This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Analysis by Real-Time B-Mode Ultrasonography

Jesse Weinberger, MD; Anthony Robbins, MD

Arch Neurol. 1983;40(8):489-492.

Abstract
• Real-time B-mode ultrasonography was employed to image nonobstructive atherosclerotic plaque formation in the carotid artery bifurcation. Hemodynamic factors were assessed by pneumo-oculoplethsymography and Doppler flow study. Hemodynamically obstructive lesions were associated with a significantly higher incidence of cerebral ischemic symptoms than were nonobstructive plaques. Two types of nonobstructive plaques were delineated: isolated nodular plaques and mural plaques along the wall of the carotid sinus. Nodular plaques were associated with significantly fewer ischemic symptoms and strokes than were obstructive lesions. Mural plaques also had a lower incidence of symptoms than obstructive lesions, but the difference was not significant. Noninvasive determination of the morophologic and physiologic characteristics of atherosclerotic lesions at the carotid bifurcation can be of considerable value in the management of patients with transient ischemic attacks.

Author Affiliations
From the Departments of Neurology (Dr Weinberger) and Radiology (Dr Robbins), Mount Sinai School of Medicine, City University of New York.

Footnotes
Accepted for publication March 3, 1983.

Reprint requests to Department of Neurology, Mount Sinai Medical Center, 1 Gustave Levy P1, New York, NY 10029 (Dr Weinberger).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Plaque Morphology Correlates With Cerebrovascular Symptoms in Patients With Complex Aortic Arch Plaque
Weinberger et al.
Arch Neurol 2000;57:81-84.
ABSTRACT | FULL TEXT  

A New Noninvasive Technique for Imaging Atherosclerotic Plaque in the Aortic Arch of Stroke Patients by Transcutaneous Real-Time B-Mode Ultrasonography : An Initial Report
Weinberger et al.
Stroke 1998;29:673-676.
ABSTRACT | FULL TEXT  

Ultrasonographic Correlates of Carotid Atherosclerosis in Transient Ischemic Attack and Stroke
Iannuzzi et al.
Stroke 1995;26:614-619.
ABSTRACT | FULL TEXT  

A Four Year Clinical and Echographic Follow-up of Asymptomatic Carotid Plaque
Fabris et al.
ANGIOLOGY 1992;43:590-598.
ABSTRACT  

Carotid Surgery in the Community Hospital
Rubin and Graham
PERSPECT VASC SURG ENDOVASC THER 1990;3:30-41.
 

Noninvasive Evaluation of the Extracranial Carotid Arteries in Patients With Cerebrovascular Events and Atrial Fibrillations
Weinberger et al.
Arch Intern Med 1988;148:1785-1788.
ABSTRACT  

Natural History of Asymptomatic Carotid Plaque
Johnson et al.
Arch Surg 1985;120:1010-1012.
ABSTRACT