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Zusammenfassung

Die Inzidenz von Schlaganfällen liegt in den westlichen Industrieländern seit Jahren unverändert bei 200–250 Fällen/100.000 Einwohner. Ein erheblicher Teil ist durch arteriosklerotische Gefäßwandläsionen bedingt, die meist ein generalisiertes Geschehen darstellen, unter bestimmten Voraussetzungen jedoch auch fokal auf einzelne Gefäßabschnitte beschränkt bleiben können. Die Aussagen zur sonographischen Beurteilung arteriosklerotischer Gefäßwandläsionen in diesem Kapitel betreffen überwiegend die extrakranielle A. carotis, da nur diese im Ultraschall hinreichend detailliert erfasst werden kann.

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Literatur

  • Adler Y, Shohat-Zabarski R, Vaturi M, Shapira Y, Ehrlich S, Jortner R et al. (1998) Association between mitral annular calcium and aortic atheroma as detected by transesophageal echocardiographic study. Am J Cardiol 81: 784–6

    Article  CAS  Google Scholar 

  • Albuquerque LC, Narvaes LB, Maciel AA, Staub H, Friedrich M, Filho JR, Marques MB, Rohde LE (2007) Intraplaque hemorrhage assessed by high-resolution magnetic resonance imaging and C-reactive protein in carotid atherosclerosis. J Vasc Surg 46: 1130-1137

    Article  Google Scholar 

  • Baldassarre D, Amato M, Bondioli A, Sirtori CR, Tremoli E (2000) Carotid artery intima-media thickness measured by ultrasonography in normal clinical practice correlates well with atherosclerosis risk factors. Stroke 31: 2426–30

    Article  CAS  Google Scholar 

  • Beach KW, Hatsukami T, Detmer PR, Primozich JF, Ferguson MS, Gordon D et al. (1993) Carotid artery intraplaque hemorrhage and stenotic velocity. Stroke 24: 314–9

    Article  CAS  Google Scholar 

  • Bots ML, Groenewegen KA, Anderson TJ, Britton AR, Dekker JM, Engström G et al. (2014) Common carotid intima-media thickness measurements do not improve cardiovascular risk prediction in individuals with elevated blood pressure: the USE-IMT collaboration. Hypertension 63: 1173–1181

    Google Scholar 

  • Crouse JR, Goldbourt U, Evans G, Pinsky J, Sharrett AR, Sorlie P et al. (1996) Risk factors and segment-specific carotid arterial enlargement in the Atherosclerosis Risk in Communities (ARIC) cohort. Stroke 27: 69–75

    Article  CAS  Google Scholar 

  • Elias-Smale SE, Kavousi M, Verwoert GC, Koller MT, Steyerberg EW, Mattace-Raso FU et al. (2012) Common carotid intima-media thickness in cardiovascular risk stratification of older people: the Rotterdam Study. European Journal of Preventive Cardiology 19: 698–705

    Article  Google Scholar 

  • Evans NR, Tarkin JM, Chowdhury MM, Warburton EA, Rudd JHF (2016) PET Imaging of Atherosclerotic Disease: Advancing Plaque Assessment from Anatomy to Pathophysiology. Current Atherosclerosis Reports 18: 1–13

    Google Scholar 

  • Gardin JM, Bartz TM, Polak JF, O’Leary DH, Wong ND (2014) What do carotid intima-media thickness and plaque add to the prediction of stroke and cardiovascular disease risk in older adults? The cardiovascular health study. J Am Soc Echocardiogr 27: 998–1005.e2

    Article  Google Scholar 

  • Goff DC, Lloyd-Jones DM, Bennett G, Coady S, D’Agostino RB, Gibbons R et al. (2014) 2013 ACC/AHA guideline on the assessment of cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 63: 2935–59

    Google Scholar 

  • Gronewold J, Bauer M, Lehmann N, Mahabadi AA, Kälsch H, Weimar C et al. (2014) Coronary artery calcification, intima-media thickness, and ankle-brachial index are complementary stroke predictors. Stroke 45: 2702–2709

    Article  CAS  Google Scholar 

  • Hosseini AA, Simpson RJ, Altaf N, Bath PM, MacSweeney ST, Auer DP (2017) Magnetic Resonance Imaging Plaque Hemorrhage for Risk Stratification in Carotid Artery Disease With Moderate Risk Under Current Medical Therapy. Stroke 48: 678–685

    Article  Google Scholar 

  • Howard G, Roubin GS, Jansen O, Hendrikse J, Halliday A, Fraedrich G et al. (2016) Carotid Stenting Trialists’ Collaboration. Association between age and risk of stroke or death from carotid endarterectomy and carotid stenting: a meta-analysis of pooled patient data from four randomised trials. Lancet 387:1305–1311

    Article  Google Scholar 

  • Hulthe J, Wikstrand J, Emanuelsson H, Wiklund O, de Feyter PJ, Wendelhag I (1997) Atherosclerotic changes in the carotid artery bulb as measured by B-mode ultrasound are associated with the extent of coronary atherosclerosis. Stroke 28: 1189–94

    Article  CAS  Google Scholar 

  • Hunt KJ, Pankow JS, Offenbacher S, Kritchevsky SB, Duncan BB, Shahar E et al. (2002) B-mode ultrasound-detected carotid artery lesions with and without acoustic shadowing and their association with markers of inflammation and endothelial activation: the atherosclerosis risk in communities study. Atherosclerosis 162: 145–55

    Article  CAS  Google Scholar 

  • Kröger K, Lehmann N, Moebus S, Schmermund A, Stang A, Kälsch H et al. (2013) Impact of atherosclerotic risk factors on different ankle-brachial-index criteria--results of the Heinz Nixdorf RECALL study. VASA 42: 120–6

    Article  Google Scholar 

  • Libby P, Ridker PM, Hansson GK (2011) Progress and challenges in translating the biology of atherosclerosis. Nature 473: 317–325

    Article  CAS  Google Scholar 

  • Lorenz MW, Polak JF, Kavousi M, Mathiesen EB, Völzke H, Tuomainen T-P et al. (2012) Carotid intima-media thickness progression to predict cardiovascular events in the general population (the PROG-IMT collaborative project): a meta-analysis of individual participant data. Lancet 379: 2053–62

    Google Scholar 

  • Rosenkranz M, Thomalla G, Havemeister S, Wittkugel O, Cheng B, Krutzelmann A, Fiehler J, Gerloff C (2010) Older age and greater carotid intima-media thickness predict ischemic events associated with carotid-artery stenting. Cerebrovasc Dis 30: 567–572

    Article  Google Scholar 

  • Sander D, Schulze-Horn C, Bickel H, Gnahn H, Bartels E, Conrad B (2006) Combined effects of hemoglobin A1c and C-reactive protein on the progression of subclinical carotid atherosclerosis: the INVADE study. Stroke 37: 351–357

    Article  Google Scholar 

  • Sander D, Gnahn H, Poppert P, Bickel H (2018) IMT measurement as a tool for improved risk factor control and medication adherence after ischemic stroke. Eur Heart J, under revision

    Google Scholar 

  • Sass C, Herbeth B, Chapet O, Siest G, Visvikis S, Zannad F (1998) Intima-media thickness and diameter of carotid and femoral arteries in children, adolescents and adults from the Stanislas cohort: effect of age, sex, anthropometry and blood pressure. Journal of Hypertension 16: 1593–602

    Article  CAS  Google Scholar 

  • Spence JD, Naylor AR (2016) Endarterectomy, Stenting, or Neither for Asymptomatic Carotid-Artery Stenosis. N Engl J Med 374:160218110019005–1088

    Article  Google Scholar 

  • Topakian R, King A, Kwon SU, Schaafsma A, Shipley M, Markus HS et al. (2011) Ultrasonic plaque echolucency and emboli signals predict stroke in asymptomatic carotid stenosis 77: 751–758

    Google Scholar 

  • Touboul P-J, Hennerici MG, Meairs S, Adams H, Amarenco P, Bornstein N et al. (2012) Mannheim carotid intima-media thickness and plaque consensus (2004-2006-2011). An update on behalf of the advisory board of the 3rd, 4th and 5th watching the risk symposia, at the 13th, 15th and 20th European Stroke Conferences, Mannheim, Germany, 2004, Brussels, Belgium, 2006, and Hamburg, Germany, 2011. Cerebrovasc Dis 34: 290–296

    Google Scholar 

  • Wendorff C, Wendorff H, Kuehnl A, Tsantilas P, Kallmayer M, Eckstein H-H, Pelisek J (2016) Impact of sex and age on carotid plaque instability in asymptomatic patients-results from the Munich Vascular Biobank. VASA 45: 411–416

    Article  Google Scholar 

  • Widder B (2014) Therapie von Karotisstenosen: Endarterektomie oder Stent? NeuroTransmitter 25: 56–59

    Article  Google Scholar 

  • Willeit P, Willeit P, Thompson SG, Thompson SG, Agewall S, Agewall S et al. (2014) Inflammatory markers and extent and progression of early atherosclerosis: Meta-analysis of individual-participant-data from 20 prospective studies of the PROG-IMT collaboration. European Journal of Preventive Cardiology 23: 194–205

    Article  Google Scholar 

  • Yoshida M, Mita T, Yamamoto R, Shimizu T, Ikeda F, Ohmura C et al. (2012) Combination of the Framingham risk score and carotid intima-media thickness improves the prediction of cardiovascular events in patients with type 2 diabetes. Diabetes Care 35: 178–180

    Article  Google Scholar 

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Sander, D. (2018). Arteriosklerotische Gefäßerkrankungen. In: Widder, B., Hamann, G.F. (eds) Duplexsonographie der hirnversorgenden Arterien. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29812-7_16

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  • DOI: https://doi.org/10.1007/978-3-642-29812-7_16

  • Publisher Name: Springer, Berlin, Heidelberg

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