Roadmap Consensus on Carotid Artery Plaque Imaging and Impact on Therapy Strategies and Guidelines: An International, Multispecialty, Expert Review and Position Statement
| Autor: | Gert J. de Borst, G. Lanzino, Qi Yang, Tobias Saam, David J. Mikulis, Ulf Hedin, T. S. Hatsukami, Andrew J. Buckler, Myriam Edjlali, Joanna M. Wardlaw, Bruce A. Wasserman, Christopher P. Hess, ME Marianne Eline Kooi, Mauricio Castillo, Chun Yuan, Martin M. Brown, Ross Naylor, Waleed Brinjikji, Ajay Gupta, Jie Sun, Peter M. Rothwell, J. D. Spence, J. V. Goethem, Jonathan H. Gillard, J. K. DeMarco, D. Capodanno, Brajesh K. Lal, Alan R. Moody, Laura Saba, Aad van der Lugt, David Saloner, Niranjan Balu, Max Wintermark |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Position statement
Carotid Artery Diseases Aging medicine.medical_specialty STATIN THERAPY Consensus VASCULAR-SURGERY GUIDELINES medicine.medical_treatment Clinical Sciences Cardiovascular ATHEROSCLEROTIC LESIONS Clinical Research medicine INTRAPLAQUE HEMORRHAGE HISTOLOGICAL CLASSIFICATION Humans Radiology Nuclear Medicine and imaging In patient Carotid Stenosis Intensive care medicine Stroke Biology Extracranial Vascular SUDDEN CORONARY DEATH Plaque Atherosclerotic Endarterectomy Computer. Automation ENDARTERECTOMY business.industry Neurosciences Health Services UPDATED SOCIETY Atherosclerosis medicine.disease Plaque Atherosclerotic Nuclear Medicine & Medical Imaging Stenosis Carotid artery plaque Carotid Arteries Plaque imaging Patient Safety Neurology (clinical) Human medicine business Relevant information HIGH-RESOLUTION |
| Zdroj: | AJNR Am J Neuroradiol American journal of neuroradiology Saba, L, Brinjikji, W, Spence, J D, Wintermark, M, Castillo, M, Borst, G J D, Yang, Q, Yuan, C, Buckler, A, Edjlali, M, Saam, T, Saloner, D, Lal, B K, Capodanno, D, Sun, J, Balu, N, Naylor, R, Lugt, A V D, Wasserman, B A, Kooi, M E, Wardlaw, J, Gillard, J, Lanzino, G, Hedin, U, Mikulis, D, Gupta, A, Demarco, J K, Hess, C, Goethem, J V, Hatsukami, T, Rothwell, P, Brown, M M & Moody, A R 2021, ' Roadmap Consensus on Carotid Artery Plaque Imaging and Impact on Therapy Strategies and Guidelines: An International, Multispecialty, Expert Review and Position Statement ', American Journal of Neuroradiology . https://doi.org/10.3174/ajnr.A7223 AJNR. American journal of neuroradiology, vol 42, iss 9 Department of Medicine Publications |
| ISSN: | 0195-6108 |
| Popis: | Current guidelines for primary and secondary prevention of stroke in patients with carotid atherosclerosis are based on the quantification of the degree of stenosis and symptom status. Recent publications have demonstrated that plaque morphology and composition, independent of the degree of stenosis, are important in the risk stratification of carotid atherosclerotic disease. This finding raises the question as to whether current guidelines are adequate or if they should be updated with new evidence, including imaging for plaque phenotyping, risk stratification, and clinical decision-making in addition to the degree of stenosis. To further this discussion, this roadmap consensus article defines the limits of luminal imaging and highlights the current evidence supporting the role of plaque imaging. Furthermore, we identify gaps in current knowledge and suggest steps to generate high-quality evidence, to add relevant information to guidelines currently based on the quantification of stenosis. |
| Databáze: | OpenAIRE |
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