The role of advanced diagnostic technology in theselection of a patient with symptomatic but hemodynamically insignificant disease for carotid endarterectomy

Kristine Clodfelter Orion, Jenna Ruppert, Diana Call, Mahmoud Malas, Kristen Piazza, Bruce A. Perler

Research output: Contribution to journalArticle

Abstract

Current Level I evidence demonstrates no benefit for carotid endarterectomy in symptomatic patients with<50% carotid stenoses. However, unstable plaque morphology is increasingly recognized in the genesis of ischemic cerebral events. New advanced imaging technology, such as contrast-enhanced magnetic resonance angiography and ultrasound imaging, are emerging as important adjuncts in the evaluation of this patient population. We present a case where both modalities were beneficial in identifying plaque instability manifested by intraplaque hemorrhage and neovascularization in a patient with recurrent cerebral ischemic events and hemodynamically insignificant carotid disease.

Original languageEnglish (US)
Pages (from-to)90-93
Number of pages4
JournalJournal of Vascular Surgery Cases
Volume1
Issue number2
DOIs
StatePublished - Jan 1 2015

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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