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Occlusion of the Extracranial Carotid Arteries

Carotid duplex ultrasound (CDU) is a commonly performed vascular exam for the detection of carotid disease. In most cases, the exam is performed to detect hemodynamically significant changes that could cause a cerebrovascular accident. Ultrasound is accurate in the detection of >70% stenosis. CDU exams are often used to detect a potentially harmful atherosclerotic process before it embolizes. In some cases, the atherosclerotic formation will be so great that it will occlude the extracranial vessels. The true incidence of carotid occlusion is not well known as it may be asymptomatic. CDU can show where the occlusion is located and if the bifurcation is patent which can reveal treatment options for the patient. Carotid occlusions can be medically managed or may require surgery to restore flow to the cerebrovasculature.