Jean F Primozich

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During a 5-year period, 212 patients (170 men and 42 women, median age 65 and 64 years, respectively) were diagnosed as having internal carotid artery occlusion. Mean follow-up was 24.9 months. Five-year cumulative survival and stroke-free rates by life-table analysis were 62% and 75%, respectively. Deaths were due to stroke in 7 of 40 patients (17%) and(More)
There is a current tendency to report the results of ultrasound Doppler studies in units of velocity instead of Doppler frequency. This is probably motivated by the intuitive feeling that blood flow studies should naturally be reported in cm/s and the notion that "velocity" is a normalizing factor for Doppler ultrasound studies. In order to determine(More)
BACKGROUND AND PURPOSE One of the proposed mechanisms for sudden expansion of a carotid bifurcation plaque is hemorrhage within the lesion. It has been postulated that the sudden increase in plaque size will acutely reduce blood flow to the ipsilateral hemisphere and induce either a transient ischemic attack or a stroke. In this study, the relation between(More)
The management of internal carotid artery disease contralateral to endarterectomy is highly controversial. At our institution we have adopted an approach by which patients are followed with serial duplex scanning after unilateral carotid endarterectomy. Surgery on the contralateral carotid artery is recommended for patients who exhibit ischemic neurologic(More)
Ultrasonic duplex scanning has a sensitivity of 97% in detecting disease of the carotid bulb. However, the specificity is much less, being 37%. The error in distinguishing normal arteries from those with minimal disease appears to be in part related to the size of the sample volume of the pulsed Doppler. This paper addresses the importance of the features(More)
PURPOSE B-mode imaging of a normal arterial wall shows two echo-dense lines separated by an echolucent zone. Immediately after carotid endarterectomy, this double-line pattern is no longer detectable, but it subsequently reappears in some patients. The objective of this study was to test the hypothesis that the postoperative double line is associated with a(More)
The purpose of this study was to determine the normal characteristics of the lower extremity arterial system as seen with color Doppler. A total of 420 arterial segments from the level of the proximal abdominal aorta to the distal tibial and peroneal vessels were examined with a color ultrasound scanner in 10 normal volunteers. Each arterial segment was(More)
PURPOSE Although venous valve lesions have been cited as a mechanism of graft failure, the fate of venous valves in reversed saphenous vein (RSV) bypass grafts is unclear. The basis for this uncertainty is the difficulty in postoperative identification and follow-up of valve sites and the infrequent pathologic submission of vein graft lesions. This report(More)
It is known that bruits often can be heard downstream from stenoses. They are thought to be produced by disturbed blood flow and vessel wall vibrations. Our understanding of bruits has been limited, though, to analysis of sounds heard at the level of the skin. For direct measurements from the stenosis site, we developed an ultrasonic pulse-echo multigate(More)