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Radiology, Vol 133, 123-129, Copyright © 1979 by Radiological Society of North America

ARTICLES

Atherosclerotic subintimal hematoma of the carotid artery

JH Edwards, II Kricheff, F Gorstein, T Riles and A Imparato

A presumed new radiological-pathological entity of atherosclerotic subintimal of the carotid artery is described. Subintimal hematomas were found in 12 of 50 (24%) carotid bifurcations during surgery for repeated transient ischemic attacks in a single hemispheric distribution; only 33% were associated with ulcerations. The typical angiographic appearance was a sharply marginated, rounded, eccentric filling defect located near the extracranial carotid bifurcation, although occasionally it may simulate a typical smooth or even ulcerated atherosclerotic plaque. Pathological mechanisms responsible for the hemorrhage into the atherosclerotic plaque resulting in the hematoma are discussed.


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Home page
 Journal of Diagnostic Medical SonographyHome page
P. A. Cardullo, B. S. Cutler, and H. B. Wheeler
Detection of Carotid Artery Disease by Duplex Ultrasound
Journal of Diagnostic Medical Sonography, March 1, 1986; 2(2): 63 - 73.
[Abstract] [PDF]


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