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Revista Cubana de Medicina Militar

versión impresa ISSN 0138-6557versión On-line ISSN 1561-3046

Resumen

GONZALEZ MENDEZ, Melvis; BLANCO ASPIAZU, Miguel Ángel; MARQUEZ GONZALEZ, Salvador Roberto  y  MORA HERNANDEZ, Rey Augusto. Carotid atherosclerosis in atherothrombotic cerebral infarction of the homonymous vascular territory. Rev Cub Med Mil [online]. 2019, vol.48, n.1, e252.  Epub 01-Mar-2019. ISSN 0138-6557.

Introduction:

Carotid echo-Doppler is the test of choice in the initial and follow-up study of atherothrombotic stroke.

Objective:

To describe echographic findings in both carotid axes in patients with atherothrombotic cerebral infarction of the homonymous vascular territory.

Methods:

Sixty-three patients underwent an observational and cross-sectional investigation at Dr. Carlos J. Finlay Central Military Hospital from October 2012 to September 2013. They have a clinical and tomographic diagnosis of atherothrombotic cerebral infarct from the previous territory and the underwent a carotid echo-Doppler.

Results:

We recorded higher number of atheromatous plaques in the homolateral carotid axis at atherothrombotic stroke (54.3%) and the majority was unstable (98.4%). Type III plate (50%), irregularity of the contour (54.1%) and less than 49% stenosis (57.6%) were the echographic findings that dominated the axis contralateral to the infarction. In both carotids, type III plaques (47.1%), irregularity of the contours (51.6%), non-significant stenosis (54.3%) and instability (94.4%) predominated.

Conclusions:

Carotid atherosclerosis in atherothrombotic stroke mostly describes the presence of irregular, type III plaques that cause stenosis of less than 49% in both carotid axes. The instability of them is almost constant, with a slightly higher incidence in the homolateral carotid axis to infarction. The frequency of the rest of the qualities of the listed atheromatous plaques slightly dominates in the contralateral carotid axis.

Palabras clave : atherothrombotic cerebral infarction; atherosclerosis; atheromatous plaques type; atheromatous plaques contours; stenosis; carotid echo-Doppler.

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