Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Ultrasound assesment of the mobile intima and atherosclerotic plaquesin the carotid arteries

Authors: L.A. Bockeria 1, 2, A.S. Bakhmet’ev 1, 3, M.V. Shumilina 2, M.L. Chekhonatskaya 3, V.I. Kovalenko 1, 2

Company:
1 Russian Medical Academy of Continuous Professional Education, Ministry of Health of the Russian Federation, ul. Barrikadnaya, 2/1, stroenie 1, Moscow, 125993, Russian Federation;
 2 Bakoulev National Scientific and Practical Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation;
 3 Saratov State Medical University named by V.I. Razumovskiy, Ministry of Health of the Russian Federation, ul. Bol’shaya Kazach’ya, 112, Saratov, 410000, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2017-14-3-152-157

UDC: 616.133-004.6-073.43

Link: Clinical Physiology of Blood Circulaiton. 2017; 14 (3): 152-157

Quote as: Bockeria L.A., Bakhmet’ev A.S., Shumilina M.V., Chekhonatskaya M.L., Kovalenko V.I. Ultrasound assesment of the mobile intima and atherosclerotic plaques in the carotid arteries. Klinicheskaya Fiziologiya Krovoobrashcheniya (Clinical Physiology of Circulation, Russian journal). 2017; 14 (3): 152–7 (in Russ.). DOI: 10.24022/1814-6910-2017-14- 3-152-157

Received / Accepted:  15.06.2017/16.06.2017

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Abstract

Objective: ultrasound analysis of the echostructure of mobile intima flotation structures in bifurcation of the common carotid artery.
Material and methods. 32 carotid arteries with unstable mobile flotating elements in 30 patients were analyzed. All patients underwent ultrasound angioscanning of brachiocephalic arteries according to the standard method with estimation of the diameter of the main arteries, degree of stenosis, plaque structure and parameters of hemodynamics. The frequency of occurrence in the population of similar changes in patients with atherosclerotic profile was revealed.
Results. In most cases mobile structures with a floating element were located in bifurcation of the common carotid artery and accompanied an atherosclerotic process of varying severity. In more than half of the cases (56.25%), such changes resulted from a thickening of the intima-media complex in the posterior wall of the common carotid artery. Only in 4 (12.5%) cases flotation elements were present together with atherosclerotic plaques, which influenced local parameters of hemodynamics and stenosed the vessel by more than 50%. Also, possible reasons for the formation of flotation elements on the plaque surface in 3 patients with restenosis after carotid endarterectomy were considered. The work presents the possible difficulties of diagnosis in the study of patients with suspected atherosclerotic substrate with mobile structures in its composition.
Conclusion. Ultrasound angioscanning of brachiocephalic arteries, especially a bifurcation of the common carotid artery, allows to reveal in a number of patients flotating hyperechoic structures representing possible hazards embolism.

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About Authors

  • Bockeria Leo Antonovich, Dr. Med. Sc., Professor, Academician of Russian Academy of Sciences and Russian Academy of Medical Sciences, Director of Bakoulev NSPCCS, Chief of Chair of Cardiovascular Surgery of RMACPE; orcid.org/0000-0002-6180-2619
  • Bakhmet’ev Artem Sergeevich, Assistant Professor of Chair of Radiation Diagnostics and Radiotherapy named by N.E. Shtern; orcid.org/0000-0003-3814-5515
  • Shumilina Margarita Vladimirovna, Dr. Med. Sc., Chief of Group of Ultrasound Cardiovascular and Organ Pathology; orcid.org/0000-0001-9871-8173
  • Chekhonatskaya Marina Leonidovna, Dr. Med. Sc., Professor, Chief of Chair of Radiation Diagnostics and Radiotherapy named by N.E. Shtern;
  • Kovalenko Vladimir Ivanovich, Dr. Med. Sc., Professor of Chair of Cardiovascular Surgery of RMACPE

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