Changes in carotid plaque echomorphology with time since a neurologic event

Clinical Relevance This cross-sectional study has demonstrated interesting differences in gray scale median plaque echomorphology with time after the initial neurologic symptom in patients with symptomatic carotid disease. The results raise some important questions with respect to identifying currently asymptomatic patients who might be at greatest risk of a neurologic event and add fuel to the current debate relating to the relative benefits of either carotid endarterectomy or carotid angioplasty and stenting in patients with recent symptoms.