2018 AANS Annual Scientific Meeting-724. Excavation and not Ulceration Best Describes the Process of Plaque Degradation

724. Excavation and not Ulceration Best Describes the Process of Plaque Degradation

Video Transcription

Video Summary

The video features a presentation by Dr. Hussain Mousavi on the topic of plaque degradation in the Cerebrovascular Section BEST Clinical Scientific Paper. Dr. John Wilson also gives his comments on the paper. The study involved the analysis of 345 intact plaques. The researchers found three different phenotypes: plaque ulceration, intraplaque hemorrhage, and a plaque with false luminal formation. Ulceration was found to occur proximal to the point of maximal stenosis in 92% of cases, and intraplaque hemorrhage was found to be in continuity with ulceration in 92% of cases. The study suggests that hemodynamic forces play a role in the process of plaque degradation. The researchers recommend considering surgical procedures for complex plaques to minimize complications.

Asset Caption

Hossein Mousavi, MD

Keywords

plaque degradation

phenotypes

hemodynamic forces

surgical procedures

complex plaques