Sonographic Evaluation of Complications of Extracranial Carotid Artery Interventions

J Ultrasound Med. 2018 Mar;37(3):769-781. doi: 10.1002/jum.14376. Epub 2017 Sep 6.

Abstract

Carotid endarterectomy and carotid artery stenting are among the most common peripheral vascular procedures performed worldwide. Sonography is the initial and often only imaging modality used in the evaluation of iatrogenic carotid arterial injuries. This pictorial essay provides an overview of the clinical and sonographic findings of complications after interventions in the extracranial carotid arteries, including dissection, fluid collections, pseudoaneurysm, thrombosis, thromboembolism, restenosis, and stent deformation. Grayscale, color, and pulsed Doppler imaging findings are reviewed, and correlations with computed tomography, magnetic resonance imaging, and angiography are provided.

Keywords: carotid artery; carotids/extracranial; complications; endarterectomy; sonography; stenting.

Publication types

  • Review

MeSH terms

  • Carotid Arteries / diagnostic imaging*
  • Carotid Arteries / surgery*
  • Carotid Artery Injuries / diagnostic imaging
  • Carotid Stenosis / diagnostic imaging
  • Constriction, Pathologic / diagnostic imaging
  • Endarterectomy, Carotid*
  • Humans
  • Postoperative Complications / diagnostic imaging*
  • Prosthesis Failure
  • Stents*
  • Ultrasonography / methods*