Often you can tell that the attachment to the wall is odd, not as definitely adherent as a garden-variety plaque. And, seconding Matt, the motion often seems odd compared to plaque. 

Don Ridgway




-----Original Message-----
From: UVM Flownet on behalf of Smith, Matthew G.
Sent: Mon 2/14/2011 7:09 AM
To: [log in to unmask]
Subject: Re: Carotid Thrombus vs Carotid Plaque
 
Chris,

This can be a difficult call to make.  Thrombus tends to be anechoic or echolucent, sometimes mobile, sometimes weblike and whispy. I would typically utilize this description intraoperatively, or shortly after an endarterectomy.  I would avoid using the word everytime you encounter anechoic plaque during a standard carotid US unless you see it flapping around.  

Matt

-----Original Message-----
From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Chris RVT
Sent: Saturday, February 12, 2011 19:58
To: [log in to unmask]
Subject: Carotid Thrombus vs Carotid Plaque

Hi everyone.   I have a question regarding correctly identifying carotid thrombus 
vs carotid plaque.   I am used to the usual varying types of plaque in the the 
carotid system such as heterogeneous, homogeneous, calcific...etc..   But, I 
occasionally hear techs saying that they found a thrombus in the ICA.    How do I 
know if or when I find a thrombus?   What is the difference between thrombus 
and the usual carotid plaque that I am used to seeing?

Thanks

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