Carotid artery severe stenosis or occlusion will lead to ischemia within the vessel wall and diffuse wall thickening (DWT) in the downstream arterial segment. The revascularization surgery is an effective treatment for carotid artery stenosis. This study investigated the peri-revascularization change of DWT in petrous internal carotid artery (ICA) among carotid atherosclerotic patients using MR vessel wall imaging. We found that the DWT in ipsilateral petrous ICA recovered after revascularization treatment (1.68±0.68 mm vs. 1.39±0.47 mm, P =0.002) and it began to recover one month later after the revascularization.
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