Detecting the vulnerable carotid plaque : The Carotid Artery Multimodality imaging Prognostic study design
(2022) In Journal of Cardiovascular Medicine 23(7). p.466-473- Abstract
BackgroundCarotid artery disease is highly prevalent and a main cause of ischemic stroke and vascular dementia. There is a paucity of information on predictors of serious vascular events. Besides percentage diameter stenosis, international guidelines also recommend the evaluation of qualitative characteristics of carotid artery disease as a guide to treatment, but with no agreement on which qualitative features to assess. This inadequate knowledge leads to a poor ability to identify patients at risk, dispersion of medical resources, and unproven use of expensive and resource-consuming techniques, such as magnetic resonance imaging, positron emission tomography, and computed tomography.ObjectivesThe Carotid Artery Multimodality imaging... (More)
BackgroundCarotid artery disease is highly prevalent and a main cause of ischemic stroke and vascular dementia. There is a paucity of information on predictors of serious vascular events. Besides percentage diameter stenosis, international guidelines also recommend the evaluation of qualitative characteristics of carotid artery disease as a guide to treatment, but with no agreement on which qualitative features to assess. This inadequate knowledge leads to a poor ability to identify patients at risk, dispersion of medical resources, and unproven use of expensive and resource-consuming techniques, such as magnetic resonance imaging, positron emission tomography, and computed tomography.ObjectivesThe Carotid Artery Multimodality imaging Prognostic (CAMP) study will: prospectively determine the best predictors of silent and overt ischemic stroke and vascular dementia in patients with asymptomatic subcritical carotid artery disease by identifying the noninvasive diagnostic features of the 'vulnerable carotid plaque'; assess whether 'smart' use of low-cost diagnostic methods such as ultrasound-based evaluations may yield at least the same level of prospective information as more expensive techniques.Study designWe will compare the prognostic/predictive value of all proposed techniques with regard to silent or clinically manifest ischemic stroke and vascular dementia. The study will include ≥300 patients with asymptomatic, unilateral, intermediate degree (40-60% diameter) common or internal carotid artery stenosis detected at carotid ultrasound, with a 2-year follow-up. The study design has been registered on Clinicaltrial.gov on December 17, 2020 (ID number NCT04679727).
(Less)
- author
- Gargani, Luna
; Baldini, Matteo
; Berchiolli, Raffaella
; Bort, Ida Rebecca
; Casolo, Giancarlo
; Chiappino, Dante
; Cosottini, Mirco
; D'Angelo, Gennaro
; De Santis, Mariella
; Erba, Paola
; Fabiani, Iacopo
; Fabiani, Plinio
; Gabbriellini, Ilaria
; Galeotti, Gian Giacomo
; Ghicopulos, Irene
; Goncalves, Isabel
LU
; Lapi, Simone
; Masini, Gabriele
; Morizzo, Carmela
; Napoli, Vinicio
; Nilsson, Jan
LU
; Orlandi, Giovanni
; Palombo, Carlo
; Pieraccini, Francesco
; Ricci, Stefano
; Siciliano, Gabriele
; Slart, Riemer H.J.A.
and De Caterina, Raffaele
(Less) - organization
- publishing date
- 2022-07-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- atherosclerosis, carotid artery disease, carotid artery plaque, carotid ultrasound, magnetic resonance imaging, stroke, vascular dementia, vascular imaging
- in
- Journal of Cardiovascular Medicine
- volume
- 23
- issue
- 7
- pages
- 8 pages
- publisher
- Lippincott Williams & Wilkins
- external identifiers
-
- scopus:85133105905
- pmid:35763768
- ISSN
- 1558-2027
- DOI
- 10.2459/JCM.0000000000001314
- language
- English
- LU publication?
- yes
- id
- 898f7f36-b640-458f-a3a8-5489ea4d5ce3
- date added to LUP
- 2022-10-10 13:35:52
- date last changed
- 2024-06-27 14:08:02
@article{898f7f36-b640-458f-a3a8-5489ea4d5ce3,
abstract = {{<p>BackgroundCarotid artery disease is highly prevalent and a main cause of ischemic stroke and vascular dementia. There is a paucity of information on predictors of serious vascular events. Besides percentage diameter stenosis, international guidelines also recommend the evaluation of qualitative characteristics of carotid artery disease as a guide to treatment, but with no agreement on which qualitative features to assess. This inadequate knowledge leads to a poor ability to identify patients at risk, dispersion of medical resources, and unproven use of expensive and resource-consuming techniques, such as magnetic resonance imaging, positron emission tomography, and computed tomography.ObjectivesThe Carotid Artery Multimodality imaging Prognostic (CAMP) study will: prospectively determine the best predictors of silent and overt ischemic stroke and vascular dementia in patients with asymptomatic subcritical carotid artery disease by identifying the noninvasive diagnostic features of the 'vulnerable carotid plaque'; assess whether 'smart' use of low-cost diagnostic methods such as ultrasound-based evaluations may yield at least the same level of prospective information as more expensive techniques.Study designWe will compare the prognostic/predictive value of all proposed techniques with regard to silent or clinically manifest ischemic stroke and vascular dementia. The study will include ≥300 patients with asymptomatic, unilateral, intermediate degree (40-60% diameter) common or internal carotid artery stenosis detected at carotid ultrasound, with a 2-year follow-up. The study design has been registered on Clinicaltrial.gov on December 17, 2020 (ID number NCT04679727).</p>}},
author = {{Gargani, Luna and Baldini, Matteo and Berchiolli, Raffaella and Bort, Ida Rebecca and Casolo, Giancarlo and Chiappino, Dante and Cosottini, Mirco and D'Angelo, Gennaro and De Santis, Mariella and Erba, Paola and Fabiani, Iacopo and Fabiani, Plinio and Gabbriellini, Ilaria and Galeotti, Gian Giacomo and Ghicopulos, Irene and Goncalves, Isabel and Lapi, Simone and Masini, Gabriele and Morizzo, Carmela and Napoli, Vinicio and Nilsson, Jan and Orlandi, Giovanni and Palombo, Carlo and Pieraccini, Francesco and Ricci, Stefano and Siciliano, Gabriele and Slart, Riemer H.J.A. and De Caterina, Raffaele}},
issn = {{1558-2027}},
keywords = {{atherosclerosis; carotid artery disease; carotid artery plaque; carotid ultrasound; magnetic resonance imaging; stroke; vascular dementia; vascular imaging}},
language = {{eng}},
month = {{07}},
number = {{7}},
pages = {{466--473}},
publisher = {{Lippincott Williams & Wilkins}},
series = {{Journal of Cardiovascular Medicine}},
title = {{Detecting the vulnerable carotid plaque : The Carotid Artery Multimodality imaging Prognostic study design}},
url = {{http://dx.doi.org/10.2459/JCM.0000000000001314}},
doi = {{10.2459/JCM.0000000000001314}},
volume = {{23}},
year = {{2022}},
}