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CAROTID DUPLEX EXAM BY: STEPHANIE SADEK BAKER COLLEGE OF AUBURN HILLS OVERVIEW • • • • • • • Patient demographics Signs / Symptoms Images Preliminary Report Treatment Conclusion References PATIENT DEMOGRAPHICS • T.T. • 38 years old • Female • Outpatient • Phillips IU22 • Risk Factors • Sex • Signs/Symptoms • Headaches • Dizziness FIBROMUSCULAR DYSPLASIA • Definition : Condition when arteries have abnormal cluster of cells growing on wall. • Bead-like appearance. • Most often affects renal arteries and carotid arteries. • Symptoms include : dizziness, blurred or temporary loss of vision, neck pain, chronic headaches, facial weakness or numbness. Mayo Clinic CTA of head and neck report : The distal cervical internal carotid arteries bilaterally have a irregular contour, resembling a “string of beads.” PRELIMINARY REPORT • R. Proximal CCA, distal CCA, bulb, proximal ICA, and ECA appear within normal limits. R. distal ICA displays accelerated flow velocity of 244 cm/sec PSV; 107 cm/sec EDV. • L. Proximal CCA, distal CCA, bulb, proximal ICA, and ECA appear within normal limits. L. distal ICA displays accelerated flow velocity of 166 cm/sec PSV; 83 cm/sec EDV. • No plaque visualized. Both vertebral’s have antegrade flow. TREATMENT • Surgery to open narrowed portion of the arteries. • Medications for hypertension. Mayo Clinic CONCLUSION • Complications of FMD include : • • • • • High blood pressure Chronic kidney failure Dissected artery Aneurysms Stroke Mayo Clinic REFERENCES • Fibromuscular dysplasia - MayoClinic.com. (n.d.). Mayo Clinic. Retrieved February 15, 2013, from http://www.mayoclinic.com/health/fibromusculardysplasia/DS01101 • Henry Ford West Bloomfield
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