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Natural history of aortic arch atherosclerotic plaque

From the Department of Neurology, The Mount Sinai School of Medicine, New York, NY.

Address correspondence and reprint requests to Dr. Jesse Weinberger, Department of Neurology, Box 1052, The Mount Sinai School of Medicine, 1 Gustave Levy Place, New York, NY 10029.

To define the natural history of aortic arch plaque, we used B-mode ultrasonography to perform sequential study of the aortic arch. Eighty-nine patients were studied for up to 18 months. There was no change in 67% of total plaques; 77% of simple plaque (<4 mm) and 48% of complex plaque (4 mm) did not progress. Atherosclerosis of the aortic arch can be sequentially studied with B-mode ultrasonography, and most of these lesions remain unchanged after up to 18 months of observation.

Key words: Aortic arch—Atherosclerosis—Cerebrovascular disease—B-mode ultrasonography

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