Cor Vasa 2016, 58(2):e273-e278 | DOI: 10.1016/j.crvasa.2016.02.012

Carotid ultrasound in primary and secondary prevention of stroke

Alena Lorenzováa,b
a III. interní klinika - kardiologická, Kardiocentrum 3. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha, Česká republika
b Corintez, s.r.o., kardiologická a interní ambulance, Praha, Česká republika

Imaging methods play an important role in management of patients with acute stroke or chronic cerebrovascular disease. Carotid ultrasound is a widely used method, thanks to its noninvasivity and wide accessibility. This review article deals with indications for carotid ultrasound examination in primary and secondary prevention. It presents current criteria for carotid stenosis assessment: calculation of the percentage of the stenosis, velocity criteria and the morphology of the plaque. Also accuracy of the method is analysed. In conclusion, carotid ultrasound is a reliable diagnostic tool that has an important role in the diagnosis and grading of the carotid stenosis.

Keywords: Atherosclerotic plaque; Carotid stenosis; Carotid ultrasound; Prevention; Stroke; Velocity criteria

Received: November 30, 2015; Revised: February 10, 2016; Accepted: February 24, 2016; Published: April 1, 2016  Show citation

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Lorenzová A. Carotid ultrasound in primary and secondary prevention of stroke. Cor Vasa. 2016;58(2):e273-278. doi: 10.1016/j.crvasa.2016.02.012.
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References

  1. WHO Report: WHO Global Status Report on Noncommunicable diseases 2014. WHO Press, Geneva, Switzerland, 2014.
  2. A. Malmivaara, A. Meretoja, M. Peltola, et al., Comparing ischaemic stroke in six European countries. The EuroHOPE register study, European Journal of Neurology 22 (2015) 284-291. Go to original source... Go to PubMed...
  3. R.N. Bryan, S.W. Wells, T.J. Miller, et al., Infarctlike lesions in the brain: prevalence and anatomic characteristics at MR imaging of the elderly: data from the Cardiovascular Health Study, Radiology 202 (1997) 47-54. Go to original source... Go to PubMed...
  4. D.H. O'Leary, J.F. Polak, R.A. Kronmal, et al., Carotid-artery intima and media thickness as a risk factor for myocardial infarction and stroke in older adults. Cardiovascular Health Study Collaborative Research Group, New England Journal of Medicine 340 (1999) 14-22. Go to original source... Go to PubMed...
  5. J. Perk, G. De Backer, H. Gohlke, et al., European Guidelines on cardiovascular prevention in clinical practice (version 2012). The Fifth Joint Task Force of the European Society of Cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of nine societies and by invited experts). European Heart Journal 33 (2012) 1635-1701.
  6. Y. Zhang, E. Guallar, Y. Qiao, B.A. Wasserman, Is carotid intima-media thickness as predictive as other noninvasive techniques for the detection of coronary artery disease?, Arteriosclerosis, Thrombosis, and Vascular Biology 34 (2014) 1341-1345. Go to original source... Go to PubMed...
  7. H.M. Den Ruijter, S.A. Peters, T.J. Anderson, et al., Common carotid intima-media thickness measurements in cardiovascular risk prediction: a meta-analysis, Journal of the American Medical Association 308 (2012) 796-803. Go to original source... Go to PubMed...
  8. A.V. Finn, F.D. Kolodgie, R. Virmani, Correlation between carotid intimal/medial thickness and atherosclerosis: a point of view from pathology, Arteriosclerosis, Thrombosis, and Vascular Biology 30 (2010) 177-181 Go to original source... Go to PubMed...
  9. Y. Inaba, J.A. Chen, S.R. Bergmann, Carotid plaque, compared with carotid intima-media thickness, more accurately predicts coronary artery disease events, Atherosclerosis 220 (2012) 128-133. Go to original source... Go to PubMed...
  10. T. Wannarong, G. Parraga, D. Buchanan, et al., Progression of carotid plaque volume predicts cardiovascular events, Stroke 44 (2013) 1859-1865. Go to original source... Go to PubMed...
  11. D.E. Jonas, C. Feltner, H.R. Amick, et al., Screening for asymptomatic carotid artery stenosis: a systematic review and meta-analysis for the U.S. Preventive Services Task Force, Annals of Internal Medicine 161 (2014) 336-346. Go to original source... Go to PubMed...
  12. M.L. LeFevre; U.S. Preventive Services Task Force, Screening for asymptomatic carotid artery stenosis: U.S. Preventive Services Task Force recommendation statement, Annals of Internal Medicine 161 (2014) 356-362. Go to original source... Go to PubMed...
  13. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study, Endarterectomy for asymptomatic carotid artery stenosis, Journal of the American Medical Association 273 (1995) 1421-1429. Go to original source...
  14. MRC Asymptomatic Carotid Surgery Trial (ACST) Collaborative Group, Prevention of disabling and fatal strokes by successful carotid CEA in patients without recent neurological symptoms: randomized controlled trial, Lancet 363 (2004) 1491-1502. Go to original source... Go to PubMed...
  15. M. Tendera, V. Aboyans, M.L. Bartelink, et al., ESC Guidelines on the diagnosis and treatment of peripheral artery diseases, European Heart Journal 32 (2011) 2851-2906. Go to original source... Go to PubMed...
  16. R.E. Latchaw, M.J. Alberts, M.H. Lev, et al., Recommendations for imaging of acute ischemic stroke. A scientific statement from the American Heart Association, Stroke 40 (2009) 3646-3678. Go to original source... Go to PubMed...
  17. A.J. Grau, C. Weimar, F. Buggle, et al., Risk factors, outcome, and treatment in subtypes of ischemic stroke: the German stroke data bank, Stroke 32 (2001) 2559-2566. Go to original source... Go to PubMed...
  18. M.S. Dhamoon, R.R. Sciacca, T. Rundek, et al., Recurrent stroke and cardiac risks after first ischemic stroke: the Northern Manhattan Study, Neurology 66 (2006) 641-646. Go to original source... Go to PubMed...
  19. K.S. Hong, S. Yegiaian, M. Lee, et al., Declining stroke and vascular event recurrence rates in secondary prevention trials over the past 50 years and consequences for current trial design, Circulation 123 (2011) 2111-2119. Go to original source... Go to PubMed...
  20. North American Symptomatic Carotid Endarterectomy Trial Collaborators, Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis, New England Journal of Medicine 325 (1991) 445-453. Go to original source... Go to PubMed...
  21. European Carotid Surgery Trialists' Collaborative Group, MRC European carotid surgery trial: interim results for symptomatic patients with severe (70-99) or with mild (0-29) carotid stenosis, Lancet 337 (1991) 1235-1243.
  22. P.M. Rothwelll, R.J. Gibson, J. Slattery, et al., Equivalence of measurements of carotid stenosis. A comparison of three methods on 1001 angiograms, European Carotid Surgery Trialists' Collaborative Group, Stroke 25 (1994) 2435-2439. Go to original source... Go to PubMed...
  23. A.V. Alexandrov, D.S. Brodie, A. McLean, et al., Correlation of peak systolic velocity and angiographic measurement of carotid stenosis revisited, Stroke 28 (1997) 339-342. Go to original source... Go to PubMed...
  24. J.P. Carpenter, F.J. Lexa, J.T. Davis, Determination of duplex Doppler ultrasound criteria appropriate to the North American Symptomatic Carotid Endarterectomy Trial, Stroke 13 (1996) 581-598. Go to original source... Go to PubMed...
  25. E.G. Grant, C.B. Benson, G.L. Moneta, et al., Carotid artery stenosis: grayscale and Doppler ultrasound diagnosis - society of radiologists in ultrasound consensus conference, Radiology 229 (2003) 340-346. Go to original source... Go to PubMed...
  26. K.A. Filis, F.R. Arko, B.L. Johnson, et al., Duplex ultrasound criteria for defining the severity of carotid stenosis, Annals of Vascular Surgery 16 (2002) 413-431. Go to original source... Go to PubMed...
  27. L.M. Reilly, R.J. Lusby, L. Hughes, et al., Carotid plaque histology using real-time ultrasonography: clinical and therapeutic implications, American Journal of Surgery 146 (1983) 188-193. Go to original source... Go to PubMed...
  28. E. Goes, W. Janssens, B. Maillet, et al., Tissue characterization of atheromatous plaques: correlation between ultrasound image and histological findings, Journal of Clinical Ultrasound 19 (1990) 611-617. Go to original source...
  29. S.E. Nissen, P. Yock, Intravascular ultrasound: novel pathophysiological insights and current clinical applications, Circulation 103 (2001) 604-616. Go to original source... Go to PubMed...
  30. A.F. AbuRahma, J.T. Wulu, B. Crotty, Carotid plaque ultrasonic heterogeneity and severity of stenosis, Stroke 33 (2002) 1772-1775. Go to original source... Go to PubMed...
  31. T.J. Tegos, M. Sohail, M.M. Sabetai, et al., Echomorphologic and histopathologic characteristics of unstable carotid plaques, American Journal of Neuroradiology 21 (2000) 1937-1944.
  32. A.S. Jahromi, C.S. Cinà, Y. Liu, C.M. Clase, Sensitivity and specificity of color duplex ultrasound measurement in the estimation of internal carotid artery stenosis: a systematic review and meta-analysis, Journal of Vascular Surgery 41 (2005) 962-972. Go to original source... Go to PubMed...
  33. A. Long, A. Lepoutre, E. Corbillon, A. Branchereau, Critical review of non- or minimally invasive methods (duplex ultrasonography, MR- and CT-angiography) for evaluating stenosis of the proximal internal carotid artery, European Journal of Vascular and Endovascular Surgery 24 (2002) 43-52. Go to original source... Go to PubMed...
  34. K.W. Beach, D.F. Leotta, R.E. Zierler, Carotid Doppler velocity measurements: correlation is futile, Vascular and Endovascular Surgery 46 (2012) 466-474. Go to original source... Go to PubMed...
  35. P.A. Armstrong, D.F. Bandyk, B.L. Johnson, et al., Duplex scan surveillance after carotid angioplasty and stenting: a rational definition of stent stenosis, Journal of Vascular Surgery 46 (2007) 460-466. Go to original source... Go to PubMed...
  36. C. Ranke, H.J. Trappe, Blood flow velocity measurements for carotid stenosis estimation: interobserver variation and interequipment variability, Vasa 26 (1997) 210-214.
  37. C.P. Oates, A.R. Naylor, T. Hartshorne, et al., Joint recommendations for reporting carotid ultrasound investigations in the United Kingdom, European Journal of Vascular and Endovascular Surgery 37 (2009) 251-261. Go to original source... Go to PubMed...
  38. N. Aleksic, S. Tanaskovic, S. Radak, et al., Color duplex sonography in the detection of internal carotid artery restenosis after carotid endaretectomy. Comparison with computed tomographic angiography, Journal of Ultrasound in Medicine 30 (2011) 1677-1682. Go to original source... Go to PubMed...
  39. H.M. Silvennoinen, S. Ikonen, M. Soinne, L. Valana, CT angiographic analysis of carotid artery stenosis: comparison of manual assessment, semiautomatic vessel analysis, and digital subtraction angiography, American Journal of Neuroradiology 28 (2007) 97-103. Go to original source...




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