PMID: 9448618Feb 4, 1998Paper

Carotid plaque characteristics and presenting symptom

The British Journal of Surgery
J GolledgeR M Greenhalgh

Abstract

The importance of identifying features of carotid artery disease, in addition to degree of stenosis, which predict subsequent stroke is becoming increasingly clear. This study assessed the relationship between carotid plaque characteristics and presenting symptoms. Some 285 symptomatic (transient ischaemic attack (TIA) 127, amaurosis fugax 58, transient stroke 15, established stroke 55, progressive stroke 11, crescendo TIA 19) and 65 asymptomatic patients were studied with colour-flow duplex imaging. All patients had 60-99 per cent internal carotid stenosis. Carotid plaque morphology (classified according to Gray-Weale) and plaque surface features were assessed. Plaque types I and II were more common in symptomatic patients (83 per cent versus 44 per cent; P < 0.0001). Plaque surface was classified as smooth (34 per cent), irregular (44 per cent) or ulcerated (22 per cent). Ulceration was also more common in symptomatic patients (23 versus 14 per cent; P = 0.04). In symptomatic patients there was no association between presenting symptom and plaque morphology or surface features (P = 0.9 and P = 0.8 respectively). On multiple regression analysis plaque morphology did not distinguish between patients who presents with stroke wit...Continue Reading

References

Sep 1, 1975·Stroke; a Journal of Cerebral Circulation
Aug 15, 1991·The New England Journal of Medicine·UNKNOWN North American Symptomatic Carotid Endarterectomy Trial CollaboratorsM Eliasziw
Jun 1, 1991·European Journal of Vascular Surgery·M F GiannoniP Fiorani
Mar 1, 1993·European Journal of Vascular Surgery·R M GreenhalghC N McCollum

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Citations

Jun 10, 2005·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Ahmed TawakolAlan J Fischman
Aug 31, 2001·Ultrasound in Medicine & Biology·A ArnoldS Padayachee
Feb 8, 2000·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·P B DimakakosD Mourikis
Jun 27, 2008·Pathobiology : Journal of Immunopathology, Molecular and Cellular Biology·M SlevinJ Krupinski
Jul 6, 2014·Neurosurgery Clinics of North America·Jorge L EllerL Nelson Hopkins
Feb 9, 2012·Stroke Research and Treatment·Anastasios ChatzikonstantinouMichael G Hennerici
Oct 16, 2009·Der Internist·A Chatzikonstantinou, M G Hennerici
Jan 19, 2011·Journal of Medical Systems·Rajendra U AcharyaJasjit S Suri
Mar 6, 2004·Stroke; a Journal of Cerebral Circulation·Rolf KernStephen Meairs
Jan 19, 2010·ANZ Journal of Surgery·Dong Yan GaoJohn Edmond Frawley
Aug 29, 2013·Expert Review of Cardiovascular Therapy·Patricia Martinez-Sanchez, Andrei V Alexandrov
Jan 25, 2003·Coronary Artery Disease·Barry P McGrath

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