Not Hemodynamic Carotid Plaque, But “At Risk”


High degrees of stenosis of the carotid plaque play an important role in the pathogenesis of acute stroke, but the degree of stenosis alone is not a sufficiently sensitive and specific marker of stroke risk.

A large proportion of the patients on medical treatment, in fact, remains free of symptoms despite the presence of highly stenotic plaques and, in some rare cases, patients with moderate degrees of stenosis may experience stroke. The aim of identifying, with echocolor Doppler, the “high-risk” plaque in asymptomatic patients in clinical practice is still unresolved.

In this lesson, the case of a patient with a heterogeneous, not hemodynamic carotid plaque, who experienced a stroke, is reported.



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