MEDBULLETIN MAY 2022
Quiz:
The image shows a left internal carotid artery plaque in a 68 year old male with a history of 3 Transient ischemic attacks in 2 months. The plaque shows Type 2 (predominantly echolucent) morphology, with a Type 2 (irregular) surface, and is causing 80% stenosis in the artery. He has no other major cardiovascular co-morbidities. Recommended treatment options for this patient would be (you may choose more than one option)
- Aggressive lipid control with statins or evolocumab
- Aspirin with low dose Rivaroxaban
- Anti-coagulation with a direct oral anti-coagulant
- Dual anti-platelet therapy with Aspirin and Clopidogrel
- Left carotid endarterectomy
- Left carotid artery stenting
Answer – a, d, e