Jornal Vascular Brasileiro
https://app.periodikos.com.br/journal/jvb/article/doi/10.1590/1677-5449.202401861
Jornal Vascular Brasileiro
Review Article

Atributos da placa de ateroma na doença carotídea: uma avaliação com ultrassonografia Doppler

Atheroma plaque attributes in carotid artery disease: a Doppler ultrasound assessment

Dyana Carolina Teixeira Trevisan; Carla Aparecida Faccio Bosnardo

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Resumo

A aterosclerose, uma inflamação crônica da parede arterial, resulta de lesões no endotélio vascular e é influenciada por diversos fatores de risco. A estenose carotídea, marcador crucial de risco cardiovascular, é especialmente relevante em homens acima de 65 anos de idade. O tratamento e métodos diagnósticos da doença carotídea são temas de debate. Nesta revisão integrativa, foca-se na avaliação da placa aterosclerótica por ultrassonografia Doppler. A busca nas bases de dados PubMed e SciELO resultou em 69 artigos, dos quais 16 detalharam essa análise. O ultrassom Doppler emergiu como a modalidade mais utilizada devido à sua não invasividade e à sua capacidade de fornecer informações detalhadas sobre a morfologia da placa e o fluxo sanguíneo. Discute-se que o eco-Doppler permite uma avaliação abrangente da placa, identificando características morfológicas e estimando o risco de complicações. Conclui-se que a ultrassonografia Doppler é essencial na avaliação da doença carotídea, fornecendo uma abordagem não invasiva e detalhada, contribuindo para a identificação precoce de pacientes em alto risco e melhorando os resultados clínicos.

Palavras-chave

ultrassonografia Doppler; doença carotídea; placa de ateroma

Abstract

Atherosclerosis, a chronic inflammation of arterial walls, arises from vascular endothelial lesions influenced by various risk factors. Carotid stenosis, a crucial cardiovascular risk marker, is particularly relevant in men over 65. Treatment and diagnostic methods for carotid disease are subjects of debate. This integrative review focuses on atherosclerotic plaque assessment via Doppler ultrasonography. A search in PubMed and SciELO yielded 69 articles, with 16 detailing this analysis. Doppler ultrasound emerged as the most utilized modality due to its non-invasiveness and ability to provide detailed information on plaque morphology and blood flow. Doppler ultrasound allows comprehensive plaque evaluation, identifying morphological features and estimating complication risk. Doppler ultrasonography is essential in carotid disease assessment, offering a non-invasive and detailed approach, aiding in early identification of high-risk patients and improving clinical outcomes.

Keywords

Doppler ultrasonography; carotid artery diseases; atherosclerotic plaque

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Submitted date:
12/26/2024

Accepted date:
07/01/2025

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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