The echo-color Doppler is an excellent tool in the study of carotid plaque and it is, unfortunately, often considered an easy test which can be performed in a short time.
In this lesson a case report is presented: one patient, with symptoms suggestive of acute cerebrovascular disease, in three months, for diagnostic errors and indecisions, was subjected to: 1) six echo-color Doppler of the extracranial vessels; 2) one echo-color Doppler of the extracranial vessels with contrast agent; 3) one transcranial color Doppler for the study of the patent foramen ovale; 4) four brain CT scan; 5) two angioCT of the extra and intracranial vessels; 6) one brain MR; 7) one angioMR of the extra and intracranial vessels.
Some doubts and considerations concerning the true difficulty of this clinical case, the need for all tests performed, the possible harm to the patient and the health care costs will be emphasized.
Franco Accorsi, MD
Member of the Order of Physician of Bologna n° 6728
I am a specialist in Medical Angiology and I am based in Bologna, Italy. Until 2008 (voluntary resignation) I worked at Maggiore Hospital in Bologna as "Dirigente Medico" in the Department of Internal Medicine and as Angiologist in the Angiology Unit with a position of "Alta Professionalità" in "Vascular Ecography and Angiology".
I am currently working in Bologna as an independent professional in the areas of angiology and vascular diagnostics.
I have been a speaker at national and international courses/congress and I have taught duplex ultrasound method in GIUV and SIUMB courses at the Maggiore Hospital, Bologna and courses of echocolor Doppler of extracranial and intracranial arteries at the Stroke Unit of S. Maria Nuova Hospital, Reggio Emilia.