Key result
A 59-year-old male with left hemispheric stroke and 50% carotid stenosis exhibited plaque remodeling and reabsorption over three months, highlighting the potential utility of ultrasound assessment.
Case Report (n=1)
Plaque surface and structural echomorphology assessment using duplex ultrasound may help identify patients who would benefit from early carotid endarterectomy.
Single-case plaque remodeling warrants no practice change; hypothesis-generating for ultrasound in moderate carotid stenosis, needing prospective validation.
Atheromatous plaques are dynamic structures undergoing continuous remodeling. Duplex ultrasound is now an accepted technique to classify the severity of arterial stenoses. It gives information about the ultrasonic echogenicity of tissue, the plaque surface and the velocity of blood flowing through vessels with the latest equipment. We report the case of a 59-year-old male patient with left hemispheric stroke and a 50% left carotid artery stenosis whose remodeling and reabsorption developed throughout three months from the onset of symptoms. Plaque surface and structural echomorphology assessment and standardization, along with the degree of carotid stenosis, might be helpful in identifying patients most likely to benefit from carotid endarterectomy.
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Capoccia et al. (2011) conducted a case report in Left hemispheric stroke and 50% left carotid artery stenosis (n=1). Plaque remodeling and reabsorption was evaluated on Plaque remodeling and reabsorption. A 59-year-old male with left hemispheric stroke and 50% carotid stenosis exhibited plaque remodeling and reabsorption over three months, highlighting the potential utility of ultrasound assessment.
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