% Stenosis Waveform Spectral Broadening Velocity/Ratio Distal Waveform
Normal Triphasic None None Normal
1-19% Triphasic Minimal spectral broadening <30% increase in PSV from proximal segment Waveforms remain normal proximally and distally
20-49% Tri/biphasic Prominent spectral broadening 30-100% increase in PSV from proximal segment Waveforms remain normal proximally and distally
50-99% Monophasic Extensive spectral broadening >100% increase in PSV from proximal segment Waveform becomes monophasic distally
Occlusion No flow (pre-occlusive thump may be heard proximal to occluded segment None None Collateral waveforms are monophasic with reduced PSV