Can Arteriography Serve a Diagnostic Purpose in Plaque Type VI by AHA Identification in Patients with Internal Carotid Artery Stenosis ?

Subtraction angiography is an invasive diagnostic method, which for a long time was a gold standard in carotid artery and intra-cranial vessel imaging. The aim of this research is to evaluate angiographic imaging in predicting atherosclerotic plaque type VI by AHA morphology and to assess its signif...

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Bibliographic Details
Published in:	Acta chirurgica belgica Vol. 108; no. 5; pp. 552 - 556
Main Authors:	Stelagowski, M., Bogusiak, K., Kazmierski, P., Lysakowski, M., Timler, D., Szostek, M.
Format:	Journal Article
Language:	English
Published:	Bruxelles Taylor & Francis 01-09-2008 Acta medica Belgica
Subjects:	Aged Aged, 80 and over Angiography Atherosclerosis - classification Atherosclerosis - pathology Atherosclerosis - surgery Biological and medical sciences Cardiovascular system carotid artery carotid artery plaque Carotid Artery, Common - pathology Carotid Artery, Common - surgery Carotid Artery, Internal - pathology Carotid Artery, Internal - surgery Carotid Stenosis - pathology Carotid Stenosis - surgery echodoppler Endarterectomy, Carotid Female General aspects Humans Intraoperative Period Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Radiodiagnosis. Nmr imagery. Nmr spectrometry Sensitivity and Specificity Human Carotid stenosis echodoppler Nervous system diseases Internal carotid Radiodiagnosis Angiography Cardiovascular disease Patient Identification Cerebral disorder Arterial disease Vascular disease Medicine Treatment Atherosclerotic plaque Surgery Atherosclerosis Central nervous system disease carotid artery plaque Arteriography Diagnosis carotid artery Cerebrovascular disease
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Summary:	Subtraction angiography is an invasive diagnostic method, which for a long time was a gold standard in carotid artery and intra-cranial vessel imaging. The aim of this research is to evaluate angiographic imaging in predicting atherosclerotic plaque type VI by AHA morphology and to assess its significance in establishing patients' suitability for a particular operative method. Secondarily, we assessed atherosclerotic lesions in common carotid artery bifurcation. In the paper we analyzed 158 bilateral angiograms of common and internal carotid arteries in extra-and intra-cranial locations. The material consisted of patients hospitalized in the Vascular Surgery Ward of Memorial Copernicus Hospital in Lodz during 2002-2004 who underwent angiography. We concluded that: 1. In symptomatic patients irregular plaque images in subtraction angiography is correlated with plaque type VI by AHA morphology. 2. Angiography is not a sufficient method for selection of the appropriate operative treatment due to its low sensitivity and specificity in plaque morphology imaging. 3. Plaque type VI by AHA is characteristic even for the second group of carotid bifurcation stenosis (by NASCET) and it definitely dominates in group III (by NASCET).
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0001-5458
DOI:	10.1080/00015458.2008.11680284