超声造影评估颈动脉斑块易损性的可行性——叙述性综述
Contrast-Enhanced Ultrasound Feasibility in Assessing Carotid Plaque Vulnerability-Narrative Review.
作者信息
Kopyto Ewa, Czeczelewski Marcin, Mikos Eryk, Stępniak Karol, Kopyto Maja, Matuszek Małgorzata, Nieoczym Karolina, Czarnecki Adam, Kuczyńska Maryla, Cheda Mateusz, Drelich-Zbroja Anna, Jargiełło Tomasz
机构信息
Students' Scientific Society, Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, 20-594 Lublin, Poland.
Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, 20-594 Lublin, Poland.
出版信息
J Clin Med. 2023 Oct 9;12(19):6416. doi: 10.3390/jcm12196416.
The risk assessment for carotid atherosclerotic lesions involves not only determining the degree of stenosis but also plaque morphology and its composition. Recently, carotid contrast-enhanced ultrasound (CEUS) has gained importance for evaluating vulnerable plaques. This review explores CEUS's utility in detecting carotid plaque surface irregularities and ulcerations as well as intraplaque neovascularization and its alignment with histology. Initial indications suggest that CEUS might have the potential to anticipate cerebrovascular incidents. Nevertheless, there is a need for extensive, multicenter prospective studies that explore the relationships between CEUS observations and patient clinical outcomes in cases of carotid atherosclerotic disease.
颈动脉粥样硬化病变的风险评估不仅涉及确定狭窄程度，还包括斑块形态及其组成。最近，颈动脉超声造影（CEUS）在评估易损斑块方面变得越来越重要。本综述探讨了CEUS在检测颈动脉斑块表面不规则和溃疡以及斑块内新生血管形成及其与组织学一致性方面的效用。初步迹象表明，CEUS可能有预测脑血管事件的潜力。然而，需要进行广泛的多中心前瞻性研究，以探索在颈动脉粥样硬化疾病病例中CEUS观察结果与患者临床结局之间的关系。
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