Carotids 10/17/2011

Surprise, Surprise I am going to attach some pictures of a carotid again.  This was a case that I worked on a week or two ago.  I was confused by the waveforms that were showing up in her CCA.  I will probably use this as a case study at some point, once I figure out what is going on. 

This was an 80 yr old patient with an altered mental status.  She did have some plaque at the bifurcation area, but her CCA appeared to almost have a tardus parvus waveform.  I took the pictures on the right side.

Unfortunately, the doctor that reads these cases has a different way of doing it so I have not been able to get the report yet.  I do know that tardus parvus waveforms have to do with the proximal stenosis. 
We scanned through the subclavian and saw plaque, but there was no stenosis.  At least not that we saw.  Maybe we needed to go further.

Just as a side note, I was pretty happy with the pictures that I took.  She was somewhat difficult to scan, but I was able to obtain all the pictures I need.  I feel that if we look back to my beginning posts we should see a big difference.  Next time maybe I will show a comparison of then and now.