Parnetti L, Mercuri M, Susta A, Lupattelli G, Ciuffetti G, Senin U
Geronotology and Geriatric Department, University of Perugia, Italy.
Angiology. 1988 Aug;39(8):705-13. doi: 10.1177/000331978803900801.
High-resolution real-time echotomography was used in a longitudinal study on 118 atherosclerotic plaques of the extracranial carotid tract with the aim of identifying those most likely to cause a cerebrovascular event. Seventy patients (average age 61 +/- 7 years), referred to our Clinical Vascular Laboratory because suffering from transient cerebral ischemic attacks (TIA), coronary heart disease (CHD, peripheral artery disease (PAD), or cervical bruits (CB), were followed up for two years. Medical treatment remained that of the referring physician. Ten patients suffered from clinical events caused by stroke, TIA, and/or carotid occlusion during the follow-up. The echostructural profile of the lesions most often correlated with the clinical event was characterized by a mixed or hard echogenic pattern, and irregular surface, and an initial vascular stenosis of more than 50%.
在一项针对118个颅外颈动脉粥样硬化斑块的纵向研究中，采用了高分辨率实时超声断层扫描技术，目的是识别那些最有可能引发脑血管事件的斑块。70名患者（平均年龄61±7岁）因患有短暂性脑缺血发作（TIA）、冠心病（CHD）、外周动脉疾病（PAD）或颈部杂音（CB）而被转诊至我们的临床血管实验室，并接受了为期两年的随访。医疗治疗仍由转诊医生负责。在随访期间，有10名患者发生了由中风、TIA和/或颈动脉闭塞引起的临床事件。最常与临床事件相关的病变的回声结构特征为混合或强回声模式、表面不规则以及初始血管狭窄超过50%。
