Document Detail

The expanding indications for virtual histology intravascular ultrasound for plaque analysis prior to carotid stenting.
MedLine Citation:
PMID:  19043386     Owner:  NLM     Status:  MEDLINE    
Complications of carotid artery stenting (CAS), including stroke, remain relatively high when compared with carotid endarterectomy (CEA). Current selection criteria for patients undergoing CAS are based predominately on surgical risk related to other comorbidities. Little attention is given to the morphology of the atherosclerotic plaque, although studies have shown that extensive variability exists which confers certain risks for plaque vulnerability. Virtual Histology intravascular ultrasound (VH IVUS) offers a unique method of assessing plaque morphology prior to CAS. Herein, the authors review the concepts of atherosclerotic plaque morphology and discuss the background of VH IVUS and illustrate its use in the carotid system. With selection of the appropriate patient and the appropriate plaque, more favorable outcomes of CAS may be achieved which will solidify its place as a frontline treatment of carotid vascular disease.
B J Schiro; M H Wholey
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  49     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-01     Completed Date:  2009-03-19     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  729-36     Citation Subset:  IM    
Department of Radiology, University of Pittsburgh Medical Center Pittsburgh, PA 15213, USA.
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MeSH Terms
Angioplasty, Balloon*
Carotid Arteries / ultrasonography*
Carotid Artery Diseases / therapy,  ultrasonography
Carotid Stenosis / therapy*,  ultrasonography
Ultrasonography, Interventional*

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