{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T06:08:34Z","timestamp":1774505314109,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T00:00:00Z","timestamp":1717545600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007847","name":"Natural Science Foundation of Jilin Province","doi-asserted-by":"publisher","award":["YDZJ202201ZYTS139"],"award-info":[{"award-number":["YDZJ202201ZYTS139"]}],"id":[{"id":"10.13039\/100007847","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011789","name":"Department of Science and Technology of Jilin Province","doi-asserted-by":"publisher","award":["20230508100RC"],"award-info":[{"award-number":["20230508100RC"]}],"id":[{"id":"10.13039\/501100011789","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to validate the efficiency of Doppler ultrasonography for predicting the innominate, subclavian, and common carotid artery stenosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective multicenter study between 2013 and 2022 enrolled 636 patients who underwent carotid Doppler ultrasonography and subsequent digital subtraction angiography. And 58 innominate artery stenosis, 147 common carotid artery stenosis, and 154 subclavian artery stenosis were included. The peak systolic velocity at innominate, subclavian, and common carotid artery, and velocity ratios of innominate artery to common carotid artery, innominate artery to subclavian artery, and common carotid artery to internal carotid artery were measured or calculated. The threshold values were determined using receiver operating characteristic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The threshold values of innominate artery stenosis were peak systolic velocity &gt;206\u2009cm\/s (sensitivity: 82.8%; specificity: 91.4%) to predict \u226550% stenosis and &gt;285\u2009cm\/s (sensitivity: 89.2%; specificity: 94.9%) to predict \u226570% stenosis. The threshold values of common carotid artery stenosis were peak systolic velocity &gt;175\u2009cm\/s (sensitivity: 78.2%; specificity: 91.9%) to predict \u226550% stenosis and &gt;255\u2009cm\/s (sensitivity: 87.1%; specificity: 87.2%) to predict \u226570% stenosis. The threshold values of subclavian artery stenosis were peak systolic velocity &gt;200\u2009cm\/s (sensitivity: 68.2%; specificity: 84.4%) to predict \u226550% stenosis and &gt;305\u2009cm\/s (sensitivity: 57.9%; specificity: 91.4%) to predict \u226570% stenosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Symptomatic patients with ultrasonic parameters of velocity at innominate artery \u2265206\u2009cm\/s, velocity at common carotid artery \u2265175\u2009cm\/s, or velocity at subclavian artery \u2265200\u2009cm\/s need to be considered for further verification and whether revascularization is necessary.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.16492","type":"journal-article","created":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T09:18:52Z","timestamp":1717579132000},"page":"1695-1709","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Color Duplex Ultrasonography for the 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