Ultrasonography of the brachiocephalic arteries on the high-class apparatus in the sanatorium "Yaselda".
Ultrasound is able to evaluate the status of neck vessels supplying the brain with blood. Ultrasound examination of the brachiocephalic area of the vessels is an effective method of diagnosis of pathology of vertebral, carotid arteries, study uniceramic sections of the brachiocephalic arteries. This type of study assesses the state and the brachiocephalic trunk, vertebral arteries, carotid arteries, subclavian arteries. This method is a highly effective method of diagnosis that allows to detect the full spectrum of structural pathology of these vessels: stenosis (narrowing), atherosclerotic lesions, malformations of vessels, pathology of stroke of blood vessels (particularly associated with osteochondrosis of the spine), etc.
Modern methods of ultrasound investigation of vessels have the following features:
* Have the opportunity to study in detail the arterial vessel wall, change in the diameter of its lumen;
* The vessel can be viewed from different perspectives;
* Timely detection of pathology of the brachiocephalic vessels to prevent the development of stroke and brain correctly and in time to give the treatment;
* With high accuracy of the estimated location and the status of the atherosclerotic plaque, and also it is possible to detect with the inclusion of calcium complications of atherosclerotic plaques (uneven tyre patches, ulceration, hemorrhage), which determines the indications for surgery. The study does not require special training, it is absolutely painless and safe. The procedure lasts approximately thirty minutes.
Indications for ultrasound of brachycephalic vessels. Ultrasound of the brachiocephalic vessels is recommended in the following situations:
- Significant difference in blood pressure in both arms (more than 20 mmHg, the syndrome still's);
- Frequent headaches, loss of consciousness, dizziness. And when pulsation in the temples or the nape of the neck and the presence of a sense of fullness;
- Frequent feeling of blackouts or the presence of "flies" and "ripples" before eyes, when turning the head or sudden change in body position;
- Loss of memory;
- Patients with low blood pressure (hypotension) and high blood pressure (hypertension);
- Patients with various disorders of cerebral circulation in the anamnesis (transient ischemic attack, stroke, discirculatory encephalopathy);
- If you have seizures;
- Men aged sixty-five and older, especially smokers are recommended to undergo annual ultrasound of the blood vessels of the brachiocephalic zone of preventive measures and the early identification of pathological changes. Preventive ultrasound brachycephalic vessels are recommended to pass to persons over the age of 50-55 years, one to two times per year.
It must be remembered that the timely diagnosis of the condition of the brachiocephalic vessels will prevent the development of extremely dangerous pathologies of brain vessels and significantly increase the effectiveness of treatment.
Interpretation of findings:
1. Signs of atherosclerosis of the extracranial part of the artery btso on the thickness of the intima-media complex (KIM). Local thickenings KIM more than 1.3 are considered to be evidence of the presence of atherosclerotic plaque. The number of recommendations considered to be thickening of KIM since 0.9 mm
2. Stenosis up to 50% of hemodynamically not significant, conservative treatment is indicated.
3. Stenosis from 50% to 75% - hemodynamically significant. Need to be referred to a vascular surgeon.
4. Stenosis more than 75 % - you need surgery.
Interpretation of the findings regarding the geometry of the vessels is tortuous course of the vessels, indirect S-shaped. If it's a minor deviation from the norm (slight change of the geometry of vessels) is shown inobservation, conservative treatment of existing CVD. With a significant change in the geometry of the receptacles, shows the consultation of a vascular surgeon.
In identifying deviations from the norms recommended by ultrasonography, BCA 1 (rarely 2 times) a year.
To register for the examination by phone 38-83-72. The cost of 01.01.2019 for residents of RB – 11рублей.
