Summary

The use of CIMT protocols in an appropriate clinical setting is beneficial to patients to help identify future cerebrovascular and myocardial events in these patients.  Simple protocols utilizing CIMT measurements of the posterior wall of the distal common carotid artery incorporated into a regular carotid Duplex protocol can be of great clinical value in predicting future disease in the appropriate patient population.  Utilization of CIMT measuring software incorporated into the ultrasound machines by manufacturers is helping streamline CIMT protocols and making ultrasound a powerful tool in the detection and prediction of cerebrovascular and cardiovascular disease.

References

  1. Simon A, Megnien JL, Chironi G. The Value of Carotid Intima-Media Thickness for Predicting Cardiovascular Risk. Arteriosclerosis, Thrombosis, and Vascular Biology. 2010;30(2):182-185. doi:10.1161/ATVBAHA.109.196980
  2. Recommendations for the Assessment of Carotid Arterial Plaque by Ultrasound for the Characterization of Atherosclerosis and Evaluation of Cardiovascular Risk: From the American Society of Echocardiography. Accessed December 13, 2022. https://www.asecho.org/guideline/recommendations-for-the-assessment-of-carotid-arterial-plaque-by-ultrasound-for-the-characterization-of-atherosclerosis-and-evaluation-of-cardiovascular-risk-from-the-american-society-of-echocardiogr/
  3. Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk: A Consensus Statement from the ASE Carotid Intima-Media Thickness Task Force. Accessed December 13, 2022. https://www.asecho.org/guideline/use-of-carotid-ultrasound-to-identify-subclinical-vascular-disease-and-evaluate-cardiovascular-disease-risk-a-consensus-statement-from-the-ase-carotid-intima-media-thickness-task-force/