Contrast-Enhanced Ultrasound Feasibility in Assessing Carotid Plaque Vulnerability—Narrative Review

The risk assessment for carotid atherosclerotic lesions involves not only determining the degree of stenosis but also plaque morphology and its composition. Recently, carotid contrast-enhanced ultrasound (CEUS) has gained importance for evaluating vulnerable plaques. This review explores CEUS’s util...

Full description

Bibliographic Details
Main Authors: Ewa Kopyto, Marcin Czeczelewski, Eryk Mikos, Karol Stępniak, Maja Kopyto, Małgorzata Matuszek, Karolina Nieoczym, Adam Czarnecki, Maryla Kuczyńska, Mateusz Cheda, Anna Drelich-Zbroja, Tomasz Jargiełło
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/19/6416
_version_ 1797575643593965568
author Ewa Kopyto
Marcin Czeczelewski
Eryk Mikos
Karol Stępniak
Maja Kopyto
Małgorzata Matuszek
Karolina Nieoczym
Adam Czarnecki
Maryla Kuczyńska
Mateusz Cheda
Anna Drelich-Zbroja
Tomasz Jargiełło
author_facet Ewa Kopyto
Marcin Czeczelewski
Eryk Mikos
Karol Stępniak
Maja Kopyto
Małgorzata Matuszek
Karolina Nieoczym
Adam Czarnecki
Maryla Kuczyńska
Mateusz Cheda
Anna Drelich-Zbroja
Tomasz Jargiełło
author_sort Ewa Kopyto
collection DOAJ
description The risk assessment for carotid atherosclerotic lesions involves not only determining the degree of stenosis but also plaque morphology and its composition. Recently, carotid contrast-enhanced ultrasound (CEUS) has gained importance for evaluating vulnerable plaques. This review explores CEUS’s utility in detecting carotid plaque surface irregularities and ulcerations as well as intraplaque neovascularization and its alignment with histology. Initial indications suggest that CEUS might have the potential to anticipate cerebrovascular incidents. Nevertheless, there is a need for extensive, multicenter prospective studies that explore the relationships between CEUS observations and patient clinical outcomes in cases of carotid atherosclerotic disease.
first_indexed 2024-03-10T21:42:16Z
format Article
id doaj.art-e81461b63b9e4b2d9589cd70af19f34c
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-03-10T21:42:16Z
publishDate 2023-10-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-e81461b63b9e4b2d9589cd70af19f34c2023-11-19T14:38:28ZengMDPI AGJournal of Clinical Medicine2077-03832023-10-011219641610.3390/jcm12196416Contrast-Enhanced Ultrasound Feasibility in Assessing Carotid Plaque Vulnerability—Narrative ReviewEwa Kopyto0Marcin Czeczelewski1Eryk Mikos2Karol Stępniak3Maja Kopyto4Małgorzata Matuszek5Karolina Nieoczym6Adam Czarnecki7Maryla Kuczyńska8Mateusz Cheda9Anna Drelich-Zbroja10Tomasz Jargiełło11Students’ Scientific Society, Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, 20-594 Lublin, PolandStudents’ Scientific Society, Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, 20-594 Lublin, PolandStudents’ Scientific Society, Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, 20-594 Lublin, PolandStudents’ Scientific Society, Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, 20-594 Lublin, PolandStudents’ Scientific Society, Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, 20-594 Lublin, PolandStudents’ Scientific Society, Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, 20-594 Lublin, PolandStudents’ Scientific Society, Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, 20-594 Lublin, PolandStudents’ Scientific Society, Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, 20-594 Lublin, PolandDepartment of Interventional Radiology and Neuroradiology, Medical University of Lublin, 20-594 Lublin, PolandDepartment of Interventional Radiology and Neuroradiology, Medical University of Lublin, 20-594 Lublin, PolandDepartment of Interventional Radiology and Neuroradiology, Medical University of Lublin, 20-594 Lublin, PolandDepartment of Interventional Radiology and Neuroradiology, Medical University of Lublin, 20-594 Lublin, PolandThe risk assessment for carotid atherosclerotic lesions involves not only determining the degree of stenosis but also plaque morphology and its composition. Recently, carotid contrast-enhanced ultrasound (CEUS) has gained importance for evaluating vulnerable plaques. This review explores CEUS’s utility in detecting carotid plaque surface irregularities and ulcerations as well as intraplaque neovascularization and its alignment with histology. Initial indications suggest that CEUS might have the potential to anticipate cerebrovascular incidents. Nevertheless, there is a need for extensive, multicenter prospective studies that explore the relationships between CEUS observations and patient clinical outcomes in cases of carotid atherosclerotic disease.https://www.mdpi.com/2077-0383/12/19/6416contrast-enhanced ultrasoundischemic strokevulnerable plaqueatherosclerosis
spellingShingle Ewa Kopyto
Marcin Czeczelewski
Eryk Mikos
Karol Stępniak
Maja Kopyto
Małgorzata Matuszek
Karolina Nieoczym
Adam Czarnecki
Maryla Kuczyńska
Mateusz Cheda
Anna Drelich-Zbroja
Tomasz Jargiełło
Contrast-Enhanced Ultrasound Feasibility in Assessing Carotid Plaque Vulnerability—Narrative Review
Journal of Clinical Medicine
contrast-enhanced ultrasound
ischemic stroke
vulnerable plaque
atherosclerosis
title Contrast-Enhanced Ultrasound Feasibility in Assessing Carotid Plaque Vulnerability—Narrative Review
title_full Contrast-Enhanced Ultrasound Feasibility in Assessing Carotid Plaque Vulnerability—Narrative Review
title_fullStr Contrast-Enhanced Ultrasound Feasibility in Assessing Carotid Plaque Vulnerability—Narrative Review
title_full_unstemmed Contrast-Enhanced Ultrasound Feasibility in Assessing Carotid Plaque Vulnerability—Narrative Review
title_short Contrast-Enhanced Ultrasound Feasibility in Assessing Carotid Plaque Vulnerability—Narrative Review
title_sort contrast enhanced ultrasound feasibility in assessing carotid plaque vulnerability narrative review
topic contrast-enhanced ultrasound
ischemic stroke
vulnerable plaque
atherosclerosis
url https://www.mdpi.com/2077-0383/12/19/6416
work_keys_str_mv AT ewakopyto contrastenhancedultrasoundfeasibilityinassessingcarotidplaquevulnerabilitynarrativereview
AT marcinczeczelewski contrastenhancedultrasoundfeasibilityinassessingcarotidplaquevulnerabilitynarrativereview
AT erykmikos contrastenhancedultrasoundfeasibilityinassessingcarotidplaquevulnerabilitynarrativereview
AT karolstepniak contrastenhancedultrasoundfeasibilityinassessingcarotidplaquevulnerabilitynarrativereview
AT majakopyto contrastenhancedultrasoundfeasibilityinassessingcarotidplaquevulnerabilitynarrativereview
AT małgorzatamatuszek contrastenhancedultrasoundfeasibilityinassessingcarotidplaquevulnerabilitynarrativereview
AT karolinanieoczym contrastenhancedultrasoundfeasibilityinassessingcarotidplaquevulnerabilitynarrativereview
AT adamczarnecki contrastenhancedultrasoundfeasibilityinassessingcarotidplaquevulnerabilitynarrativereview
AT marylakuczynska contrastenhancedultrasoundfeasibilityinassessingcarotidplaquevulnerabilitynarrativereview
AT mateuszcheda contrastenhancedultrasoundfeasibilityinassessingcarotidplaquevulnerabilitynarrativereview
AT annadrelichzbroja contrastenhancedultrasoundfeasibilityinassessingcarotidplaquevulnerabilitynarrativereview
AT tomaszjargiełło contrastenhancedultrasoundfeasibilityinassessingcarotidplaquevulnerabilitynarrativereview