Plaque surface and microembolic signals in moderate carotid stenosis
| Autor: | C. Paoli, Giovanni Orlandi, Michele Puglioli, Ferdinando Sartucci, Luigi Murri, P. Collavoli, Giuliano Parenti, L. Landucci Pellegrini |
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| Rok vydání: | 1999 |
| Předmět: |
Male
medicine.medical_specialty animal structures Neurology Ultrasonography Doppler Transcranial medicine.medical_treatment Asymptomatic Internal medicine medicine Humans Carotid Stenosis Aged Endarterectomy Neuroradiology business.industry General Neuroscience Middle Aged medicine.disease Transcranial Doppler Stenosis Carotid Arteries Intracranial Embolism Embolism Cardiology Female Neurology (clinical) Radiology Neurosurgery medicine.symptom business |
| Zdroj: | The Italian Journal of Neurological Sciences. 20:179-182 |
| ISSN: | 1126-5442 0392-0461 |
| DOI: | 10.1007/s100720050029 |
| Popis: | We performed Transcranial Doppler Monitoring to detect microembolic signals (MES) in 47 patients with moderate (30%–69%) carotid stenosis proven by selective angiography. We compared the occurence of MES with the clinical characteristics of stenosis (symptomatic or asymtpomatic) and the angiographic plaque features (nonulcerated, deep ulceration, superficial ulceration, ulceration with flap, or ulceration without flap). For these cases there was no indication for endarterectomy, nevertheless we thought it would be useful to identify risk subgroups that might benefit from surgical treatment. MES were detected in 17.9% of the stenoses with a prevalence (p < .01) in symptomatic cases (25%) compared to asymptomatic cases (14.3%). There was a significant correlation of MES with plaque ulceration (p < .01) and particularly with ulceration without flap (p < .01). No difference between deep and superficial ulceration was observed. The availability of prospective data on this topic might be useful to select subgroups of patients with moderate carotid stenosis at risk for embolism. |
| Databáze: | OpenAIRE |
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