A Carotid ultrasound shows the amount of blood flow carotid arteries, the major blood vessels to the brain located on either side of the neck. With this imaging technique, your doctor can see if there is any narrowing of your carotid arteries because of cholesterol deposits or some other problem. Patients who had a stroke may have this test to evaluate the blood flow though the carotid arteries to determine cause of the first stroke and to determine the need for intervention to prevent further strokes.
What Is Carotid Ultrasound?
Carotid (ka-ROT-id) ultrasound is a painless and harmless test that uses high-frequency sound waves to create pictures of the insides of your carotid arteries.
You have two common carotid arteries, one on each side of your neck. They each divide into internal and external carotid arteries.
The internal carotid arteries supply oxygen-rich blood to your brain. The external carotid arteries supply oxygen-rich blood to your face, scalp, and neck.
Carotid ultrasound shows whether a waxy substance called plaque (plak) has built up in your carotid arteries. The buildup of plaque in the carotid arteries is called carotid artery disease.
Figure A shows the location of the right carotid artery in the head and neck. Figure B is a cross-section of a normal carotid artery that has normal blood flow. Figure C shows a carotid artery that has plaque buildup and reduced blood flow.
Over time, plaque can harden or rupture (break open). Hardened plaque narrows the carotid arteries and reduces the flow of oxygen-rich blood to the brain.
If the plaque ruptures, a blood clot can form on its surface. A clot can mostly or completely block blood flow through a carotid artery, which can cause a stroke.
A piece of plaque or a blood clot also can break away from the wall of the carotid artery. The plaque or clot can travel through the bloodstream and get stuck in one of the brain’s smaller arteries. This can block blood flow in the artery and cause a stroke.
A standard carotid ultrasound shows the structure of your carotid arteries. Your carotid ultrasound test might include a Doppler ultrasound. Doppler ultrasound is a special test that shows the movement of blood through your blood vessels.
Your doctor might need results from both types of ultrasound to fully assess whether you have a blood flow problem in your carotid arteries.
Ultrasonography of the carotid arteries is frequently performed when there is a suspicion of carotid artery stenosis of occlusion. In this type of test an ultrasound probe covered with gel is held against the patients neck, and images are obtained of the carotid arteries. Measurements are made of the velocity of flow in these arteries which allows an estimation of the degree of vessel narrowing to be located
Carotid artery screening is not recommended for asymptomatic stenosis