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Ultrasonic Characterization of Carotid Plaques and Its Clinical Implications

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Noninvasive Vascular Diagnosis

Abstract

In the last years, the concepts of plaque vulnerability, composition of the plaque, and ­cerebrovascular events have been vastly studied. The gray scale median (GSM) score has been proposed with the intent of identifying asymptomatic patients at high risk of stroke.

Several studies demonstrated the relationship between carotid plaque echolucency ­evaluated by GSM, hs-CRP, carotid plaque infiltration by macrophage, neovascularization, plaque rupture, embolic load to the brain, and eventually risk of stroke.

The GSM analysis has been included in the current guidelines for treatment of patients with carotid stenoses, both with endovascular and surgical approach.

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Author information

Authors and Affiliations

  1. Department of Surgical Sciences, University of Milano Bicocca, Vascular Surgery Unit, San Gerardo Teaching Hospital, Via Pergolesi, 33, Monza, 20900, Italy

    Alberto Froio M.D., Luca Rossi M.D. & Savino Pasquadibisceglie M.D.

  2. Department of Surgical Sciences, University of Milano Bicocca, Via Pergolesi, 33, Monza, 20900, Italy

    Giorgio M. Biasi M.D.

  3. Vascular Surgery Unit, San Gerardo Teaching Hospital, Via Pergolesi, 33, Monza, 20900, Italy

    Giorgio M. Biasi M.D.

Authors
  1. Alberto Froio M.D.
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  2. Luca Rossi M.D.
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  3. Savino Pasquadibisceglie M.D.
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  4. Giorgio M. Biasi M.D.
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Corresponding author

Correspondence to Giorgio M. Biasi M.D. .

Editor information

Editors and Affiliations

  1. Robert C. Byrd Health Sciences Center, Dept. Surgery, West Virginia University, MacCorkle Ave. SE 3100, Charleston, 25304, West Virginia, USA

    Ali F. AbuRahma

  2. , Interventional Cardiology, UC San Diego Sulpizio Cardiovascular Cen, 9300 Campus Point Drive 7784, La Jolla, 92037, California, USA

    Dennis F. Bandyk

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Froio, A., Rossi, L., Pasquadibisceglie, S., Biasi, G.M. (2013). Ultrasonic Characterization of Carotid Plaques and Its Clinical Implications. In: AbuRahma, A., Bandyk, D. (eds) Noninvasive Vascular Diagnosis. Springer, London. https://doi.org/10.1007/978-1-4471-4005-4_11

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  • DOI: https://doi.org/10.1007/978-1-4471-4005-4_11

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