The echocolor Doppler of the extracranial vessels is the test of choice for the diagnosis and the monitoring of the cerebrovascular disease, having indications: 1) in the asymptomatic patient; 2) in the symptomatic patient; 3) in the follow-up.
In the asymptomatic patient, the carotid intima-media thickness and the carotid plaque are indicators of preclinical atherosclerotic disease: in this phase the echocolor Doppler is, therefore, important to identify individuals at high cardiovascular risk.
Ultrasound study of extracranial vessels is useful to detect carotid plaque in patients with cardiovascular risk factors without clinical evidence of atherosclerosis, in patients with coronary artery disease or hypertension, and in patients with symptomatic peripheral artery disease or atherosclerotic aortic aneurysm.In this lesson, the indications of the ultrasound study of the extracranial vessels in the asymptomatic patient are presented.
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.