Why the study?
Is carotid plaque echolucency associated with acute stroke independently of the degree of stenosis?
Is carotid plaque echolucency associated with acute stroke independently of the degree of stenosis?
Carotid plaque echolucency is independently associated with acute stroke regardless of stenosis severity, highlighting its potential as a marker of plaque vulnerability.
May support echolucency as vulnerability marker beyond stenosis; hypothesis-generating and requires prospective validation before practice change.
OBJECTIVES: To assess the relationship between carotid plaque echogenicity and degree of stenosis with acute and chronic stroke. METHODS: A retrospective study of cerebral MRI and carotid B-mode and Doppler ultrasonography in 60 patients with stroke. Plaque echogenicity was graded as echolucent (1), predominantly echolucent (2), predominantly echogenic (3), or echogenic (4). Sonographic findings were compared between patients with acute (group 1) and chronic (group 2) stroke. RESULTS: In group 1 (n = 39 patients), the carotid plaques were grade 1 in 21, grade 2 in 22, grade 3 in 9, and grade 4 in 4 carotid arteries. In group 2 (n = 21), the carotid plaques were grade 1 in 2, grade 2 in 8, grade 3 in 4, and grade 4 in 11 carotid arteries. Plaque echogenicity was lower in group 1 than in group 2 (p < 0.05). Plaque echolucency was associated independently with acute stroke from the degree of stenosis. CONCLUSIONS: Patients with acute infarcts have predominantly echolucent plaques, regardless of the degree of stenosis.
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Aldemir et al. (2012) studied this question.
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