The correlation of ultrasonic carotid plaque morphology and carotid plaque hemorrhage: clinical implications

Background: This study examined the importance of ultrasonic plaque morphology and its correlation to the presence of intraplaque hemorrhage and clinical implications. Methods: One hundred fifty-two carotid plaques associated with ≥50% internal carotid artery stenoses in 135 patients who had carotid...

Full description

Saved in:
Bibliographic Details
Published in:Surgery 1998-10, Vol.124 (4), p.721-728
Main Authors: AbuRahma, Ali F., Kyer, Paul D., Robinson, Patrick A., Hannay, R.Scott
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Arteriosclerosis - complications
Arteriosclerosis - diagnostic imaging
Arteriosclerosis - pathology
Arteriosclerosis - surgery
Carotid Arteries - diagnostic imaging
Carotid Arteries - pathology
Carotid Artery Diseases - diagnostic imaging
Carotid Artery Diseases - pathology
Carotid Artery Diseases - surgery
Carotid Stenosis - diagnostic imaging
Carotid Stenosis - etiology
Endarterectomy, Carotid
Female
Hemorrhage - diagnostic imaging
Hemorrhage - pathology
Humans
Ischemic Attack, Transient - etiology
Male
Middle Aged
Ultrasonography, Doppler, Color
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background: This study examined the importance of ultrasonic plaque morphology and its correlation to the presence of intraplaque hemorrhage and clinical implications. Methods: One hundred fifty-two carotid plaques associated with ≥50% internal carotid artery stenoses in 135 patients who had carotid endarterectomies were characterized ultrasonographically into irregular/ulcerative, smooth, heterogeneous, homogeneous, or not defined. All plaques were examined pathologically for the presence of intraplaque hemorrhage. Results: The ultrasonic morphology of the plaques included 63 with surface irregularity (41%), 48 smooth (32%), 59 heterogeneous (39%), 52 homogeneous (34%), and 41 not defined (27%). Intraplaque hemorrhage was present in 57 of 63 (90%) irregular plaques and 53 of 59 (90%) heterogeneous plaques, in contrast to 13 of 48 (27%) smooth plaques and 17 of 52 (33%) homogeneous plaques (P
ISSN:0039-6060
1532-7361
DOI:10.1067/msy.1998.91488