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Great job. Neat study. I had a pt in early 20's with Takayasu's. She presented to
the lab with the classical symptom of diminished pulse in one arm and subcl bruit
. She also was having some chest discomfort which may put her in the class 3-4
stage of the disease.The carotid scan was very interesting. Left CC was
significantly stenosed, intima's were inflamed looking and thick on both sides. I
was glad to have this experience. The sad part of this disease is that surg. is
not always the best treatment neither is non surgical.  Sincerely, Carol
Vandenberg, RN, RVT


Shelly Burns wrote:

> I wanted to share an interesting case.  A 69 yo man presented for a carotid
> duplex.  On exam he was found to have a Rt CCA dissection with the flap
> flapping in the common creating a jet and turbulence, and a Lt CCA low
> velocity, low amplitude waveform which suggested a more proximal stenosis.
> He came into the hospital the day prior with chest pain, bilat leg weakness
> and HTN.  A cardiac cath was done on admittance to the hospital.  The
> technologist called the referring doc to share her findings at 4P.  He was
> concerned and consulted vascular service.  They did an angio and this patient
> had a dissecting arch occurring and a string sign was noted on the left
> proximal to the common.  He was wisked (is there an h in there?) off to
> surgery and is doing fair.  Yes, once again the vascular technologist saved
> his life.  Neat, huh?
> Shelly Burns
> Summa Health System
> Akron, OH