Clinical Observation on the Therapeutic Effect of Carotid Artery Plaque Interventional Therapy Based on Vascular Ultrasound
DOI:
https://doi.org/10.18063/apm.v10i2.890Keywords:
Carotid artery plaque, Ultrasonic characteristics, Early diagnosis model, Clinical decision-making, Intraplaque hemorrhageAbstract
Objective: This study aims to explore the impact of the early diagnosis model of carotid plaque hemorrhage constructed based on ultrasound features on clinical decision-making. Methods: One hundred patients who underwent carotid artery ultrasound examination were selected as the research subjects, with an average age of 65.63 ± 8.91 years old and an average BMI of 24.48 ± 1.82 kg/m2. They were divided into the observation group (50 cases) and the control group (50 cases). There was no statistically significant difference in general data between the two groups (P > 0.05), indicating that the grouping was reasonable. Carotid artery ultrasound was used to evaluate the degree, size, type and distribution of plaque sclerosis. Results: The plaque size (IMT: 1.51 ± 0.22 mm) and echo intensity (3.18 ± 0.72 score) in the observation group were significantly greater than those in the control group (IMT: 0.82 ± 0.9 mm, echo intensity: 2.02 ± 0.63 score) (P < 0.05). The types and distribution of plaques in the observation group were more diverse than those in the control group and showed significant differences (P < 0.05), especially the number of plaques at the bifurcation of the common carotid artery and the common carotid artery was significantly higher than that in the control group. Conclusion: The early diagnosis model of carotid artery intraplaque hemorrhage constructed based on ultrasound features can effectively distinguish the degree, size, type and distribution of plaque sclerosis, which is helpful to improve the accuracy of early diagnosis of intraplaque hemorrhage. Further clinical applications have shown that this model can provide important references for clinical treatment decisions and has high clinical application value.
References
López-Melgar B, Varona F, Ortiz-Regalón R, et al., 2021, Carotid Plaque Burden by 3-Dimensional Vascular Ultrasound as a Risk Marker for Patients with Metabolic Syndrome. Journal of Cardiovascular Translational Research, 14(6): 1–10.
Mattia C, Jie S, Daniel S, et al., 2019, Imaging of Carotid Plaque Neovascularization by Contrast-Enhanced Ultrasound and Dynamic Contrast-Enhanced Magnetic Resonance Imaging. Cerebrovascular Diseases (Basel, Switzerland), 48(3–6): 140–148.
Mattia C, Jie S, Daniel S, et al., 2019, Imaging of Carotid Plaque Neovascularization by Contrast-Enhanced Ultrasound and Dynamic Contrast-Enhanced Magnetic Resonance Imaging. Cerebrovascular Diseases (Basel, Switzerland), 48(3–6): 140–148.
Takaaki A, Noriyuki S, Toshiyasu O, et al., 2018, Intra-Plaque Vessels on Contrast-Enhanced Ultrasound Sonography Predict Carotid Plaque Histology. Cerebrovascular Diseases (Basel, Switzerland), 46(5–6): 265–269.
