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 |
ISSN | 2075-4418 |
EISSN | 2075-4418 |
卷号 | 13期号:1 |
DOI | 10.3390/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 ID | 36611436 |
SCOPUSEID | 2-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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