Clinical significance of contrast-enhanced ultrasound in surgical treatment strategy of carotid stenosis
10.3760/cma.j.issn.1007-631X.2019.10.014
- VernacularTitle: 超声造影在颈动脉狭窄外科治疗中的临床意义
- Author:
Linfeng ZHANG
1
;
Zhaohui HUA
1
;
Yan ZHANG
1
;
Peng XU
1
;
Zhouyang JIAO
1
;
Zhen LI
1
Author Information
1. Department of Endovascular Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
- Publication Type:Journal Article
- Keywords:
Carotid stenosis;
Carotid endarteretomy;
Carotid contrast-enhanced ultrasound
- From:
Chinese Journal of General Surgery
2019;34(10):871-873
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the clinical significance of contrast-enhanced ultrasound in the treatment of patients with carotid stenosis.
Methods:The clinical data of 89 patients with carotid stenosis was retrospectively analyzed.The morphology and stenosis of carotid plaques were observed by contrast-enhanced ultrasound, and analyzing the relationship between the patient′s clinical symptoms and treatment options.
Results:There were 66 males, 23 females, age ranging from 41 to 88 years.There were 147 plaques in 89 patients and 58 patients with bilateral lesions. The intensity of plaque ultrasound contrast was grade Ⅰ in 40 cases(27%), grade Ⅱ in 30(20%), grade Ⅲ in 31(21%), andgrade Ⅳ in 46(31%). The symptomatic group had higher CEUS strengths in grade Ⅲ(21.4%) and grade Ⅳ(37.9%). The difference was statistically significant between the two groups (P<0.05). Symptomatic group with high proportion of severe stenosis (44.7%) and occlusion (9.7%). It is narrower than that of asymptomatic group.The difference of stenosis was statistically significant between the two groups (P<0.05).
Conclusion:Contrast-enhanced ultrasound can dynamically and visually assess the distribution and density of carotid plaque morphology. It is useful for evaluating the treatment of patients with carotid stenosis.
