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FASCICOLI E ARTICOLI   I PIÙ LETTI   eTOC

ULTIMO FASCICOLOITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY

Rivista di Chirurgia Vascolare ed Endovascolare

Official Journal of the Italian Society of Vascular and Endovascular Surgery
Indexed/Abstracted in: EMBASE, Scopus

Periodicità: Trimestrale

ISSN 1824-4777

Online ISSN 1827-1847

 

Italian Journal of Vascular and Endovascular Surgery 2009 Dicembre;16(4):249-58

CONCURRENT CAROTID REVASCULARIZATION AND CORONARY ARTERY BYPASS 

 REVIEWS

Carotid imaging

Brinjikji W., Lanzino G., Morris J. M., Rabinstein A. A., Cloft H. J.

Departments of Radiology, Neurology and Neurologic Surgery, Mayo Clinic, Rochester, MN, USA

Stroke is the second most common cause of death in developed countries and carotid atherosclerotic disease accounts for up to 25% of strokes. A high degree of stenosis, inflammation of the plaque, thin fibrous caps, intraplaque hemorrhage and lipid rich necrotic cores are strongly predictive of future embolic events in patients with carotid stenosis. Thus, the ability to detect these pathologies in patients with stenosis is essential to preventing future embolic events. Over the past decade, great advances have been made in carotid imaging as we cannot only effectively measure degree of stenosis of carotid arteries, but also measure prognostic variables such as degree of inflammation, macrophage infiltration, fibrous cap to lipid-rich core ratio and intraplaque hemorrhage with improved imaging techniques and technologies. The purpose of this review was to inform the surgical community on the advancements that have been made in carotid imaging specifically focusing on techniques that allow clinicians to distinguish between dangerous and innocuous plaques.

lingua: Inglese


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