Plaque neovascularization detected with contrast‐enhanced ultrasound predicts ischaemic stroke recurrence in patients with carotid atherosclerosis

2020 ◽  
Vol 27 (5) ◽  
pp. 809-816 ◽  
Author(s):  
P. Camps‐Renom ◽  
L. Prats‐Sánchez ◽  
F. Casoni ◽  
J. M. González‐de‐Echávarri ◽  
P. Marrero‐González ◽  
...  
2011 ◽  
Vol 9 (7) ◽  
pp. 558
Author(s):  
Ankur Thapar ◽  
Joseph Shalhoub ◽  
David Owen ◽  
Alun Davies ◽  
Edward Leen

Gerontology ◽  
2021 ◽  
pp. 1-8
Author(s):  
Yan Song ◽  
Ying Dang ◽  
Jichang Wang ◽  
Hui Cai ◽  
Jun Feng ◽  
...  

<b><i>Introduction:</i></b> This study aimed to examine whether intraplaque neovascularization (IPN) of carotid plaques, as characterized by contrast-enhanced ultrasound (CEUS), is associated with ischemic stroke recurrence in patients with carotid atherosclerosis. <b><i>Methods:</i></b> We conducted a prospective study of consecutive patients with a recent stroke and at least one atherosclerotic plaque in the carotid artery on the side consistent with symptoms. All patients underwent CEUS after their first admission. IPN was graded on the basis of the presence and location of microbubbles within each plaque. <b><i>Results:</i></b> We eventually included 155 patients, all of whom underwent IPN analysis. After a follow-up of 24 months, we recorded 25 (16.1%) stroke recurrences in the whole population. All the recurrences occurred in patients presenting IPN. There was significant difference in the IPN between the 2 groups (<i>p</i> = 0.002). In the final Cox proportional-hazards multivariable models, IPN of grade 2 was independently associated with the risk of stroke recurrence (HR = 4.535; 95% CI: 1.892–10.870; <i>p</i> = 0.001). This association remained after adjusting for the degree of carotid stenosis (HR = 3.491; 95% CI: 1.410–8.646; <i>p</i> = 0.007). <b><i>Conclusions:</i></b> IPN was an independent predictor of stroke recurrence in patients with a recent ischemic stroke and carotid atherosclerosis. In predicting stroke recurrence, IPN may be an earlier indicator than carotid stenosis and may help stratify the risk of stroke recurrence.


Stroke ◽  
2011 ◽  
Vol 42 (12) ◽  
pp. 3634-3636 ◽  
Author(s):  
Joseph Shalhoub ◽  
Claudia Monaco ◽  
David R.J. Owen ◽  
Thomas Gauthier ◽  
Ankur Thapar ◽  
...  

2013 ◽  
Vol 112 (2) ◽  
pp. 292-298 ◽  
Author(s):  
Gerrit L. ten Kate ◽  
Anouk C. van Dijk ◽  
Stijn C.H. van den Oord ◽  
Burhan Hussain ◽  
Hence J.M. Verhagen ◽  
...  

2013 ◽  
Vol 57 (2) ◽  
pp. 539-546 ◽  
Author(s):  
Gerrit L. ten Kate ◽  
Stijn C.H. van den Oord ◽  
Eric J.G. Sijbrands ◽  
Aad van der Lugt ◽  
Nico de Jong ◽  
...  

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