Recommendations for the Assessment of Carotid Arterial Plaque by Ultrasound for the Characterization of Atherosclerosis and Evaluation of Cardiovascular Risk: From the American Society of Echocardiography

Amer M Johri¹, Vijay Nambi², Tasneem Z Naqvi³, Steven B Feinstein⁴, Esther S H Kim⁵, Margaret M Park⁶, Harald Becher⁷, Henrik Sillesen⁸

Affiliations

¹ Queen's University, Kingston, Ontario, Canada.
² Baylor College of Medicine, Houston, Texas.
³ Mayo Clinic, Phoenix, Arizona.
⁴ Rush Medical College, Chicago, Illinois.
⁵ Vanderbilt University Medical Center, Nashville, Tennessee.
⁶ Cleveland Clinic Heart and Vascular Institute, Cleveland, Ohio.
⁷ University of Alberta Hospital, Mazankowski Alberta Heart Institute, Edmonton, Alberta, Canada.
⁸ Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

PMID: 32600741
DOI: 10.1016/j.echo.2020.04.021

Practice Guideline

Recommendations for the Assessment of Carotid Arterial Plaque by Ultrasound for the Characterization of Atherosclerosis and Evaluation of Cardiovascular Risk: From the American Society of Echocardiography

Amer M Johri et al. J Am Soc Echocardiogr. 2020 Aug.

. 2020 Aug;33(8):917-933.

doi: 10.1016/j.echo.2020.04.021. Epub 2020 Jun 27.

Authors

Amer M Johri¹, Vijay Nambi², Tasneem Z Naqvi³, Steven B Feinstein⁴, Esther S H Kim⁵, Margaret M Park⁶, Harald Becher⁷, Henrik Sillesen⁸

Affiliations

¹ Queen's University, Kingston, Ontario, Canada.
² Baylor College of Medicine, Houston, Texas.
³ Mayo Clinic, Phoenix, Arizona.
⁴ Rush Medical College, Chicago, Illinois.
⁵ Vanderbilt University Medical Center, Nashville, Tennessee.
⁶ Cleveland Clinic Heart and Vascular Institute, Cleveland, Ohio.
⁷ University of Alberta Hospital, Mazankowski Alberta Heart Institute, Edmonton, Alberta, Canada.
⁸ Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

PMID: 32600741
DOI: 10.1016/j.echo.2020.04.021

Abstract

Atherosclerotic plaque detection by carotid ultrasound provides cardiovascular disease risk stratification. The advantages and disadvantages of two-dimensional (2D) and three-dimensional (3D) ultrasound methods for carotid arterial plaque quantification are reviewed. Advanced and emerging methods of carotid arterial plaque activity and composition analysis by ultrasound are considered. Recommendations for the standardization of focused 2D and 3D carotid arterial plaque ultrasound image acquisition and measurement for the purpose of cardiovascular disease stratification are formulated. Potential clinical application towards cardiovascular risk stratification of recommended focused carotid arterial plaque quantification approaches are summarized.

Keywords: Atherosclerosis; Carotid plaque; Risk stratification.

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Implications of Carotid Arterial Plaque Assessment by Ultrasound for the Cardiothoracic Anesthesiologist: An Overview of the 2020 American Society of Echocardiography Recommendations for the Assessment of Carotid Arterial Plaque by Ultrasound for the Characterization of Atherosclerosis and Evaluation of Cardiovascular Risk.
Addis DR, Townsley MM. Addis DR, et al. J Cardiothorac Vasc Anesth. 2021 Apr;35(4):987-990. doi: 10.1053/j.jvca.2020.12.006. Epub 2020 Dec 16. J Cardiothorac Vasc Anesth. 2021. PMID: 33431270 No abstract available.
Reliability, Reproducibility, and Advantages of Measuring Carotid Total Plaque Area.
Azarpazhooh MR, Mathiesen E, Rundek T, Romanens M, Adams A, Armando L, Perez H, Villafañe H, Garcia NH, Ibañez B, Bogiatzi C, Tabrizi R, Fuster V, Spence JD. Azarpazhooh MR, et al. J Am Soc Echocardiogr. 2022 May;35(5):530-532. doi: 10.1016/j.echo.2021.12.016. Epub 2022 Jan 25. J Am Soc Echocardiogr. 2022. PMID: 35085719 No abstract available.
Response to Azarpazhooh et al., Reliability, Reproducibility and Advantages of Measuring Carotid Total Plaque Area.
Johri AM, Nambi V, Sillesen H. Johri AM, et al. J Am Soc Echocardiogr. 2022 May;35(5):532. doi: 10.1016/j.echo.2022.01.015. Epub 2022 Feb 5. J Am Soc Echocardiogr. 2022. PMID: 35134520 No abstract available.

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Recommendations for the Assessment of Carotid Arterial Plaque by Ultrasound for the Characterization of Atherosclerosis and Evaluation of Cardiovascular Risk: From the American Society of Echocardiography

Affiliations

Recommendations for the Assessment of Carotid Arterial Plaque by Ultrasound for the Characterization of Atherosclerosis and Evaluation of Cardiovascular Risk: From the American Society of Echocardiography

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Abstract

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Medical