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Carotid ultrasound is a low-cost, noninvasive, and accurate diagnostic imaging modality used to evaluate diseases of the carotid arteries. [2] It is most often used to diagnose carotid artery stenosis, a form of atherosclerosis , and has the capability to assess plaque morphology and characteristics. [ 1 ]
The ultrasound probe emits a high-frequency sound wave (usually a multiple of 2 MHz) that bounces off various substances in the body. These echoes are detected by a sensor in the probe. In the case of blood in an artery , the echoes have different frequencies depending on the direction and speed of the blood because of the Doppler effect . [ 2 ]
Many carotid bruits are discovered incidentally in an otherwise asymptomatic patient. The presence of a carotid bruit alone does not necessarily indicate the presence of stenosis, and the physical examination cannot be used to estimate the degree of stenosis, if present; therefore, any bruit must be evaluated by ultrasound or imaging. [4]
The machine used is called an ultrasound machine, a sonograph or an echograph. The visual image formed using this technique is called an ultrasonogram, a sonogram or an echogram. Ultrasound of carotid artery. Ultrasound is composed of sound waves with frequencies greater than 20,000 Hz, which is the approximate upper threshold of human hearing. [1]
The ICD-10 Procedure Coding System (ICD-10-PCS) is a US system of medical classification used for procedural coding.The Centers for Medicare and Medicaid Services, the agency responsible for maintaining the inpatient procedure code set in the U.S., contracted with 3M Health Information Systems in 1995 to design and then develop a procedure classification system to replace Volume 3 of ICD-9-CM.
If the results of the ultrasound and intracranial imaging are normal, "renewed diagnostic efforts may be made," during which fluorescein angiography is an appropriate consideration. However, carotid angiography may not be necessary in the presence of a normal ultrasound and CT.
Bruit, also called vascular murmur, [3] is the abnormal sound generated by turbulent flow of blood in an artery due to either an area of partial obstruction or a localized high rate of blood flow through an unobstructed artery.
Carotidynia is a syndrome characterized by unilateral (one-sided) tenderness of the carotid artery, near the bifurcation. It was first described in 1927 by Temple Fay. [1] The most common cause of carotidynia may be migraine, and then it is usually self-correcting. Common migraine treatments may help alleviate the carotidynia symptoms.