Detection of Vulnerable Plaque in Patients with Cryptogenic Stroke

被引：16

作者：

Bayer-Karpinska, Anna ^{[1
]}

Schindler, Andreas ^{[2
]}

Saam, Tobias ^{[2
]}

机构：

[1] Univ Munich, Inst Stroke & Dementia Res, Hosp Munich, D-81377 Munich, Germany

[2] Univ Munich, Inst Clin Radiol, Hosp Munich, D-81377 Munich, Germany

来源：

NEUROIMAGING CLINICS OF NORTH AMERICA | 2016年 / 26卷 / 01期

关键词：

Cryptogenic stroke; Carotid artery plaque; Carotid MR angiography; Intraplaque hemorrhage; Lipid-rich necrotic core; Fibrous cap rupture; Echogenicity; Plaque inflammation; CONTRAST-ENHANCED ULTRASOUND; CAROTID-ARTERY STENOSIS; TRANSIENT ISCHEMIC ATTACK; CARDIOVASCULAR MAGNETIC-RESONANCE; POSITRON-EMISSION-TOMOGRAPHY; PATENT FORAMEN OVALE; ATHEROSCLEROTIC PLAQUE; INTRAPLAQUE HEMORRHAGE; SYMPTOMATIC PATIENTS; MICROEMBOLIC SIGNALS;

D O I：

10.1016/j.nic.2015.09.008

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

In up to 40% of ischemic stroke cases the etiology remains unknown. A substantial proportion of these patients has non- or only mildly stenosing carotid artery plaques not fulfilling common criteria for large artery stroke, but beeing suspicious for arterio-arteriell embolism. Several imaging techniques allow the non-invasive analysis of plaque features. Nevertheless, carotid MRI might be best suited to assess the key features of vulnerable plaques. This review article discusses potential causes of cryptogenic stroke, the role of plaque imaging in non-stenosing plaques and the association of vulnerable plaques and specific plaque features with stroke risk and stroke recurrence.

引用

页码：97 / +

页数：16

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