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Echolucency of carotid plaques and cerebrovascular events

机译:颈动脉斑块回声与脑血管事件

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Objectives.: To assess the relationship between carotid plaque echogenicity and degree of stenosis with acute and chronic stroke. Methods.: A retrospective study of cerebral MRI and carotid B-mode and Doppler ultrasonography in 60 patients with stroke. Plaque echogenicity was graded as echolucent (1), predominantly echolucent (2), predominantly echogenic (3), or echogenic (4). Sonographic findings were compared between patients with acute (group 1) and chronic (group 2) stroke. Results.: In group 1 (n = 39 patients), the carotid plaques were grade 1 in 21, grade 2 in 22, grade 3 in 9, and grade 4 in 4 carotid arteries. In group 2 (n = 21), the carotid plaques were grade 1 in 2, grade 2 in 8, grade 3 in 4, and grade 4 in 11 carotid arteries. Plaque echogenicity was lower in group 1 than in group 2 (p < 0.05). Plaque echolucency was associated independently with acute stroke from the degree of stenosis. Conclusions.: Patients with acute infarcts have predominantly echolucent plaques, regardless of the degree of stenosis.
机译:目的:评估急性和慢性卒中的颈动脉斑块回声与狭窄程度之间的关系。方法:回顾性研究60例脑卒中患者的脑MRI和颈动脉B型及多普勒超声检查。斑块的回声性分为回声(1),主要是回声(2),主要是回声(3)或回声(4)。比较了急性(第1组)和慢性(第2组)中风患者的超声检查结果。结果:在第1组(n例39例患者)中,颈动脉斑块为1分21分,2分22分,3分9分和4分4分。在第2组(n = 21)中,颈动脉斑块为1、2、2、8、3、4和4级(11个颈动脉)。第1组的斑块回声性低于第2组(p <0.05)。斑块回声与狭窄程度无关地与急性中风相关。结论:无论狭窄程度如何,急性梗死患者的回声斑块主要为回声。

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