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About a fifth of all ischemic strokes are attributed to embolization of ruptured atherosclerotic plaque from carotid arterial stenosis. But it has been difficult to predict which person with asymptomatic carotid artery stenosis is likely to progress to symptomatic carotid disease and stroke. J Am Coll Cardiol. 2024.03.389.
IVUS Measurements Measurements include the measurement of lumen, plaque, calcium, remodeling, stent length and volumetric measurements. Plaque morphology assessment with IVUS Plaque morphology can be assessed in terms of its geometry and echogenicity. A vulnerable plaque and a plaque with ulceration or rupture can also be found.
A study published in Radiology , the flagship journal of the Radiological Society of North America evaluated both in vivo and in vitro coronary stenosis using ultrahigh-spatial-resolution photon counting detector CT reconstructions [1]. Section increments were 0.4 mm and 0.1 mm respectively. 2024 Feb;310(2):e231956. doi: 10.1148/radiol.231956.
SMART 4 ( NCT04722250 ) studied patients with severe aortic stenosis and a small aortic annulus who underwent transcatheter aortic valve replacement (TAVR). The study concluded that among low-risk patients with severe aortic stenosis, TAVI is as effective as SAVR in terms of the composite outcome of death or stroke at 1 year.
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