European Journal of Vascular & Endovascular Surgery
Volume 39, Issue 2 , Pages 134-138 , February 2010

Relationship of Carotid Plaque Echomorphology to Presenting Symptom

  • D.A. Russell

      Affiliations

    • Leeds Vascular Institute, The General Infirmary at Leeds, Leeds LS1 3EX, United Kingdom
    • Department of Surgery, Flinders University, Adelaide, Australia
    • Corresponding Author InformationCorresponding author. Leeds Vascular Institute, The General Infirmary at Leeds, Great George Street, Leeds LS1 3EX, West Yorkshire, United Kingdom. Tel.: +44 113 392 2823; fax: +44 113 392 2624.
    • ,
  • S.M. Wijeyaratne

      Affiliations

    • Faculty of Medicine, University of Colombo, Sri Lanka
    • ,
  • M.J. Gough

      Affiliations

    • Leeds Vascular Institute, The General Infirmary at Leeds, Leeds LS1 3EX, United Kingdom

Received 12 May 2009 ,Accepted 2 November 2009.

References 

  1. Rothwell PM, Eliasziw M, Gutnikov SA, Fox AJ, Taylor DW, Mayberg MR, et al. Barnett HJM for the Carotid Endarterectomy Trialist's Collaberation Analysis of pooled data from the randomised controlled trials of endarterectomy for symptomatic carotid stenosis. Lancet. 2003;361:107–116
  2. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study (ACAS) . Endarterectomy for asymptomatic carotid artery stenosis. JAMA. 1995;273:1421–1428
  3. MRC Asymptomatic Carotid Surgery Trial Collaborative Group. Prevention of diabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms: randomised controlled trial. Lancet. 2004;363:1491–1502
  4. Naylor AR. Delay may reduce procedural risk, but at what price to the patient?. Eur J Vasc Endovasc Surg. 2008;35:383–391
  5. Biasi GM, Froio A, Diethrich EB, Deleo G, Galimberti S, Mingazzini P, et al. Carotid plaque echolucency increases the risk of stroke in carotid stenting. The Imaging In Carotid Angioplasty And Risk Of Stroke (ICAROS) study. Circulation. 2004;110:756–762
  6. Johnston SC, Rothwell PM, Nguyen-Huynh MN, Giles MF, Elkins JS, Bernstein AL, et al. Validation and refinement of scores to predict very early stroke risk after transient ischaemic attack. Lancet. 2007;369:283–292
  7. Rothwell PM, Slattery J, Warlow CP. Clinical and angiographic predictors of stroke and death from carotid endarterectomy: systematic review. BMJ. 1997;315:1571–1577
  8. El-Atrozy T, Nicolaides AN, Tegos T, Griffin M. The effect of B-mode ultrasonic image standardisation on the echodensity of symptomatic and asymptomatic carotid bifurcation plaques. Int Angiol. 1998;17:179–186
  9. Pedro LM, Pedro MM, Goncalves I, Carneiro TF, Balsinha C, Fernandes e Fernandes R, et al. Computer-assisted carotid plaque analysis: characteristics of plaques associated with cerebrovascular symptoms and cerebral infarction. Eur J Vasc Endovasc Surg. 2000;19:118–123
  10. Wijeyaratne SM, Jarvis S, Stead LA, Kibria SG, Evans JA, Gough MJ. A new method for characterizing carotid plaque: multiple cross-sectional view echomorphology. J Vasc Surg. 2003;37:778–784
  11. Grogan JK, Shaalan WE, Cheng H, Gewertz B, Desai T, Schwarze G, et al. B-mode ultrasonographic characterization of carotid atherosclerotic plaques in symptomatic and asymptomatic patients. J Vasc Surg. 2005;42:435–441
  12. El-Barghouty N, Nicolaides A, Bahal V, Geroulakos G, Androulakis A. The identification of the high risk carotid plaque. Eur J Vasc Endovasc Surg. 1996;11:470–478
  13. Kakkos SK, Stevens JM, Nicolaides AN, Kyriacou E, Pattichis CS, Geroulakos G, et al. Texture analysis of ultrasonic images of symptomatic carotid plaques can identify those plaques associated with ipsilateral embolic brain infarction. Eur J Vasc Endovasc Surg. 2007;33:422–429
  14. Tegos TJ, Sabetai MM, Nicolaides AN, Robless P, Kalodiki E, Elatrozy TS, et al. Correlates of embolic events detected by means of transcranial Doppler in patients with carotid atheroma. J Vasc Surg. 2001;33:131–138
  15. Holdsworth RJ, McCollum PT, Bryce JS, Harrison DK. Symptoms, stenosis and carotid plaque morphology. Is plaque morphology relevant?. Eur J Vasc Endovasc Surg. 1995;9:80–85
  16. Cave EM, Pugh ND, Wilson RJ, Sissons GRJ, Woodcock JP. Carotid artery duplex scanning: does plaque echogenicity correlate with patient symptoms?. Eur J Vasc Endovasc Surg. 1995;10:77–81
  17. Russell DA, Wijeyaratne SM, Gough MJ. Changes in carotid plaque echomorphology with time since a neurologic event. J Vasc Surg. 2007;45:367–372
  18. Moneta GL, Edwards JM, Chitwood RW, Taylor LM, Lee RW, Cummings CA, et al. Correlation of North American Symptomatic Carotid Endarterectomy Trial (NASCET) angiographic definition of 70% to 99% internal carotid artery stenosis with duplex scanning. J Vasc Surg. 1993;17:152–157
  19. O'Farrell CM, Fitzgerald DE. Ultrasound morphology of carotid lesions in retinal ischaemia. Br J Ophthalmol. 1992;76:656–659
  20. Sabetai MM, Tegos TJ, Nicolaides AN, El-Atrozy TS, Dhanjil S, Griffin M, et al. Hemispheric symptoms and carotid plaque echomorphology. J Vasc Surg. 2000;31:39–49
  21. Redgrave JNE, Lovett JK, Gallagher PJ, Rothwell PM. Histological assessment of 526 symptomatic carotid plaques in relation to the nature and timing of ischemic symptoms. The Oxford plaque study. Circulation. 2006;113:2320–2328
  22. Verhoeven B, Hellings WE, Moll FL, de Vries JP, de Kleijn DPV, de Bruin P, et al. Carotid atherosclerotic plaques in patients with transient ischemic attacks and stroke have unstable characteristics compared with plaques in asymptomatic and amaurosis fugax patients. J Vasc Surg. 2005;42:1077–1081
  23. Lovett JK, Gallagher PJ, Rothwell PM. Reproducibility of histological assessment of carotid plaque: implications for studies of carotid imaging. Cerebrovasc Dis. 2004;18:117–123

PII: S1078-5884(09)00570-X

doi: 10.1016/j.ejvs.2009.11.003

European Journal of Vascular & Endovascular Surgery
Volume 39, Issue 2 , Pages 134-138 , February 2010

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