{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T19:13:43Z","timestamp":1779304423473,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2009,2,17]],"date-time":"2009-02-17T00:00:00Z","timestamp":1234828800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vasc Endovascular Surg"],"published-print":{"date-parts":[[2009,8]]},"abstract":"<jats:p>Objective: We reviewed our institution\u2019s experience with carotid artery pseudo-occlusion (CAPO), to investigate whether internal carotid artery (ICA) end-diastolic velocity (EDV) as measured by duplex ultrasonography, was a predictor of need for further intervention. Methods: From February 2003 to January 2008, 7478 patients underwent duplex ultrasonographic evaluation of their carotid arteries. Diagnosis of CAPO included the appearance of a narrow flow jet (string sign) on power doppler images, low velocities in the ICA and additional criteria listed below. Results: Ten patients (0.13%) were identified as having a CAPO. All patients were asymptomatic and had an EDV &lt; 78cm\/s. Occlusion or functional occlusion was identified in nine patients on contrast imaging studies. Eight of these patients were treated medically without neurologic complication on follow-up. Two patients were treated with interventions and were asymptomatic at follow up. The mean follow up for the entire group was 12 months. Conclusions: Although this is a low volume study, there is evidence to suggest that asymptomatic patients with low EDV in the setting of carotid artery pseudo-occlusion found of duplex, may be safely managed medically.<\/jats:p>","DOI":"10.1177\/1538574409331696","type":"journal-article","created":{"date-parts":[[2009,2,17]],"date-time":"2009-02-17T22:13:17Z","timestamp":1234908797000},"page":"374-378","source":"Crossref","is-referenced-by-count":13,"title":["Carotid Artery Pseudo-occlusion: Does End-diastolic Velocity Suggest Need for Treatment?"],"prefix":"10.1177","volume":"43","author":[{"given":"Jonathan N.","family":"Bowman","sequence":"first","affiliation":[{"name":"Mount Sinai School of Medicine, Division of Vascular Surgery, New York,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey W.","family":"Olin","sequence":"additional","affiliation":[{"name":"Mount Sinai School of Medicine, Division of Vascular Surgery, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria J.","family":"Teodorescu","sequence":"additional","affiliation":[{"name":"Mount Sinai School of Medicine, Division of Vascular Surgery, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfio","family":"Carroccio","sequence":"additional","affiliation":[{"name":"Mount Sinai School of Medicine, Division of Vascular Surgery, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharif H.","family":"Ellozy","sequence":"additional","affiliation":[{"name":"Mount Sinai School of Medicine, Division of Vascular Surgery, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael L.","family":"Marin","sequence":"additional","affiliation":[{"name":"Mount Sinai School of Medicine, Division of Vascular Surgery, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter L.","family":"Faries","sequence":"additional","affiliation":[{"name":"Mount Sinai School of Medicine, Division of Vascular Surgery, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2009,2,17]]},"reference":[{"key":"atypb1","first-page":"762","volume":"45","author":"Lippman HH","year":"1970","journal-title":"Mayo Clin Proc"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.21.3.476"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(94)70117-2"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1016\/S0967-2109(98)00123-9"},{"key":"atypb5","first-page":"119","volume":"167","author":"Ammar AD","year":"1988","journal-title":"Surg Gynecol Obstet"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.26.3.434"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(99)80276-1"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.120379"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1976.01360290128019"},{"key":"atypb10","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/0002-9610(80)90430-4","volume":"140","author":"Mehigan JT","year":"1988","journal-title":"Am J Surg"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.20.9.1168"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(94)70037-0"}],"container-title":["Vascular and Endovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1538574409331696","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1538574409331696","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T06:50:07Z","timestamp":1777704607000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1538574409331696"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,2,17]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2009,8]]}},"alternative-id":["10.1177\/1538574409331696"],"URL":"https:\/\/doi.org\/10.1177\/1538574409331696","relation":{},"ISSN":["1538-5744","1938-9116"],"issn-type":[{"value":"1538-5744","type":"print"},{"value":"1938-9116","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,2,17]]}}}