scholarly journals Carotid Atherosclerosis Assessment Using Ultrasonography – Making it an Easy and Valuable Tool for the General Practitioner

2021 ◽  
Vol 18 (1) ◽  
pp. 23-33
Author(s):  
Raluca Popa ◽  
Cristina Stănescu ◽  
Dan Stănescu ◽  
Adriana Gurghean
Keyword(s):  
General Practitioner ◽  
Carotid Artery ◽  
Carotid Artery Stenosis ◽  
Carotid Atherosclerosis ◽  
Duplex Ultrasound ◽  
Artery Stenosis ◽  
Asymptomatic Carotid ◽  
Asymptomatic Carotid Artery Stenosis

Abstract The thromboembolism of an asymptomatic carotid artery stenosis (CAS) causes stroke in 10-15% cases and in Europe, stroke causes more than 1 million deaths a year. This important cause of mortality may be evaluated by duplex ultrasound (DUS). In five decades of experience, carotid DUS has proven to be a risk -free procedure, being widely available, easy to use, inexpensive, painless and quite reproducible. The purpose of this article was to try to extend the usual indications of DUS assessment of carotid atherosclerosis (CA) in order to offer a tool for less experienced ultrasonographers to gather useful information for optimizing patient’s management. We tried to review the literature and to provide a simple, easy to apply algorithm for estimating the presence and severity of CA.

Oxidative injury associated with stenting of asymptomatic carotid artery stenosis

VASA ◽  
2017 ◽  
Vol 46 (4) ◽  
pp. 268-274
Author(s):  
Erhan Saraçoğlu ◽  
Ertan Vuruşkan ◽  
Yusuf Çekici ◽  
Salih Kiliç ◽  
Halil Ay ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Carotid Artery ◽  
Oxidative Damage ◽  
Carotid Artery Stenosis ◽  
Artery Stenosis ◽  
Oxidative Stress Marker ◽  
Asymptomatic Carotid ◽  
Imaging Methods ◽  
Neurological Findings ◽  
Asymptomatic Carotid Artery Stenosis

Abstract. Background: After carotid artery stenting (CAS), neurological complications that cannot be explained with imaging methods may develop. In our study we aimed to show, using oxidative stress markers, isolated oxidative damage and resulting neurological findings following CAS in patients with asymptomatic carotid artery stenosis. Patients and methods: We included 131 neurologically asymptomatic patients requiring CAS. The neurological findings were evaluated using the modified Rankin Scale (mRS) prior to the procedure, one hour post-procedure, and two days after. Patients with elevated mRS scores but with or without typical hyperintense lesions observed on an MRI and with changes of oxidative stress marker levels at the time (Δtotal-thiol, Δtotal antioxidative status [TAS], and Δtotal oxidant status [TOS]) were evaluated. Results: In the neurological examination carried out one hour prior to the procedure, there were 92 patients with mRS = 0, 20 with mRS = 1, and 12 with mRS = 2. When Δtotal-thiol, ΔTAS, and ΔTOS values and the mRS were compared, it was observed that as the difference in oxidative parameters increased, clinical deterioration also increased proportionally (p = 0.001). Conclusions: We demonstrate a possible correlation between oxidative damage and neurological findings after CAS which could not be explained by routine imaging methods.

Revascularization for asymptomatic carotid artery stenosis improves balance and mobility

2021 ◽  
Author(s):  
Vicki L. Gray ◽  
Sarasijhaa K. Desikan. ◽  
Amir A. Khan ◽  
Dawn Barth ◽  
Siddhartha Sikdar ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Stenosis ◽  
Artery Stenosis ◽  
Asymptomatic Carotid ◽  
Asymptomatic Carotid Artery Stenosis
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