Los 5 pasos clave en la evaluación con Eco Doppler de las placas arterioescleróticas: “The 5 steps”

Autores/as

  • Adrián Horacio D'Ovidio Cardiología e Imagen Cardiovascular. Hospital Rawson. San Juan. Argentina
  • Gabriel Perea Cardiología e Imagen Cardiovascular. Instituto Cardiovascular de Buenos Aires. Argentina

DOI:

https://doi.org/10.37615/retic.v5n3a17

Palabras clave:

ultrasonido Doppler, placas carotídeas, caracterización de severidad

Resumen

Proponemos desde el Capítulo Vascular de SISIAC un algoritmo conceptual de 5 pasos clave para ordenar la evaluación de placas arterioescleróticas halladas en Eco Doppler de vasos del cuello, y que naturalmente puede ser aplicado a eco Doppler arterial de miembros inferiores, superiores, etc. Son:

  1. Presencia y número
  2. Localización y extensión
  3. Caracterización
  4. Significación hemodinámica
  5. Conclusión

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Citas

Touboul P-J, Hennerici MG, Meairs S, et al. 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, 2011Cerebrovasc Dis 2012;34:290–296. DOI: https://doi.org/10.1159/000343145

Vlachopoulos C, Xaplanteris P, Aboyans V, et al. The role of vascular biomarkers for primary and secondary prevention. A position paper from the European Society of Cardiology Working Group on peripheral circulation: endorsed by the Association for Research into Arterial Structure and Physiology (ARTERY) Society. Atherosclerosis 2015;241:507–532 DOI: https://doi.org/10.1016/j.atherosclerosis.2015.05.007

Sprynger M and Girbea A. Can we improve cardiovascular risk assessment with ultrasounds? European Heart Journal - Cardiovascular Imaging 2020;0:1–2. DOI: https://doi.org/10.1093/ehjci/jeaa006

Sprynger M, Rigo F, Moonen M, Aboyans V, et al. Focus on echovascular imaging assessment of arterial disease: complement to the ESC guidelines (PARTIM1) in collaboration with the Working Group on Aorta and Peripheral Vascular Diseases. European Heart Journal - Cardiovascular Imaging 2018;19: 1195–1221. DOI: https://doi.org/10.1093/ehjci/jey103

D’Ovidio AH, Perea G, Glenny P, Titievsky L. Flujos Doppler e imagenes que se deben conocer. Parte 1: flujo Doppler arterial de vasos del cuello y extremidades. Rev Ecocar Pract (RETIC). 2020 (Dic); 3 (3): 36-42. DOI: https://doi.org/10.37615/retic.v3n3a2

Asada Y, Yamashita A, Sato Y, Hatakeyama K. Pathophysiology of atherothrombosis: Mechanisms of Thrombus formation on disrupted atherosclerotic plaques. Pathology International. 2020;1–14. DOI: https://doi.org/10.1111/pin.12921

Santos SN, Alcantara ML, Freire CMV, Cantisano AL, Teodoro JAR, Carmen CLL, et al. Vascular Ultrasound Statement from the Department of Cardiovascular Imaging of the Brazilian Society of Cardiology – 2019 Arq Bras Cardiol. 2019; 112(6):809-849. DOI: https://doi.org/10.5935/abc.20190106

Elhfnawy AM, Heuschmann PU, Volkman J, Fluri F. Stenosis Length and Degree Interact With the Risk of Cerebrovascular Events Related to Internal Carotid Artery Stenosis. Front. Neurol. 10:317. doi: 10.3389/fneur.2019.00317. DOI: https://doi.org/10.3389/fneur.2019.00317

Johri AM, Nambi V, Naqvi TZ, et al. Recommendations for the Assessment of Carotid Arterial Plaque by Ultrasound for the Characterization of Atherosclerosis and Evaluation of Cardiovascular Risk: From the American Society of Echocardiography. J Am Soc Echocardiogr 2020;33:917-33. DOI: https://doi.org/10.1016/j.echo.2020.04.021

Aboyans V, Ricco J-B, Bartelink ML, Björck M. 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS): Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries Endorsed by: the European Stroke Organization (ESO). The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS). European Heart Journal 2018;39(9):763–816. DOI: https://doi.org/10.1093/eurheartj/ehx095

Spencer ME and Reid JM. Quantitation of Carotid Stenosis with ContinuousWave (C-W) Doppler Ultrasound. Stroke 1979;10(3):326-330. DOI: https://doi.org/10.1161/01.STR.10.3.326

Von Reutern GM, Goertler MW, Bornstein NM, et al. Grading Carotid Stenosis Using Ultrasonic Methods. Stroke 2012;43:916-921. DOI: https://doi.org/10.1161/STROKEAHA.111.636084

Pellerito JS, Polak JF. Ecografía Doppler y análisis espectral. En: John S. Pellerito – Joseph F. Polak. Ecografía Vascular. Séptima edición. Ediciones Journal 2021;Cap.3:46-64.

Grant EG, Benson CB, Moneta GL et al. 2003 Carotid artery stenosis: grayscale and Doppler US diagnosis. Society of Radiologist in Ultrasound Consensus Conference. Radiology 2003;229:340-346. DOI: https://doi.org/10.1148/radiol.2292030516

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Publicado

2022-12-31

Cómo citar

1.
D’Ovidio AH, Perea G. Los 5 pasos clave en la evaluación con Eco Doppler de las placas arterioescleróticas: “The 5 steps”. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 31 de diciembre de 2022 [citado 22 de diciembre de 2024];5(3):74-7. Disponible en: https://imagenretic.org/RevEcocarPract/article/view/543