Article: The expanding indications for virtual histology intravascular ultrasound for plaque analysis prior to carotid stenting.
The Journal of cardiovascular surgery
2008 Volume 49, Issue 6, Page(s) 729–736
Abstract: Complications of carotid artery stenting (CAS), including stroke, remain relatively high when compared with carotid endarterectomy (CEA). Current selection criteria for patients undergoing CAS are based predominately on surgical risk related to other ... ...
| Abstract | Complications of carotid artery stenting (CAS), including stroke, remain relatively high when compared with carotid endarterectomy (CEA). Current selection criteria for patients undergoing CAS are based predominately on surgical risk related to other comorbidities. Little attention is given to the morphology of the atherosclerotic plaque, although studies have shown that extensive variability exists which confers certain risks for plaque vulnerability. Virtual Histology intravascular ultrasound (VH IVUS) offers a unique method of assessing plaque morphology prior to CAS. Herein, the authors review the concepts of atherosclerotic plaque morphology and discuss the background of VH IVUS and illustrate its use in the carotid system. With selection of the appropriate patient and the appropriate plaque, more favorable outcomes of CAS may be achieved which will solidify its place as a frontline treatment of carotid vascular disease. |
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| MeSH term(s) | Angioplasty, Balloon ; Carotid Arteries/diagnostic imaging ; Carotid Artery Diseases/diagnostic imaging ; Carotid Artery Diseases/therapy ; Carotid Stenosis/diagnostic imaging ; Carotid Stenosis/therapy ; Humans ; Stents ; Ultrasonography, Interventional | |||||
| Language | English | |||||
| Publishing date | 2008-12 | |||||
| Publishing country | Italy | |||||
| Document type | Journal Article ; Review | |||||
| ZDB-ID | 80143-4 | |||||
| ISSN | 1827-191X ; 0021-9509 | |||||
| ISSN (online) | 1827-191X | |||||
| ISSN | 0021-9509 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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