1/The 90s called & wants its carotid imaging back! It’s been 30 years--why are you still just quoting NASCET? Do you feel vulnerable when it comes to identifying plaque vulnerability? Here’s a thread to help you identify high risk plaques with carotid plaque imaging
2/Everyone knows the NASCET criteria: If the patient is symptomatic & the greatest stenosis from the plaque is >70% of the diameter of normal distal lumen, patient will likely benefit from carotid endarterectomy. But that doesn’t mean the remaining patients are just fine!
@teachplaygrub Excellent memes! But is there evidence that fixing these high risk plaques prevent future events?
@teachplaygrub Wish billers would move beyond “per NASCET criteria “ on our reports
@teachplaygrub Great Review!! Thanks!!
@teachplaygrub Brilliant work! You have exceptional teaching skills👍🏻👍🏻
@teachplaygrub I did find a European guideline talking about anticoagulation for these but if you can direct me to resources. Again thanks so much for your contribution to teaching😊
@teachplaygrub This is truly practise changing! Im not sure we report plaque vulnerability features here but so keen to read more. .If i can trouble you, would you direct me to the studies showing benefit anticoagulation for these vulnerable plaques?
@teachplaygrub any thoughts about Plaque-RADS? tbh i prefer your approach as laid out in this thread (as opposed to a scoring system), but that score seems to be gaining a little traction… ahajournals.org/doi/10.1161/ST…