科研成果详情

题名Subtypes of the Completely Reversed Flow Waveform in Vertebral Artery Can Help to Differentiate Subclavian Artery Occlusion from Severe Stenosis
作者
发表日期2023-01
发表期刊DIAGNOSTICS   影响因子和分区
语种英语
原始文献类型Article
关键词subclavian artery steal subclavian artery stenosis vertebral artery completely reversed flow ultrasound Doppler
其他关键词ANGIOPLASTY ; ULTRASOUND ; VELOCITY
摘要

Objectives: To investigate the value of subtypes of completely reversed flow (CRF) waveform in vertebral artery (VA) on Doppler ultrasound in differentiation occlusion from severe stenosis of the ipsilateral proximal subclavian artery (SA). Methods: A total of 357 patients with CRF in the VA on Doppler US were reviewed retrospectively. Among them, 49 patients (mean age, 68.2 +/- 7.8 years) confirmed by digital subtraction angiography (DSA) were included. According to the status of diastolic flow, the CRF was divided into continuous CRF (CCRF, n = 27) and intermittent CRF (ICRF, n = 22). The correlation of subtypes of CRF waveform and VA parameters with the severity of SA stenosis was evaluated. The severity of SA stenosis was determined by DSA. Results: Of those 49 patients, SA occlusion was observed in 33 patients (67%, occlusion group) and severe stenosis in 16 patients (33%, stenosis group). The subtypes of CRF waveforms showed a significant between-group difference (p = 0.005). CCRF exhibited an accuracy of 85.2% (23/27) in diagnosing SA occlusion. The diameter of the target VA with ICRF showed a significant between-group difference (p = 0.041). The target VA diameter >= 3.8 mm in ICRF achieved an accuracy of 81.8% (18/22), and its combination with CCRF achieved an accuracy of 83.7% (41/49) in the differentiation of SA occlusion from severe stenosis. Conclusions: Subtypes of CRF in VA can help to differentiate SA occlusion from severe stenosis. CCRF has higher accuracy in diagnosing SA occlusion. The CCRF waveform plus VA diameter in ICRF is more accurate for differentiating SA occlusion from severe stenosis.

出版者MDPI
出版地BASEL
ISSN2075-4418
EISSN2075-4418
卷号13期号:1
DOI10.3390/diagnostics13010146
页数10
WOS类目Medicine, General & Internal
WOS研究方向General & Internal Medicine
WOS记录号WOS:000908639700001
收录类别SCIE ; PUBMED ; SCOPUS
URL查看原文
PubMed ID36611436
SCOPUSEID2-s2.0-85145818479
通讯作者地址[Chen, Shun-Ping]Department of Ultrasonography,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,325000,China
Scopus学科分类Clinical Biochemistry
引用统计
文献类型期刊论文
条目标识符https://kms.wmu.edu.cn/handle/3ETUA0LF/172038
专题附属第一医院
附属第一医院_超声影像科
通讯作者Chen, Shun-Ping
作者单位
Department of Ultrasonography,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,325000,China
第一作者单位附属第一医院;  第一临床医学院(信息与工程学院)、附属第一医院
通讯作者单位附属第一医院;  第一临床医学院(信息与工程学院)、附属第一医院
第一作者的第一单位附属第一医院
推荐引用方式
GB/T 7714
Chen, Shun-Ping,Zhong, Zhen,Tu, Dong-Pei. Subtypes of the Completely Reversed Flow Waveform in Vertebral Artery Can Help to Differentiate Subclavian Artery Occlusion from Severe Stenosis[J]. DIAGNOSTICS,2023,13(1).
APA Chen, Shun-Ping, Zhong, Zhen, & Tu, Dong-Pei. (2023). Subtypes of the Completely Reversed Flow Waveform in Vertebral Artery Can Help to Differentiate Subclavian Artery Occlusion from Severe Stenosis. DIAGNOSTICS, 13(1).
MLA Chen, Shun-Ping,et al."Subtypes of the Completely Reversed Flow Waveform in Vertebral Artery Can Help to Differentiate Subclavian Artery Occlusion from Severe Stenosis".DIAGNOSTICS 13.1(2023).

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