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October 1, 1996Cardiovascular Surgery2 citations

Ultrasonographic and Histologic Characteristics of Symptom-Free and Symptomatic Carotid Plaque

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Why the study?

Does duplex ultrasonography reliably assess carotid plaque pathology and correlate with clinical symptoms in patients with >70% stenosis?

Population

36 patients with carotid plaques with a stenosis >70% as detected by arteriography

Comparison

Duplex ultrasonography vs Pathological specimen and clinical presentation

Design

Cross-sectional

Authors

DKD KardoulasAKA. KatsamourisPGP. Gallis

Discussion

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Overview

Duplex ultrasonography can differentiate between echolucent (associated with symptoms) and echogenic (symptom-free) carotid plaques, but it cannot reliably detect specific pathological features like ulceration or hemorrhage.

Structured PICO

Does duplex ultrasonography reliably assess carotid plaque pathology and correlate with clinical symptoms in patients with >70% stenosis?

P
Population
36 patients (10 symptom-free and 26 symptomatic) with carotid plaques with a stenosis >70% as detected by arteriography
I
Intervention
Duplex ultrasonography
C
Comparator
Pathological specimen ('gold standard') and clinical presentation
O
Outcome
Reliability of ultrasonography in assessing plaque pathology and relating it to clinical symptomssurrogate

Duplex ultrasonography can differentiate between echolucent (associated with symptoms) and echogenic (symptom-free) carotid plaques, but it cannot reliably detect specific pathological features like ulceration or hemorrhage.

Cite This Study

Kardoulas et al. (1996) studied this question.

synapsesocial.com/papers/6a853094f59597642b928db6https://doi.org/10.1177/096721099600400504
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The carotid bifurcation plaque: pathologic findings associated with cerebral ischemia.1979 · 266 citations
  2. 2Correlation of arteriographic findings and symptoms in cerebrovascular disease1980 · 168 citations
  3. 3Outcome in Patients with Asymptomatic Neck Bruits1986 · 547 citations
  4. 4Atherosclerotic carotid disease in asymptomatic individuals1988 · 62 citations
  5. 5CAROTID ARTERY ATHEROMA: ULTRASOUND APPEARANCE IN SYMPTOMATIC AND ASYMPTOMATIC VESSELS1989 · 76 citations