Prognostic evaluation of branch atheromatous disease in the pons using carotid artery ultrasonography

Takahashi, Seiya; Kokudai, Yumika; Kurokawa, Shinji; Kasai, Hideyo; Kinno, Ryuta; Inoue, Yuriko; Ezure, Hiromitsu; Moriyama, Hiroshi; Ono, Kenjiro; Otsuka, Naruhito; Baba, Yasuhiko

doi:10.1016/j.jstrokecerebrovasdis.2020.104852

Cited by 2 publications

(4 citation statements)

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“…The severity of large artery stenosis was associated with BAD. 26 Also, the vulnerable plaque with intraplaque hemorrhage and calcification were independently associated with middle cerebral artery stenosis. 27 Plaques in coronary and carotid arteries were more vulnerable than those in renal and iliac arteries.…”

Section: Discussionmentioning

confidence: 93%

Carotid Siphon Calcification Predicts the Symptomatic Progression in Branch Artery Disease With Intracranial Artery Stenosis—Brief Report

Hou

Yang

Wang

et al. 2022

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Background: Arterial calcification in the aortic arch, carotid bifurcation, or siphon on computed tomography was associated with cardiovascular disease. The association between arterial calcification prevalence and progression of branch atheromatous disease (BAD) in intracranial artery atherosclerosis was little investigated. Methods: This study included 310 patients with ischemic stroke from one stroke center. Patients were divided into BAD (110) and non-BAD groups (200). Baseline characteristics, lipids, and arterial calcification were measured. The primary outcome was the prevalence of arterial calcification in BAD progression, and the secondary outcome was the prevalence of calcification in arterial stenosis. The association or correlation among calcification prevalence, lipid markers, and BAD progression was analyzed using logistic regression, receiver operating characteristic curve, and linear regression. Results: Our study found that carotid siphon calcification on computed angiography was more prevalent ( P =0.01) in patients with BAD and also more prevalent ( P <0.001) in intracranial artery stenosis, and its computed tomography values could independently predict the symptomatic progression ( P =0.01). Furthermore, a strong linear correlation between oxidized lipid and calcification density was found (beta=−0.73, P =0.0048) in patients with BAD, a subtype (B-type) of intracranial arterial atherosclerotic disease. Conclusions: We found that carotid siphon calcification was associated with BAD and its computed tomography values could predict the symptomatic progression in patients with intracranial arterial atherosclerotic disease and BAD, indicating the important role of carotid calcification in B-type intracranial arterial atherosclerotic disease. REGISTRATION: URL: http://www.chictr.org.cn ; Unique identifier: ChiCTR1800018315

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Section: Discussionmentioning

confidence: 93%

Carotid Siphon Calcification Predicts the Symptomatic Progression in Branch Artery Disease With Intracranial Artery Stenosis—Brief Report

Hou

Yang

Wang

et al. 2022

ATVB

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“…Neuro-POCUS might also be helpful in rapid identification of the specific cause of ischemic stroke bedside, such as arterial dissection or cerebral MES suspicious for acute endocarditis, which may lead to optimization of treatment without time delay. In general, early detection of the stroke cause is essential for early secondary prevention treatment [33]. Neurosonology, especially TCD examination, plays an important role in patients with acute subarachnoid hemorrhage by early detection of complications, such as vasospasm, hyperperfusion, hydrocephalus, and rising ICP [34].…”

Section: Guidelines and Recommendationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Acute large artery occlusion, including central retinal artery occlusion [5,6,10,19,20,26,28,44,46,49,54,[58][59][60] Recanalization of occluded artery [5,13,22,[26][27][28]49] Arterial reocclusion [5,13,26,61] Arterial dissection [5,27,62] Vasospasm/aneurysm [5,7,14,23,31,63] Intracerebral hemorrhage [64][65][66] Arterial stenosis [5,33,44,49] Microembolization to cerebral arteries [26, 37-40, 42, 52, 53, 67, 68] Malignant brain edema [14,23,60] Hyperperfusion syndrome [2,5,49,60,69,…”

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confidence: 99%

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Point-of-Care Ultrasound in Neurology – Report of the EAN SPN/ESNCH/ERcNsono Neuro-POCUS Working Group

et al. 2022

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In the last decade, ultrasound examination in neurology has been undergoing a significant expansion of its modalities. In parallel, there is an increasing demand for rapid and high-quality diagnostics in various acute diseases in the prehospital setting, the emergency room, intensive care unit, and during surgical or interventional procedures. Due to the growing need for rapid answers to clinical questions, there is particular demand for diagnostic ultrasound imaging. The Neuro-POCUS working group, a joint project by the European Academy of Neurology Scientific Panel Neurosonology, the European Society of Neurosonology and Cerebral Hemodynamics, and the European Reference Centers in Neurosonology (EAN SPN/ESNCH/ERcNsono Neuro-POCUS working group), was given the task of creating a concept for point-of-care ultrasound in neurology called “Neuro-POCUS”. We introduce here a new ultrasound examination concept called point-of-care ultrasound in neurology (Neuro-POCUS) designed to streamline conclusive imaging outside of the ultrasound center, directly at the bedside. The aim of this study is to encourage neurologists to add quick and disease-oriented Neuro-POCUS to accompany the patient in the critical phase as an adjunct not a substitution for computed tomography, magnetic resonance imaging, or standard comprehensive neurosonology examination. Another goal is to avoid unwanted complications during imaging-free periods, ultimately resulting in advantages for the patient.

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Prognostic evaluation of branch atheromatous disease in the pons using carotid artery ultrasonography

Cited by 2 publications

References 13 publications

Carotid Siphon Calcification Predicts the Symptomatic Progression in Branch Artery Disease With Intracranial Artery Stenosis—Brief Report

Carotid Siphon Calcification Predicts the Symptomatic Progression in Branch Artery Disease With Intracranial Artery Stenosis—Brief Report

Point-of-Care Ultrasound in Neurology – Report of the EAN SPN/ESNCH/ERcNsono Neuro-POCUS Working Group

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