Advertisement
Mayo Clinic Proceedings Home

Current Applications of Duplex and Color Doppler Ultrasound Imaging: Carotid and Peripheral Vascular System

      Recent advances in ultrasound technology have made possible the development of diagnostic instruments that combine cross-sectional imaging and Doppler analysis. These instruments have expanded the role of diagnostic ultrasonography to the assessment of carotid and peripheral vascular disease. The current applications of duplex Doppler and color Doppler imaging in evaluating the extracranial carotid arteries, vertebral artery, peripheral venous system, and peripheral arterial system are reviewed. The indications for and limitations of these examinations, as well as the potential future uses, are discussed.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Mayo Clinic Proceedings
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      REFERENCES

        • Barber FE
        • Baker DW
        • Nation AWC
        • Strandness Jr, DE
        • Reid JM
        Ultrasonic duplex echo-Doppler scanner.
        IEEE Trans Biomed Eng. 1974; 21: 109-113
        • Fell G
        • Phillips DJ
        • Chikos PM
        • Harley JD
        • Thiele BL
        • Strandness Jr, DE
        Ultrasonic duplex scanning for disease of the carotid artery.
        Circulation. 1981; 64: 1191-1195
        • Langlois Y
        • Roederer GO
        • Chan A
        • Phillips DJ
        • Beach KW
        • Martin D
        • Chikos PM
        • Strandness Jr, DE
        Evaluating carotid artery disease: the concordance between pulsed Doppler/spectrum analysis and angiography.
        Ultrasound Med Biol. 1983; 9: 51-63
        • Zwiebel WJ
        • Austin CW
        • Sackett JF
        • Strother CM
        Correlation of high-resolution, B-mode and continuous-wave Doppler sonography with arteriography in the diagnosis of carotid stenosis.
        Radiology. 1983; 149: 523-532
        • Roederer GO
        • Langlois YE
        • Jager KA
        • Primozich JF
        • Beach KW
        • Phillips DJ
        • Strandness Jr, DE
        The natural history of carotid arterial disease in asymptomatic patients with cervical bruits.
        Stroke. 1984; 15: 605-613
        • Taylor DC
        • Strandness Jr, DE
        Carotid artery duplex scanning.
        J Clin Ultrasound. 1987; 15: 635-644
        • Jacobs NM
        • Grant EG
        • Schellinger D
        • Byrd MC
        • Richardson JD
        • Cohan SL
        Duplex carotid sonography: criteria for stenosis, accuracy, and pitfalls.
        Radiology. 1985; 154: 385-391
        • Bluth EI
        • Kay D
        • Merritt CRB
        • Sullivan M
        • Farr G
        • Mills NL
        • Foreman M
        • Sloan K
        • Schlater M
        • Stewart J
        Sonographic characterization of carotid plaque: detection of hemorrhage.
        AJNR. 1986; 7: 311-315
        • Satiani B
        • Porter R
        • Biggers K
        • Burns R
        Evaluation of the color coded Doppler ultrasound in detecting carotid bifurcation disease.
        J Cardiovasc Surg (Torino). 1988; 29: 196-200
        • Levi CS
        • Lyons EA
        • Morrow IM
        • Downs AR
        • Marantz JE
        The value of combined pulsed-Doppler and high-resolution real-time sonography of the extracranial carotid system.
        J Can Assoc Radiol. 1987; 38: 11-16
        • Goodson SF
        • Flanigan DP
        • Bishara RA
        • Schuler JJ
        • Kikta MJ
        • Meyer JD
        Can carotid duplex scanning supplant arteriography in patients with focal carotid territory symptoms?.
        J Vasc Surg. 1987; 5: 551-557
        • Bornstein NM
        • Beloev ZG
        • Norris JW
        The limitations of diagnosis of carotid occlusion by Doppler ultrasound.
        Ann Surg. 1988; 207: 315-317
        • Bendick PJ
        • Jackson VP
        Evaluation of the vertebral arteries with duplex sonography.
        J Vasc Surg. 1986; 3: 523-530
        • Davis PC
        • Nilsen B
        • Braun IF
        • Hoffman Jr, JC
        A prospective comparison of duplex sonography vs angiography of the vertebral arteries.
        AJNR. 1986; 7: 1059-1064
        • Visonà A
        • Lusiani L
        • Castellani V
        • Ronsisvalle G
        • Bonanome A
        • Pagnan A
        The echo-Doppler (duplex) system for the detection of vertebral artery occlusive disease: comparison with angiography.
        J Ultrasound Med. 1986; 5: 247-250
        • Salzman EW
        Venous thrombosis made easy (editorial).
        N Engl J Med. 1986; 314: 847-848
        • Cronan JJ
        • Dorfman GS
        • Scola FH
        • Schepps B
        • Alexander J
        Deep venous thrombosis: US assessment using vein compression.
        Radiology. 1987; 162: 191-194
        • Vogel P
        • Laing FC
        • Jeffrey Jr, RB
        • Wing VW
        Deep venous thrombosis of the lower extremity: US evaluation.
        Radiology. 1987; 163: 747-751
        • Rosner NH
        • Doris PE
        Diagnosis of femoropopliteal venous thrombosis: comparison of duplex sonography and plethysmography.
        AJR. 1988; 150: 623-627
        • George JE
        • Smith MO
        • Berry RE
        Duplex scanning for the detection of deep venous thrombosis of lower extremities in a community hospital.
        Curr Surg. 1987; 44: 202-204
        • White RH
        • McGahan JP
        • Daschbach MM
        • Hartling RP
        Diagnosis of deep-vein thrombosis using duplex ultrasound.
        Ann Intern Med. 1989; 111: 297-304
        • Appelman PT
        • De Jong TE
        • Lampmann LE
        Deep venous thrombosis of the leg: US findings.
        Radiology. 1987; 163: 743-746
        • Lensing AWA
        • Prandoni P
        • Brandjes D
        • Huisman PM
        • Vigo M
        • Tomasella G
        • Krekt J
        • Wouter ten Cate J
        • Huisman MV
        • Büller HR
        Detection of deep-vein thrombosis by real-time B-mode ultrasonography.
        N Engl J Med. 1989; 320: 342-345
        • Froehlich JA
        • Dorfman GS
        • Cronan JJ
        • Urbanek PJ
        • Herndon JH
        • Aaron RK
        Compression ultrasonography for the detection of deep venous thrombosis in patients who have a fracture of the hip.
        J Bone Joint Surg [Am]. 1989; 71: 249-256
        • O'Leary DH
        • Kane RA
        • Chase BM
        A prospective study of the efficacy of B-scan sonography in the detection of deep venous thrombosis in the lower extremities.
        JCU. 1988; 16: 1-8
        • Foley WD
        • Middleton WD
        • Lawson TL
        • Erickson S
        • Quiroz FA
        • Macrander S
        Color Doppler ultrasound imaging of lower-extremity venous disease.
        AJR. 1989; 152: 371-376
        • Polak JF
        • Culter SS
        • O'Leary DH
        Deep veins of the calf: assessment with color Doppler flow imaging.
        Radiology. 1989; 171: 481-485
        • Ruoff BA
        • Cranley JJ
        • Hannan LA
        • Aseffa N
        • Karkow WS
        • Stedje KG
        • Cranley RD
        Real-time duplex ultrasound mapping of the greater saphenous vein before in situ infrainguinal revascularization.
        J Vasc Surg. 1987; 6: 107-113
        • Szendro G
        • Nicolaides AN
        • Zukowski AJ
        • Christopoulos D
        • Malouf GM
        • Christodoulou C
        • Myers K
        Duplex scanning in the assessment of deep venous incompetence.
        J Vasc Surg. 1986; 4: 237-242
        • Helvie MA
        • Rubin JM
        • Silver TM
        • Kresowik TF
        The distinction between femoral artery pseudoaneurysms and other causes of groin masses: value of duplex Dopper sonography.
        AJR. 1988; 150: 1177-1180
        • Coughlin BF
        • Paushter DM
        Peripheral pseudoaneurysms: evaluation with duplex US.
        Radiology. 1988; 168: 339-342
        • Mitchell DG
        • Needleman L
        • Bezzi M
        • Goldberg BB
        • Kurtz AB
        • Pennell RG
        • Rifkin MD
        • Vilaro M
        • Baltarowich OH
        Femoral artery pseudoaneurysm: diagnosis with conventional duplex and color Doppler US.
        Radiology. 1987; 165: 687-690
      1. Bandyk DF, Seabrook GR, Moldenhauer P, Lavin J, Edwards J, Cato R, Towne JB: Hemodynamics of vein graft stenosis. Presented at the Fourth San Diego Symposium on Noninvasive Techniques in Vascular Disease, San Diego, Feb 22 to 26, 1988

        • Bandyk DF
        Postoperative surveillance of femorodistal grafts: the application of echo-Doppler (duplex) ultrasonic scanning.
        in: Bergan JJ Yao JST Reoperative Arterial Surgery. Grune & Stratton, Orlando, Florida1986: 59-79
        • Moneta GL
        • Strandness Jr, DE
        Peripheral arterial duplex scanning.
        J Clin Ultrasound. 1987; 15: 645-651
        • Jager KA
        • Phillips DJ
        • Martin RL
        • Hanson C
        • Roederer GO
        • Langlois YE
        • Ricketts HJ
        • Strandness Jr, DE
        Noninvasive mapping of lower limb arterial lesions.
        Ultrasound Med Biol. 1985; 11: 515-521
        • Kohler TR
        • Nance DR
        • Cramer MM
        • Vandenburghe N
        • Strandness Jr, DE
        Duplex scanning for diagnosis of aortoiliac and femoropopliteal disease: a prospective study.
        Circulation. 1987; 76: 1074-1080
        • Jäger KA
        • Ricketts HJ
        • Strandness Jr, DE
        Duplex scanning for the evaluation of lower limb arterial disease.
        in: Bernstein EF Noninvasive Diagnostic Techniques in Vascular Diseases. Third edition. CV Mosby Company, St. Louis1985: 619-631