Document Detail

A four year clinical and echographic follow-up of asymptomatic carotid plaque.
MedLine Citation:
PMID:  1626738     Owner:  NLM     Status:  MEDLINE    
Eighty-five patients with asymptomatic carotid plaque--a diagnosis revealed by B-mode high-resolution echotomography--were followed up for four years; the echoplaque changes were compared with the clinical history. Eight patients died (2 from stroke, 4 from myocardial infarction, and 2 from lung tumor) and were excluded from the follow-up. Three patients underwent carotid thromboendarterectomy (TEA) (1 bilateral), and these 4 carotids were not considered in the total series. At the first echo Doppler evaluation of 150 carotids, plaques were observed in 112; 38 vessels were free of lesions. Of the 150 carotids, 8 revealed a new plaques. In regard to the echogenic pattern, 95 of the 112 plaques (84.8%) remained unchanged, 16 (14.3%) progressed, and regression of a small homogeneous plaque was observed in 1 patient (0.9%). An increase of the degree of vascular stenosis, was observed in 23 of the 150 carotids (15.3%). Cerebral ischemic symptoms occurred in 5 patients. In 1 patient who suffered from stroke, a new, soft, dyshomogeneous plaque in the carotid of the side of the lesion was observed. In 3 patients (2 with strokes, 1 with transient ischemic attack) the occlusion of a previous severe stenosis was observed. The fifth patient had a stroke on the side of an unchanged, ulcerated hemodynamic lesion. A valid criterion for identifying a risky plaque should be the joint evaluation of the echostructural characteristics and the degree of stenosis.
F Fabris; L Poli; M Zanocchi; M Bo; U Fiandra; G Fonte
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Angiology     Volume:  43     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:  1992 Jul 
Date Detail:
Created Date:  1992-08-07     Completed Date:  1992-08-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  590-8     Citation Subset:  IM    
Department of Geriatric Medicine, University of Turin, Italy.
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MeSH Terms
Arteriosclerosis / complications,  ultrasonography*
Carotid Artery Diseases / complications,  ultrasonography*
Cerebrovascular Disorders / complications
Follow-Up Studies
Middle Aged
Myocardial Infarction / complications

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