Home » Common Reference » Vascular Ultrasound » Carotid stenosis

Carotid stenosis

Internal carotid artery stenosis  criteria–Ultrasound (NASCET)

 

% Stenosis ICA PSV(cm/sec) ICA/CCA PSV ratio ICA EDV(cm/sec)
<15% <125 with deceleration spectral broadening    
16-49% <125 with pansystolic spectral broadening    
50-69% >125   AND 2 – 4   OR <110
70-79% >270   OR >4       OR >110
80-99%     >140
Complete Occlusion No flow No flow No flow

 

Internal carotid artery stenosis  criteria–Ultrasound (SRU)

 

% Stenosis ICA PSV(cm/sec)        ICA/CCA PSV ratio ICA EDV(cm/sec)
Normal <125 (no plaque) <2.0 <40
<50% <125 (visible plaque) <2.0 <40
50-69% 125-230 2.0-4.0 40-100
70%-less than near occlusion >230 >4.0 >100
Near Occlusion with marked narrowed lumen Variable Variable Variable
Total Occlusion Undetectable Undetectable Undetectable

 

 

PSV = peak systolic velocity; EDV = end diastolic velocity; ICA = internal carotid artery; CCA = common carotid artery