSCIELO:S1807-59322015000100001
hcfmusp.origem.scopus2-s2.0-84922357972
hcfmusp.origem.wosWOS:000349619500001
hcfmusp.publisher.citySAO PAULO
hcfmusp.publisher.countryBRAZIL
hcfmusp.relation.referenceAscher E, 2002, J VASC SURG, V35, P340, DOI 10.1067/mva.2002.120379
hcfmusp.relation.referenceBarnett SB, 2007, ULTRASOUND MED BIOL, V33, P173, DOI 10.1016/j.ultrasmedbio.2006.07.002
hcfmusp.relation.referenceChen CJ, 2004, STROKE, V35, P83, DOI 10.1161/01.STR.0000106139.38566.B2
hcfmusp.relation.referenceCorreas JM, 2001, EUR RADIOL, V11, P1316, DOI 10.1007/s003300100940
hcfmusp.relation.referenceDroste DW, 2000, ACTA NEUROL SCAND, V102, P1, DOI 10.1034/j.1600-0404.2000.102001001.x
hcfmusp.relation.referenceDroste DW, 1999, STROKE, V30, P2302
hcfmusp.relation.referenceEl-Saden SM, 2001, RADIOLOGY, V221, P301, DOI 10.1148/radiol.2212001606
hcfmusp.relation.referenceFerrer JME, 2000, J VASC SURG, V31, P736, DOI 10.1067/mva.2000.104599
hcfmusp.relation.referenceFrinking PJA, 2000, ULTRASOUND MED BIOL, V26, P965, DOI 10.1016/S0301-5629(00)00229-5
hcfmusp.relation.referenceFurst G, 1999, STROKE, V30, P1444
hcfmusp.relation.referenceGaliuto L, 2008, J AM COLL CARDIOL, V51, P552, DOI 10.1016/j.jacc.2007.09.051
hcfmusp.relation.referenceHammond CJ, 2008, EUR J VASC ENDOVASC, V35, P405, DOI 10.1016/j.ejvs.2007.12.008
hcfmusp.relation.referenceHANKEY GJ, 1990, STROKE, V21, P209
hcfmusp.relation.referenceHofstee DJ, 2000, CLIN NEUROL NEUROSUR, V102, P9, DOI 10.1016/S0303-8467(99)00081-5
hcfmusp.relation.referenceHunt CH, 2009, AM J ROENTGENOL, V193, P1124, DOI 10.2214/AJR.09.2520
hcfmusp.relation.referenceLewandowski C, 2001, ANN EMERG MED, V37, P202, DOI 10.1067/mem.2001.111573
hcfmusp.relation.referenceLubezky N, 1998, EUR J VASC ENDOVASC, V16, P133, DOI 10.1016/S1078-5884(98)80154-8
hcfmusp.relation.referenceMain ML, 2008, AM J CARDIOL, V102, P1742, DOI 10.1016/j.amjcard.2008.08.019
hcfmusp.relation.referenceMANSOUR MA, 1995, AM J SURG, V170, P154
hcfmusp.relation.referenceMurphy KJ, 1996, AM J ROENTGENOL, V167, P847
hcfmusp.relation.referenceOhm Christina, 2005, Vasc Endovascular Surg, V39, P237, DOI 10.1177/153857440503900304
hcfmusp.relation.referencePORTER TR, 1994, J AM COLL CARDIOL, V23, P1440
hcfmusp.relation.referencePuech-Leao P, 2010, J VASC INTERV RADIOL, V21, P465, DOI 10.1016/j.jvir.2009.11.018
hcfmusp.relation.referenceRemonda L, 2002, AM J NEURORADIOL, V23, P213
hcfmusp.relation.referenceSardanelli F, 1999, J COMPUT ASSIST TOMO, V23, P208, DOI 10.1097/00004728-199903000-00008
hcfmusp.relation.referenceSidhu PS, 2006, BRIT J RADIOL, V79, P44, DOI 10.1259/bjr/23954854
hcfmusp.relation.referenceSitzer M, 1997, J NEUROIMAGING, V7, pS22
hcfmusp.relation.referenceVerlato F, 2000, J VASC SURG, V32, P293, DOI 10.1067/mva.2000.106953
hcfmusp.relation.referenceWillinsky RA, 2003, RADIOLOGY, V227, P522, DOI 10.1148/radiol.2272012071
hcfmusp.relation.referenceYouk JH, 2003, J ULTRAS MED, V22, P897
hcfmusp.relation.referenceYoung B, 1996, STROKE, V27, P2216
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