ECHO 2013 / The Role of Vascular Imaging in Cardiovascular Risk Assessment
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The Role of Vascular
Imaging in Cardiovascular
Risk Assessment
Timothy J Crimmins, MD, RPVI
Vascular Medicine
Columbia University Medical Center
April 5, 2013
Disclosures:
None
Objectives
Introduce and define cIMT and Plaque
Review the association with CV risk
Review the data for cIMT and Plaque’s ability to risk reclassify
Review the potential clinical use of cIMT
(consensus statement from ASE/SVM and appropriate use criteria from SAIP)
General Principles of
Carotid Ultrasound
Advantages of Carotid Ultrasound as
Screening Tool
Non-invasive, safe
Inexpensive
Readily available, portable, and quick
Plaque visualization
Hemodynamics
Gray Scale: Presence of Plaque
Color Doppler with Plaque
Pulsed wave Doppler: Carotid Stenosis
PSV 329 cm/s
EDV 110 cm/s
ICA/CCA: 4.1
Lumen Intima Border
Intima Media
Thickness
Media Aventitia Border