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(Carotid Ultrasound, Vascular Ultrasound Study, Carotid Artery Doppler Sonography)
A carotid artery duplex scan is a type of vascular ultrasound study done to assess the blood flow of the arteries that supply blood from the heart through the neck to the brain. There are four carotid arteries - the right and left internal carotid arteries and the right and left external carotid arteries. One pair (external and internal) is located on each side of the neck.
A carotid artery duplex scan is a noninvasive (the skin is not pierced) procedure. The term "duplex" refers to the fact that two modes of ultrasound are used - Doppler and B-mode. The B-mode transducer (like a microphone) obtains an image of the carotid artery being studied. The Doppler probe within the transducer evaluates the velocity and direction of blood flow in the vessel.
A transducer sends out ultrasonic sound waves at a frequency too high to be heard. When the transducer is placed on the carotid arteries at certain locations and angles, the ultrasonic sound waves move through the skin and other body tissues to the blood vessels, where the waves echo off of the blood cells. The transducer picks up the reflected waves and sends them to an amplifier, which makes the ultrasonic sound waves audible. Absence or faintness of these sounds may indicate an obstruction to the blood flow.
A related procedure that may be performed to further evaluate the carotid artery and its branches is cerebral angiogram. Please see this procedure for more information.
A carotid artery duplex scan is used to assess occlusion (blockage) or stenosis (narrowing) of the carotid arteries of the neck and/or the branches of the carotid artery. Plaque (a build up of fatty materials), thrombus (blood clot), and other substances in the blood stream may cause a disturbance in the blood flow through the carotid arteries.
When the carotid arteries become blocked, symptoms may include dizziness, confusion, drowsiness, headache, and/or a brief loss of ability to speak or move. These symptoms may indicate early warning signs of a possible stroke (brain attack, or cerebrovascular accident [CVA]).
A carotid artery duplex scan may also be performed when no symptoms of occlusion are present, yet an abnormal blood flow sound called a bruit (pronounced "BROO-ee") is heard with a stethoscope over the artery. This may indicate a possible condition of abnormal blood flow in the artery.
Additional reasons for the procedure include, but are not limited to, the following:
There may be other reasons for your physician to recommend a carotid artery duplex scan.
There is no radiation used and generally no discomfort from the application of the ultrasound transducer to the skin.
There may be risks depending upon your specific medical condition. Be sure to discuss any concerns with your physician prior to the procedure.
Certain factors/conditions may interfere with the results of the test. These include but are not limited to, the following:
A carotid artery duplex scan may be performed on an outpatient basis or as part of your stay in a hospital. Procedures may vary depending on your condition and your physician's practices.
Generally, a carotid artery duplex scan follows this process:
While the carotid artery duplex scan procedure itself causes no pain, having to lie still for the length of the procedure might cause slight discomfort. The technologist will use all possible comfort measures and complete the procedure as quickly as possible to minimize any discomfort.
There is no special type of care required after a carotid artery duplex scan. You may resume your usual diet and activities unless your physician advises you differently.
Your physician may give you additional or alternate instructions after the procedure, depending on your particular situation.
The content provided here is for informational purposes only, and was not designed to diagnose or treat a health problem or disease, or replace the professional medical advice you receive from your physician. Please consult your physician with any questions or concerns you may have regarding your condition.
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