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Another Step toward the Understanding of Carotid Artery Pathology

Another Step toward the Understanding of Carotid Artery Pathology COMMENTARY AnotherSteptowardthe Understandingof Carotid Artery Pathology pproximately 18%–25% of strokes are caused by atheroscler- First, they found that the IPH is independently associated with Aotic carotid disease. For the past 20 years, we have wit- carotid stenosis—the narrower the vessel, the more unstable the nessed substantial technological progress resulting in a paradigm plaque. Second, they have observed among a group with mild shift for carotid artery imaging. Using carotid sonography with stenosis (, 30%) that IPH was more frequently present in the Doppler to assess the degree of arterial stenosis is still the primary symptomatic than the asymptomatic group. This led to the hy- technique used in everyday clinical practice because of the low pothesis based on the available data that the presence of IPH is cost and the low risk-to-benefit ratio. However, different imaging particularly relevant for ischemic events risk prediction among modalities exploring carotid plaque in-depth have identified a patients with mild stenosis. few features that may be connected to the high risk of plaque rup- It is important to recognize the existing research and imple- ture and consequential ischemic events. ment it into current guidelines. For example, the European Currently, MR imaging is the technique of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Neuroradiology American Journal of Neuroradiology

Another Step toward the Understanding of Carotid Artery Pathology

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Publisher
American Journal of Neuroradiology
Copyright
© 2021 by American Journal of Neuroradiology
ISSN
0195-6108
eISSN
1936-959X
DOI
10.3174/ajnr.A7137
Publisher site
See Article on Publisher Site

Abstract

COMMENTARY AnotherSteptowardthe Understandingof Carotid Artery Pathology pproximately 18%–25% of strokes are caused by atheroscler- First, they found that the IPH is independently associated with Aotic carotid disease. For the past 20 years, we have wit- carotid stenosis—the narrower the vessel, the more unstable the nessed substantial technological progress resulting in a paradigm plaque. Second, they have observed among a group with mild shift for carotid artery imaging. Using carotid sonography with stenosis (, 30%) that IPH was more frequently present in the Doppler to assess the degree of arterial stenosis is still the primary symptomatic than the asymptomatic group. This led to the hy- technique used in everyday clinical practice because of the low pothesis based on the available data that the presence of IPH is cost and the low risk-to-benefit ratio. However, different imaging particularly relevant for ischemic events risk prediction among modalities exploring carotid plaque in-depth have identified a patients with mild stenosis. few features that may be connected to the high risk of plaque rup- It is important to recognize the existing research and imple- ture and consequential ischemic events. ment it into current guidelines. For example, the European Currently, MR imaging is the technique of

Journal

American Journal of NeuroradiologyAmerican Journal of Neuroradiology

Published: Jul 1, 2021

References