Document Detail

[Revision of DEGUM ultrasound criteria for grading internal carotid artery stenoses and transfer to NASCET measurement].
MedLine Citation:
PMID:  20414854     Owner:  NLM     Status:  MEDLINE    
Since 1986, German ultrasound criteria for grading carotid stenosis have followed the local diameter reduction percentage consistent with the definition used in the European Carotid Surgery Trial (ECST) definition. To overcome the confusion caused by the coexisting grading method used in the North American Symptomatic Carotid Endarterectomy Trial (NASCET), a German interdisciplinary council on carotid artery stenosis has recommended the implementation of the NASCET grading system (distal diameter reduction percentage) as the standard. The multi-parametric German "DEGUM ultrasound criteria" consisting of combined Doppler and imaging criteria have consequently been revised and transferred to the NASCET definition. In addition, a novel differentiation between main (primary) and additional (secondary) criteria has been proposed. When these ultrasound criteria are combined, vascular sonography allows reliable grading of carotid disease.
C Arning; B Widder; G M von Reutern; H Stiegler; M Görtler
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Publication Detail:
Type:  English Abstract; Journal Article; Review     Date:  2010-04-22
Journal Detail:
Title:  Ultraschall in der Medizin (Stuttgart, Germany : 1980)     Volume:  31     ISSN:  1438-8782     ISO Abbreviation:  Ultraschall Med     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-02     Completed Date:  2010-09-27     Revised Date:  2011-04-29    
Medline Journal Info:
Nlm Unique ID:  8303585     Medline TA:  Ultraschall Med     Country:  Germany    
Other Details:
Languages:  ger     Pagination:  251-7     Citation Subset:  IM    
Copyright Information:
Copyright Georg Thieme Verlag KG Stuttgart . New York.
Abt. Neurologie, Asklepios Klinik Wandsbek, Hamburg.
Vernacular Title:
Ultraschallkriterien zur Graduierung von Stenosen der A. carotis interna - Revision der DEGUM-Kriterien und Transfer in NASCET-Stenosierungsgrade.
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MeSH Terms
Blood Flow Velocity / physiology
Carotid Artery, Internal / ultrasonography*
Carotid Stenosis / classification,  ultrasonography*
Practice Guidelines as Topic
Sensitivity and Specificity
Ultrasonography, Doppler, Color
Comment In:
Ultraschall Med. 2010 Dec;31(6):614; author reply 614-5   [PMID:  21117010 ]

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