International Union of Angiology (IUA) consensus paper on imaging strategies in atherosclerotic carotid artery imaging: From basic strategies to advanced approaches. (August 2022)
- Record Type:
- Journal Article
- Title:
- International Union of Angiology (IUA) consensus paper on imaging strategies in atherosclerotic carotid artery imaging: From basic strategies to advanced approaches. (August 2022)
- Main Title:
- International Union of Angiology (IUA) consensus paper on imaging strategies in atherosclerotic carotid artery imaging: From basic strategies to advanced approaches
- Authors:
- Saba, Luca
Antignani, Pier Luigi
Gupta, Ajay
Cau, Riccardo
Paraskevas, Kosmas I.
Poredos, Pavel
Wasserman, Bruce
Kamel, Hooman
Avgerinos, Efthymios D.
Salgado, Rodrigo
Caobelli, Federico
Aluigi, Leonardo
Savastano, Luis
Brown, Martin
Hatsukami, Tom
Hussein, Emad
Suri, Jasjit S.
Mansilha, Armado
Wintermark, Max
Staub, Daniel
Montequin, Jose Fernandes
Rodriguez, Ruben Tomas Toro
Balu, Niranjan
Pitha, Jan
Kooi, M. Eline
Lal, Brajesh K.
Spence, J. David
Lanzino, Giuseppe
Marcus, Hugh Stephen
Mancini, Marcello
Chaturvedi, Seemant
Blinc, Ales
… (more) - Abstract:
- Abstract: Cardiovascular disease (CVD) is the leading cause of mortality and disability in developed countries. According to WHO, an estimated 17.9 million people died from CVDs in 2019, representing 32% of all global deaths. Of these deaths, 85% were due to major adverse cardiac and cerebral events. Early detection and care for individuals at high risk could save lives, alleviate suffering, and diminish economic burden associated with these diseases. Carotid artery disease is not only a well-established risk factor for ischemic stroke, contributing to 10%–20% of strokes or transient ischemic attacks (TIAs), but it is also a surrogate marker of generalized atherosclerosis and a predictor of cardiovascular events. In addition to diligent history, physical examination, and laboratory detection of metabolic abnormalities leading to vascular changes, imaging of carotid arteries adds very important information in assessing stroke and overall cardiovascular risk. Spanning from carotid intima-media thickness (IMT) measurements in arteriopathy to plaque burden, morphology and biology in more advanced disease, imaging of carotid arteries could help not only in stroke prevention but also in ameliorating cardiovascular events in other territories (e.g. in the coronary arteries). While ultrasound is the most widely available and affordable imaging methods, computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), their combination and other moreAbstract: Cardiovascular disease (CVD) is the leading cause of mortality and disability in developed countries. According to WHO, an estimated 17.9 million people died from CVDs in 2019, representing 32% of all global deaths. Of these deaths, 85% were due to major adverse cardiac and cerebral events. Early detection and care for individuals at high risk could save lives, alleviate suffering, and diminish economic burden associated with these diseases. Carotid artery disease is not only a well-established risk factor for ischemic stroke, contributing to 10%–20% of strokes or transient ischemic attacks (TIAs), but it is also a surrogate marker of generalized atherosclerosis and a predictor of cardiovascular events. In addition to diligent history, physical examination, and laboratory detection of metabolic abnormalities leading to vascular changes, imaging of carotid arteries adds very important information in assessing stroke and overall cardiovascular risk. Spanning from carotid intima-media thickness (IMT) measurements in arteriopathy to plaque burden, morphology and biology in more advanced disease, imaging of carotid arteries could help not only in stroke prevention but also in ameliorating cardiovascular events in other territories (e.g. in the coronary arteries). While ultrasound is the most widely available and affordable imaging methods, computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), their combination and other more sophisticated methods have introduced novel concepts in detection of carotid plaque characteristics and risk assessment of stroke and other cardiovascular events. However, in addition to robust progress in usage of these methods, all of them have limitations which should be taken into account. The main purpose of this consensus document is to discuss pros but also cons in clinical, epidemiological and research use of all these techniques. Graphical abstract: Image 1 Highlights: Carotid artery disease is a risk factor for ischemic stroke and a predictor of cardiovascular events. Imaging assessment of carotid artery disease is critical for surveillance, risk stratification, and patient management. A comprehensive assessment of carotid artery disease should aid physicians and surgeons in their decision-making. … (more)
- Is Part Of:
- Atherosclerosis. Volume 354(2022)
- Journal:
- Atherosclerosis
- Issue:
- Volume 354(2022)
- Issue Display:
- Volume 354, Issue 2022 (2022)
- Year:
- 2022
- Volume:
- 354
- Issue:
- 2022
- Issue Sort Value:
- 2022-0354-2022-0000
- Page Start:
- 23
- Page End:
- 40
- Publication Date:
- 2022-08
- Subjects:
- Carotid artery -- Atherosclerosis -- US -- CT -- MRI -- PET
Arteriosclerosis -- Periodicals
Electronic journals
616.136 - Journal URLs:
- http://www.sciencedirect.com/science/journal/00219150 ↗
http://www.clinicalkey.com/dura/browse/journalIssue/00219150 ↗
http://www.elsevier.com/journals ↗ - DOI:
- 10.1016/j.atherosclerosis.2022.06.1014 ↗
- Languages:
- English
- ISSNs:
- 0021-9150
- Deposit Type:
- Legaldeposit
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- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 1765.874000
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