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. 2021 Jul 30;60(6):1259–1267. doi: 10.1093/ejcts/ezab344

Table 1:

Intimal atherosclerosis classifications

Grade Severity Katz [20] ASE/EACVI guideline [21]
I Normal Normal aorta Intimal thickness <2 mm
II Mild Extensive intimal thickening Focal or diffuse intimal thickness 2–3 mm
III Moderate Sessile atheroma extending <5 mm into the lumen 3–5 mm (no mobile/ulcerated components)
IV Severe Sessile atheroma protruding >5 mm (protruding atheroma) >5 mm (no mobile/ulcerated components)
V Mobile atheroma Complex grade 2–4 atheroma plus mobile or ulcer