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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