Key result
Risk stratification of asymptomatic carotid artery disease using plaque morphology and kinetics may assist in selecting potential candidates for carotid intervention.
Why the study?
How does risk stratification using plaque morphology and kinetics assist in selecting candidates for carotid intervention in asymptomatic carotid artery disease?
How does risk stratification using plaque morphology and kinetics assist in selecting candidates for carotid intervention in asymptomatic carotid artery disease?
This review highlights the shift from relying solely on stenosis degree to incorporating plaque morphology and kinetics for risk stratifying asymptomatic carotid artery disease.
May guide intervention decisions in asymptomatic carotid stenosis; leaves open randomized validation of morphology-driven selection.
Stroke generates significant healthcare expenses and it is also a social and economic burden. The carotid artery atherosclerotic plaque instability is responsible for a third of all embolic strokes. The degree of stenosis has been deliberately used to justify carotid artery interventions in thousands of patients worldwide. However, the annual risk of stroke in asymptomatic carotid artery disease is low. Plaque morphology and its kinetics have gained ground to explain cerebrovascular and retinal embolic events. This review provides the readers with an insightful and critical analysis of the risk stratification of asymptomatic carotid artery disease in order to assist in selecting potential candidates for a carotid intervention.
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Malgor et al. (2012) conducted a review in Asymptomatic carotid artery disease. Risk stratification using plaque morphology and kinetics was evaluated. Risk stratification of asymptomatic carotid artery disease using plaque morphology and kinetics may assist in selecting potential candidates for carotid intervention.
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