Neurol. praxi. 2017;18(4):229-232 | DOI: 10.36290/neu.2017.003

Atherosclerotic plaque evaluation in the carotid arteries by duplex sonography

MUDr. Petra Kešnerová

Neurologická klinika, Fakultní nemocnice Motol a 2. lékařská fakulta, Univerzita Karlova, Praha

Aterosclerosis is chronic degenerative disease leading world death rates. One of the most affected areas are carotid arteries inwhich aterosclerotic plaque progression belongs to the most important causes of ischaemic stroke. Duplex sonography is methodwidely available and safe enabeling realiable diagnostic of carotid arteries aterosclerosis. For stenosis quantification it is recommendedto apply multiparametric approach using criteria of direct and indirect sonographic diagnostic, moreover, recent researchfocuses on risk classification of aterosclerosis plaques (mainly detection of neovascularization, high lipid content, intraplaquehemorrhage, necrosis, ulceration, disruption of fibrin cup on plaque surface) and its sonogpraphic correlate which allow betterindividualization of invasive procedure indications, carotid endarterectomy and stenting inculded.

Keywords: duplex sonography, atherosclerotic plaque, stenosis, carotid artery, plaque composition, plaque volume.

Received: March 12, 2017; Accepted: March 12, 2017; Published: October 1, 2017  Show citation