Carotid Duplex Exam

According to the CDC Stroke is the 5th leading cause of death (133,103)
Carotid examination is the initial exam in evaluating atherlosclerotic disease. In this video I am going to cover the anatomy of the extracranial arteries, go over the protocol of duplex examination and briefly cover pathology at the end.
Indications
Syncope
Stroke
Altered Mental Status
Transient Ichemic Attacks
Bruit
Follow up known stenosis

[@njnikusha]

100 times better than any book. Thanks for taking a time

[@SonographicTendencies]

Your welcome Nick!

[@thecuriousquest]

this has to be the best video out there on this topic. extremely well done!

[@osasuyiesemuede1252]

Your tutorial videos are topnotch, concise, loading with relevant infos and straight to the point. Thanks alot.

[@DrPhibes9]

Thank you for this. It’s been a while since I scanned a carotid, but this quick refresher will be all I need to get the job I need.

[@Halezyeah]

THANK YOU! You deliver information in a way that is very digestible and easy to implement.

[@xomandix3]

I am starting my first job after being out of school for almost a year. This was an excellent refresher!!

[@imafoxylady21]

Can you share any advice and your experience with going back to work after a year without scanning? I am most likely goin to be in the same boat 😬

[@xomandix3]

@@imafoxylady21 I would say give yourself the time to get your "groove back". Go in knowing your anatomy & landmarks and watch other techs when you have free time. I was very hard on myself because I felt rusty. The more patients you do the faster you develop your own style. I've been at my hospital over a year and I couldn't be happier. Good Luck!!

[@imafoxylady21]

@@xomandix3 thank you so much for the advice!

[@MD-iw9te]

Wow you were out for a whole year? How did you find a job after so long after school and how was it getting back ? I’m nervous because I’m interviewing now after 8 months of not scanning since corona virus cut our clinical practice short. So I’m just very nervous.

[@DenyChangy]

@@MD-iw9te how is it going?

[@hc2436]

THANK YOU HENRY, THAT WAS SO THOROUGH AND HELPFUL!!!!!

[@selenaelleco]

what an excellent video and great concise graphics. thank you

[@xomandix3]

Excellent video, listened to this on my way to my first vascular lab clinical! Great refresher

[@SonographicTendencies]

Awesome! Good luck

[@laurapajamas612]

This is WONDERFUL! Thank you so much for this informative video; very helpful!

[@belantonio306]

The best ,brief ,well informative and easy to understand ..thankcyou .

[@0230Raveena]

Getting ready for Clinicals and this is Amazing. I cannot thank you enough for the concise way in which you not only present anatomy but pathology as well. :-)

[@SonographicTendencies]

🙌😌

[@augustbrossa1455]

great job! Very well done. Thank you very much

[@H.pylori]

Sir, this is the best review of basic carotid ultrasound. In 12 minutes you discussed the important points of anatomy, protocol, and interpretation. I needed this since I will be having a discussion with my doctor soon about my results. I overheard the ultrasound tech mention plaque and intimal thickening. Now I will be able to have an intelligent discussion with my doctor. Definite thumbs up!

[@Homy87]

Thank you so much!!
That was a very helpful and so informative video.

[@zoekaratzaferis2659]

Very informative and easy to understand. Thanks!

[@claudiar.2213]

Great tutorial, Thank you !!

[@amanwithhiscigaretteandcof3474]

Thank you broo
you are one of a kind......
cheers from Indonesia

[@ql1couk]

Excellent work!

[@jam6744]

You are a godsend, thank you so much for these videos, as a student I appreciate it 😊

[@liezeltasoy6168]

Perfect tutorial, thanks ☺️

[@mountaingem6]

Very very informative and clear and concise.

[@selinayiu93]

Excellent presentation, thanks

[@rousaer3239]

Excelente plática

[@Bulbasaur2132]

Thank you for making it easy to understand

[@candicec1680]

This was so you amazing. Thank you so much!

[@abbybotros9121]

Great video!! Thank you

[@drhamidwazir630]

Very informative and easy way of explanation in very short time

[@DenyChangy]

Great vid. Thanks for this

[@glob3242]

Very well done!!! Thank you

[@charlene8924]

Thank you for this video!

[@Adam-the-youtuber]

Good video with good with good narrative....Kudos

[@ivantorrico8249]

Great teaching, thanks!!!!!

[@SonographicTendencies]

You're welcome

[@izzygee2216]

Thank you for the video Henry; it was very educational and very informative. I hope you make and I look forward to more videos on different exams. Thank you!! 👍🏽

[@SonographicTendencies]

You're very welcome!

[@fahmiben1476]

Doppler cervicales français

[@bolddiamond]

Wonderful! Thank you!

[@SonographicTendencies]

Glad you liked it!

[@giony06]

thank you, great video

[@revoltun]

Great lecture thanks

[@updeshhora4936]

Wow. So nicely explained🙏🙏🙏

[@doramakia4602]

Thanks very practical lecture

[@SANGSful]

Great presentation 👏

[@dalagangfilipinayeah785]

Best video explanation ever! thank you

[@SonographicTendencies]

Masarap Lang you’re welcome!

[@dalagangfilipinayeah785]

I will take my RVT exam this week. I'm so nervous 😫

[@neriebocali1999]

Thanks to your video..

[@MrMillardfillmore]

great job!

[@syednaqvi5821]

excellent video thank you

[@SonographicTendencies]

You're welcome

[@daoul40]

Thanks for the presentation
it's so useful.

[@SonographicTendencies]

😊👌

[@user-el3rq1qo3n]

Excellent sir

[@mirnawatimappiare110]

thank you

[@anthonymaldonado007]

awesome video thank you

[@SonographicTendencies]

You're welcome!

[@drgadham]

Very good talk

[@drgadham]

Great teaching

[@Drchamomile]

You are the best

[@alexandramartinez9044]

that was a great video, thank you

[@SonographicTendencies]

Welcome glad you enjoyed it!

[@tehminainam4958]

Thanks for sharing I just learned carotid scanning last week but concepts were not cleared ur video really helped me I will try next week to follow ur protocol

[@SonographicTendencies]

Awesome!

[@LADYVIKING05]

Tehmina Inam DID YOU TAKE && PASS YOUR PHYSICS??! 🤔

[@nailaimran8990]

Amazing

[@Noeleon88]

awesome video man. by chance do you have a video explaining how to measure the plaque?

[@Assad966]

Very useful thanks for sharing

[@SonographicTendencies]

You're welcome

[@muhammadqasim-qh4ox]

Thanks. Great work. Kindly do a video of live carotid doppler scan

[@taranpreetsingh7888]

Thankyou so much 🙏

[@user-ez3ip4pb8b]

a great Lecturer

[@SonographicTendencies]

سلام على آل ياسين thanks

[@imafoxylady21]

So good

[@zozik84]

Thanks

[@iffatsiddiqui1926]

Thanks.

[@SonographicTendencies]

You're welcome!

[@Dr.Chang.in.Europe]

Thank you for such nice presentation. :-)

[@obinghimire6664]

Thanks 😊

[@francescob5849]

Awesome video!!!

[@SonographicTendencies]

Thank you!

[@francescob5849]

Just finished the didactic portion of my ultrasound school and about to go on externship here in NY. Watched your videos before while studying in the past but they are all really great. Watching the “so you want to be a sonographer” one now 👍👍👍👍

[@SonographicTendencies]

@@francescob5849 very nice! I have a lot of followers on ig from New York!!!

[@parsi8759]

perfect!

[@aleksanderzagalski1680]

Thank you so much :)

[@SonographicTendencies]

You’re very welcome!!

[@helgacorrea4942]

Me gusto mucho 😊

[@sonoguy1]

Nice Job !

[@SonographicTendencies]

Thank you!!

[@smritipradhan1113]

Great

[@Rosalulu705]

can you please put up the waveform for the eca and Ica having trouble with that

[@nasrinharoon]

Really thank you from bottom of heart 💙

[@Bcf2128]

Couple of comments/questions.
1. Why no angle of less than 45 degrees for doppler angle? This is the old chicken or egg argument. If you don't go less than 45 then you will not be parallel to the vessel wall.
2. Also another scanning tip, don't be afraid to use a curvilinear probe for deep vessels or for the vert. It's saved my butt many of times.
Nice presentation overall, well done.

[@SonographicTendencies]

The 45 degree angle is likely the parameters that were first set when developing these criteria.
I’m sure if the angle is pretty steep and you use less than 45 no one is going to make a big deal. Especially if doesn’t really alter the velocity.
And yea the curved comes in to save the day sometimes. I tell all my students there’s no such thing as a “vascular” probe I use all probes sometimes 3 or more different ones in one exam!
Thanks

[@collinsagbo6509]

Thanks 👍👍👍

[@SonographicTendencies]

You’re welcome!!

[@peekaymsimang9368]

Hi there, is it possible to feel a blockage with your fingers?

[@hyl3057]

Very useful

[@SonographicTendencies]

Glad to hear that

[@yogeeyogee9034]

Good

[@jjno2037]

Nice

[@sniyut1037]

Thanks for uploading. ;-)

[@SonographicTendencies]

You're welcome!

[@venkatraamudu]

Thank you Henry 👍
What is the difference between echogenicity and echotexture please??

[@SonographicTendencies]

Echogenicity has to do with brightness or darkness whereas echo texture has to do with texture of the organs whether it’s smooth and homogenous or coarse and heterogenous

[@venkatraamudu]

@@SonographicTendencies thank you so much 😇

[@bobcocampo]

Please discuss types of plaques?

[@jessicagaytan7070]

So with the vertebral artery, the box always needs to be steered in the same direction that the cca was?

[@SonographicTendencies]

Not necessarily no. It depends on the torturousity or angle of the vessel

[@jessicagaytan7070]

@@SonographicTendencies thank you. I was concerned about making sure the blood flow in the vertebral arteries was going the right direction

[@SonographicTendencies]

@@jessicagaytan7070 you’ll want to leave the box the same if determining if the vertebral and carotid are the same. But if you’re probe is right the flow should be going from right to left on the screen toward the brain.

[@harpalkaur1748]

please provide slides for this information if possible. thanks

[@heliabland4532]

❤

[@mrdeyabu0077]

🙏🙏🙏

[@jacquelineuson9602]

Excellent, still one of the best ! you may include IMT measurements.

[@tonoymark]

Please teach spi questions ❤

[@kr-ql3fz]

Patho image make it interisting

[@marekt5972]

PRF = scale

[@piratesmurf4251]

Am a patient i have no idea what this guy talking about. Ohh well i hope pass my test i guess u can call it am 41 got a stent in my heart so after a month or so later doctor did this on my neck and legs

[@Bngtn-ij1fi]

I'll have a scan and I'm just wondering how this'll all work
btw i think you sound like the youtuber JackSepticEye

[@SonographicTendencies]

Never heard of him

[@Bngtn-ij1fi]

@@SonographicTendencies look him up, he's a pretty popular youtuber

[@faridaousadane4643]

So speed !!!!! Je ne peux pas suivre, malgré la très bonne qualité de la vidéo !

[@jagdipkaur2186]

Excellent video. U have educative videos but u speak too fast

[@DaWahine79]

Jagdip Kaur Agree! I had to slow down the playback speed so I can understand

[@songlyricsthatyoulike3525]

Jagdip Kaur same! Haha I had to pause. Way to fast. Great lecture tho.

[@mustafapro0812]

Who is running after you please slowly

[@SonographicTendencies]

😂😂

[@livelovelaugh9268]

speaking too quickly, can’t understand what you are saying

[@SonographicTendencies]

Slow down the speed

[@Mr.selfcareug]

Thanks

[@yavuzatila5696]

Thanks

[@SonographicTendencies]

You’re welcome!