Key result
Mobile carotid plaques show diverse mobility patterns that demand careful ultrasound detection and monitoring.
Why the study?
Mobile plaques in carotid artery disease are defined as high-risk plaques requiring careful longitudinal observation due to embolic risk, but their classification and characteristics remain unclear.
Design
Review
Mobile plaque subtyping refines embolic risk awareness in carotid ultrasound; leaves open prospective outcome validation before practice change.
「超音波による頸動脈病変の標準的検査法2017」では,可動性プラークは要注意プラークと定義され,塞栓症に注意して経時的に観察を行わなければならないプラークと記載されている.その後「超音波による頸動脈病変の標準的検査法_追補版」では,可動性プラークはjellyfish plaqueとfloating plaqueに大別された.しかし,その可動形態は様々であり,明確に分類できるわけではない.そこで本稿では,この可動性プラークの分類と可動性プラークを検出するコツ,病理学的所見の特徴,臨床的意義について解説する.
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Shinji Kume (2026) studied this question. Mobile carotid plaques are high-risk embolic lesions with diverse mobility patterns that complicate morphological classification but require careful ultrasound detection and monitoring.
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