The Role of Neurosonology in the Diagnosis and Management of Patients with Carotid Artery Disease: A Review

Odysseas Kargiotis, Apostolos Safouris, Georgios Magoufis, Maria Georgala, Andromachi Roussopoulou, Eleftherios Stamboulis, Konstantinos G. Moulakakis, Andreas Lazaris, George Geroulakos, Spyros Vasdekis, Georgios Tsivgoulis

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

Carotid artery disease (CAD) is a common cause of ischemic stroke with high rates of recurrence. Carotid endarterectomy (CEA) or carotid artery stenting (CAS) are highly recommended for the secondary prevention of symptomatic CAD during the first 14 days following the index event of transient ischemic attack or minor stroke. CEA or CAS may also be offered in selected cases with severe asymptomatic stenosis. Herein, we review the utility of neurosonology in the diagnosis and pre-/peri-interventional assessment of CAD patients who undergo carotid revascularization procedures. Carotid ultrasound may provide invaluable information on plaque echogenicity, ulceration, risk of thrombosis, and rupture. Transcranial Doppler or transcranial color-coded sonography may further assist by mapping collateral circulation, evaluating the impairment of vasomotor reactivity, detecting microembolization, or reperfusion hemorrhage in real time. Neurosonology examinations are indispensable bedside tools assisting in the diagnosis, risk stratification, peri-interventional monitoring, and follow-up of patients with CAD.

Original languageEnglish (US)
Pages (from-to)239-251
Number of pages13
JournalJournal of Neuroimaging
Volume28
Issue number3
DOIs
StatePublished - May 1 2018

Fingerprint

Doppler Transcranial Ultrasonography
Carotid Artery Diseases
Carotid Endarterectomy
Carotid Arteries
Stroke
Collateral Circulation
Transient Ischemic Attack
Secondary Prevention
Reperfusion
Rupture
Ultrasonography
Pathologic Constriction
Thrombosis
Color
Hemorrhage
Recurrence

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

Cite this

The Role of Neurosonology in the Diagnosis and Management of Patients with Carotid Artery Disease : A Review. / Kargiotis, Odysseas; Safouris, Apostolos; Magoufis, Georgios; Georgala, Maria; Roussopoulou, Andromachi; Stamboulis, Eleftherios; Moulakakis, Konstantinos G.; Lazaris, Andreas; Geroulakos, George; Vasdekis, Spyros; Tsivgoulis, Georgios.

In: Journal of Neuroimaging, Vol. 28, No. 3, 01.05.2018, p. 239-251.

Research output: Contribution to journalReview article

Kargiotis, O, Safouris, A, Magoufis, G, Georgala, M, Roussopoulou, A, Stamboulis, E, Moulakakis, KG, Lazaris, A, Geroulakos, G, Vasdekis, S & Tsivgoulis, G 2018, 'The Role of Neurosonology in the Diagnosis and Management of Patients with Carotid Artery Disease: A Review', Journal of Neuroimaging, vol. 28, no. 3, pp. 239-251. https://doi.org/10.1111/jon.12495
Kargiotis O, Safouris A, Magoufis G, Georgala M, Roussopoulou A, Stamboulis E et al. The Role of Neurosonology in the Diagnosis and Management of Patients with Carotid Artery Disease: A Review. Journal of Neuroimaging. 2018 May 1;28(3):239-251. https://doi.org/10.1111/jon.12495
Kargiotis, Odysseas ; Safouris, Apostolos ; Magoufis, Georgios ; Georgala, Maria ; Roussopoulou, Andromachi ; Stamboulis, Eleftherios ; Moulakakis, Konstantinos G. ; Lazaris, Andreas ; Geroulakos, George ; Vasdekis, Spyros ; Tsivgoulis, Georgios. / The Role of Neurosonology in the Diagnosis and Management of Patients with Carotid Artery Disease : A Review. In: Journal of Neuroimaging. 2018 ; Vol. 28, No. 3. pp. 239-251.
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