Stroke Clinical Trial
Official title:
The Assessment of the Plaque at RISK by Non-invasive (Molecular) Imaging and Modelling (ParisK): Prospective Clinical Study for Diagnosis Efficacy for High Risk Plaque and Stroke.
The possibility of the identification of the risk of rupture of a carotid plaque will have
tremendous impact in clinical decision making. Firstly, in symptomatic patients with a 30-69%
stenosis, who are currently not operated upon according to the current guidelines,
identification of the risk of rupture plaque could identify patients who have a high risk of
recurrent stroke, and would benefit of carotid intervention, such as endarterectomy or stent
placement. This could potentially prevent a substantial number of strokes. Secondly, in all
symptomatic patients with a 70-99% stenosis carotid intervention should be considered,
according to the guidelines. However, only one out of six patients with a 70-99% stenosis
benefits from a carotid intervention. Identification of patients with a high risk of a
recurrent stroke would reduce the number of unnecessary interventions substantially.
The main objective is to show whether imaging characteristics assessed at baseline can
predict clinical events in patients with a 30-69 % symptomatic carotid stenosis.
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