Postgraduate Program in Medicine and Health, Faculty of Medicine of Bahia, Federal University of Bahia, Salvador, Bahia, Brazil.
Ultrasound Q. 2023 Mar 1;39(1):10-16. doi: 10.1097/RUQ.0000000000000610. Epub 2022 May 6.
The present study brings a pictorial review aimed to discuss the multifactorial interpretation of extracranial carotid atheromatous disease, contemplating not only the degree of stenosis but also the arterial flow patterns, the intima-media thickness and the morphological characteristics of the atheromatous plaque. We merged the recommendations contained in the different reference literature on the topic to give a comprehensive approach to ultrasound criteria for diagnostic carotid examination. We infer that the carotid ultrasound evaluation must include important predictors of cardiovascular risk, which should be written in the ultrasound reports, thus allowing the adequate clinical approach to the disease.
本研究通过图像回顾讨论颅外颈动脉粥样硬化疾病的多因素解读，不仅考虑狭窄程度，还考虑动脉血流模式、内膜中层厚度和粥样斑块的形态特征。我们合并了不同参考文献中关于该主题的建议，对颈动脉超声诊断检查的标准进行了全面的阐述。我们推断颈动脉超声评估必须包括心血管风险的重要预测因素，这些因素应写入超声报告中，从而为疾病的临床处理提供充分依据。
