Jul 30, 2021

Roadmap Consensus on Carotid Artery Plaque Imaging and Impact on Therapy Strategies and Guidelines: An International, Multispecialty, Expert Review and Position Statement

AJNR. American journal of neuroradiology
L Saba, W Brinjikji, J D Spence, M Wintermark, M Castillo, G J de Borst, Q Yang, C Yuan, A Buckler, M Edjlali, T Saam, D Saloner, B K Lal, D Capodanno, J Sun, N Balu, R Naylor, A V D Lugt, B A Wasserman, M E Kooi, J Wardlaw, J Gillard, G Lanzino, U Hedin, D Mikulis, A Gupta, J K DeMarco, C Hess, J V Goethem, T Hatsukami, P Rothwell, M M Brown, A R Moody
Current guidelines for primary and secondary prevention of stroke in patients with carotid atherosclerosis are based on the quantification of the degree of stenosis and symptom status. Recent publications have demonstrated that plaque morphology and composition, independent of the degree of stenosis, are important in the risk stratification of carotid atherosclerotic disease. This finding raises the question as to whether current guidelines are adequate or if they should be updated with new...