| % 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 |