1. Can carotid ultrasound predict neurological risk after carotid intervention?
- Author
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Yi-Chun C, László O, and László C
- Subjects
- Humans, Ultrasonography, Carotid Arteries, Diffusion Magnetic Resonance Imaging, Risk Factors, Treatment Outcome, Stents adverse effects, Multicenter Studies as Topic, Carotid Stenosis complications, Carotid Stenosis diagnostic imaging, Carotid Stenosis surgery, Stroke etiology, Stroke prevention & control, Stroke diagnosis
- Abstract
Background and Purpose:
To prevent ischemic strokes caused by carotid artery stenosis, carotid artery stenting (CAS) and carotid endarterectomy (CEA) have been utilized. However, complications could be linked to either or both procedures. The pur­pose of our study is to find the most efficient carotid ultrasound method to forecast peri­pro­cedural risk (embolization, new neu­ro­logical symptoms).
., Methods:We used Pubmed, EMBASE, and the Cochrane Library to conduct a sys­te­ma­tic literature search for the years 2000 to 2022.
., Results:The grayscale medium (GSM) scale of plaque is the most promising criterion for evaluating periprocedural complications. According to the published observations (relatively small cohorts), peri-procedural problems would be significantly predicted by ≤ 20 of grayscale medium cut-off values. The diffusion-weighted MRI (DW-MRI) is the most sensitive method for assessing whether stenting or carotid endarterectomy resulted in peri-procedural ischemic lesions on diffusion-weighted MRI.
., Conclusion:A future, large-scale, multi-center study should confirm which grayscale medium value is optimal to forecast periprocedural ischemic complications.
.- Published
- 2023
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