carotid narrowing Carotid stenosis
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age > 18 years - Atherosclerotic carotid stenosis NASCET 30 - 99% - Ability to undergo a neck MR for carotid plaque imaging - Ability to undergo a follow-up of at least 1 year - For the prospective, longitudinal part: hemispheric ischemic stroke or retinal ischemia ipsilateral to the carotid stenosis, with symptom onset within 24 hours. - Written informed consent
Exclusion criteria
Exclusion criteria: - Carotid stenosis due to causes other than atherosclerosis (e.g. carotid dissection) - Contraindication to MRI - Lack of informed consent by patient or legal representative
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| For the first aim, the endpoint is presence of carotid IPH on MR-Plaque imaging at baseline. Baseline means either acquired during the hospitalization for the index stroke or during the enrolling visit at the outpatient consultation of the neurovascular clinic. | — |
Secondary
| Measure | Time frame |
|---|---|
| For the second aim, the endpoint is an ischemic, hemispheric, ipsilateral stroke, i.e. on the same side of the carotid stenosis, on baseline brain MR-DWI. For the third aim, the endpoint is a recurrent ischemic, hemispheric, ipsilateral stroke in the 3-month follow-up brain MR-DWI or at any time during the follow-up. The 3-month follow-up brain MR-DWI is conceived to detect covert strokes, i.e. clinically asymptomatic strokes, as recurrences tend to occur short after the first stroke. | — |
Countries
Netherlands