Internal Carotid Artery Stenosis Criteria

Stenosis Category

(%)

 

Peak Systolic Velocity cm/sec

 

Peak Diastolic Velocity cm/sec

 

Systolic Velocity Ratio ICA/CCA

 

Diastolic Velocity Ratio ICA/CCA

 

Spectral Broadening

 

 

0-5

 

<125

 

NA

 

 

 

 

 

None

 

 

5-15

 

<125

 

NA

 

 

 

 

 

Diastole Only

 

16-49

 

<125

 

 

 

 

 

 

 

Throughout

 

50-79 (50-60)

>60 (60-70)

>70 (70-79)

 

125-259

260-324

>325

 

<70

>70

 >110

 

<3.2

3.2-4.0

>4.0

 

 

 

Throughout

 

80-99

 

>125

 

>140

 

 

 

 

 

Throughout

 

100

 

Absent

 

Absent

 

Absent

 

Absent

 

CCA flow to zero in diastole