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Fig. 3B Effects of provocative maneuvers on flow in vertebral artery
(A) and internal carotid artery (ICA) (B) in 72-year-old
asymptomatic man with innominate artery stenosis. Waveform from right ICA is
initially dampened and shows typical systolic spike followed by a subtle
midsystolic deceleration. Flow never crosses baseline. After release of blood
pressure cuff, there is minimal change, with mild generalized decrease in
velocity during first cardiac cycle, but no overall change in waveform
appearance.