Bisystolic Vertebral Artery: Critical Finding or can be Ignored?

Authors

Pranav Sharma, Department of Radiology, Yale New Haven Health at Bridgeport Hospital, Bridgeport, Connecticut, USA.
Puneet Kochar, Department of Radiology, Yale New Haven Health at Bridgeport Hospital, Bridgeport, Connecticut, USA.
Priti Soin, Department of Pathology and Laboratory Medicine, Weil Cornell College of Medicine, New York, USA.
Steven Cohen, Department of Radiology, Yale New Haven Health at Bridgeport Hospital, Bridgeport, Connecticut, USA.

Document Type

Article

Publication Title

Journal of clinical imaging science

Abstract

The carotid Doppler imaging findings in three adults presenting with vertigo, transient speech difficulty and for cardiac prebypass graft surgery revealing two systolic peaks in one of the vertebral arteries. In presteal situations, vertebral artery waveform shows two systolic peaks with sharp first and rounded second systolic peak or two systolic peaks with a deep cleft between the two peaks with antegrade flow. With increase in stenosis to more than 80% there is bidirectional flow and later flow reversal. We discuss the types of presteal vertebral artery waveforms, its clinical implications and brief review of literature.

First Page

2

DOI

10.4103/jcis.JCIS_80_18

Publication Date

1-1-2019

Recommended Citation

Sharma, Pranav; Kochar, Puneet; Soin, Priti; and Cohen, Steven, "Bisystolic Vertebral Artery: Critical Finding or can be Ignored?" (2019). All Research. 196.
https://scholar.bridgeporthospital.org/all_research/196

Identifier

30788186 (pubmed); PMC6380121 (pmc); 10.4103/jcis.JCIS_80_18 (doi); JCIS-9-2 (pii)