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. 2020 Dec 6;22(Suppl M):M35–M42. doi: 10.1093/eurheartj/suaa162

Table 2.

Featured associated with increased risk in patient with asymptomatic carotid artery stenosis treated medically

Clinical
  • Controlateral transient ischaemic attack or stroke

Cerebral imaging
  • Ipsilateral silent infarction

Ultrasound imaging
  • Stenosis progression (> 20%)

  • Spontaneous embolization of transcranial Doppler (high-intensity transient signal)

  • Impaired cerebral vascular reserve

  • Large plaques

  • Echolucent plaques

  • Increased juxta-luminal black (hypoechogenic) area

Magnetic resonance angiography
  • Intraplaque haemorrhage

  • Lipid-rich necrotic core

Obtained from Ref.43