| A four year clinical and echographic follow-up of asymptomatic carotid plaque. | |
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MedLine Citation:
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PMID: 1626738 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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F Fabris; L Poli; M Zanocchi; M Bo; U Fiandra; G Fonte |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Angiology Volume: 43 ISSN: 0003-3197 ISO Abbreviation: Angiology Publication Date: 1992 Jul |
Date Detail:
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Created Date: 1992-08-07 Completed Date: 1992-08-07 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0203706 Medline TA: Angiology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 590-8 Citation Subset: IM |
Affiliation:
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Department of Geriatric Medicine, University of Turin, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Arteriosclerosis
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complications,
ultrasonography* Carotid Artery Diseases / complications, ultrasonography* Cerebrovascular Disorders / complications Follow-Up Studies Humans Male Middle Aged Myocardial Infarction / complications Prognosis |
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