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Ultrasound Assessment of Plaque Characteristics to Predict Re-occlusion after Surgical Treatment of Internal Carotid Artery Occlusion.

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机构: [1]Department of Vascular Ultrasonography, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Beijing Diagnostic Center of Vascular Ultrasound, Beijing, China [3]Center of Vascular Ultrasonography, Beijing Institute of Brain Disorders, Collaborative Innovation Center for Brain Disorders, Capital Medical University, Beijing, China [4]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China
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关键词: Carotid artery disease Surgery Ultrasonography Plaque Re-occlusion

摘要:
The purpose of this study was to explore the relationship between plaque characteristics and re-occlusion after surgical treatment of internal carotid artery occlusion (ICAO). From January 2015 to January 2021, 177 patients with ICAO underwent surgery. Eighty-five cases were included in the study, and in 13 of them, re-occlusion occurred within 6 mo after surgery treatment (13/85, 15.85%). The calcification at the base of the plaque was longer in the re-occlusion group than in the non-occlusion group (10.70 ± 4.22 mm vs. 7.15 ± 1.41 mm, p = 0.001). Multivariate regression analysis revealed that the length of calcification at the base of the plaque was an independent risk factor for postoperative re-occlusion (odds ratio [OR]: 1.414, 95% confidence interval [CI]: 1.078-1.855, p = 0.012). The cutoff value for the length of calcification at the base of the plaque predicting re-occlusion after ICAO was 8.5 mm (95% CI: 0.700-0.962, p = 0.001). The area under the receiver operating characteristic curve was 0.831. Sensitivity and specificity were 70% and 80.9%, respectively. These results indicate that pre-operative ultrasound examination of the length of calcification at the base of the plaque could predict re-occlusion after surgical treatment of ICAO.Copyright © 2021 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.

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基金编号: 2018-2-2011

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出版当年[2020]版:
大类 | 3 区 医学
小类 | 3 区 声学 3 区 核医学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 声学 3 区 核医学
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出版当年[2019]版:
Q1 ACOUSTICS Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2024]版:
Q2 ACOUSTICS Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

影响因子: 最新[2024版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者机构: [1]Department of Vascular Ultrasonography, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Beijing Diagnostic Center of Vascular Ultrasound, Beijing, China [3]Center of Vascular Ultrasonography, Beijing Institute of Brain Disorders, Collaborative Innovation Center for Brain Disorders, Capital Medical University, Beijing, China
通讯作者:
通讯机构: [1]Department of Vascular Ultrasonography, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Beijing Diagnostic Center of Vascular Ultrasound, Beijing, China [3]Center of Vascular Ultrasonography, Beijing Institute of Brain Disorders, Collaborative Innovation Center for Brain Disorders, Capital Medical University, Beijing, China [*1]Department of Vascular Ultrasonography, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Road, Beijing, 100053, China
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