High-risk atherosclerotic plaque features, covert brain infarcts, and cognitive performance: a cross-sectional analysis of the carotid artery multi-modality imaging prognostic study

High-risk plaque features are frequent in patients with asymptomatic intermediate carotid disease and are associated with non-lacunar covert brain infarcts. Cognitive impairment was common in the cohort, although not associated with high-risk carotid plaque. These findings support the use of a comprehensive plaque characterization beyond stenosis grading for cerebrovascular risk assessment in such patients.

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Publication Details

Journal
European Journal of Preventive Cardiology
Published
2026-01-29
DOI
https://doi.org/10.1093/eurjpc/zwaf778
Primary Topic
Cerebrovascular and Carotid Artery Diseases
Type
article
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article

High-risk atherosclerotic plaque features, covert brain infarcts, and cognitive performance: a cross-sectional analysis of the carotid artery multi-modality imaging prognostic study

Vinicio Napoli, Mirco Cosottini, G Masini, Carlo Palombo et al.
European Journal of Preventive Cardiology
Cerebrovascular and Carotid Artery Diseases
article

High-risk atherosclerotic plaque features, covert brain infarcts, and cognitive performance: a cross-sectional analysis of the carotid artery multi-modality imaging prognostic study

Vinicio Napoli, Mirco Cosottini, G Masini, Carlo Palombo, Irene Ghicopulos, Luna Gargani, Valeria Golino, R. N. Berchiolli, P. Totaro, G. Orlandi, Claudio D'Amelio, Raffaele De Caterina, Carmela Morizzo
article en

Abstract

High-risk plaque features are frequent in patients with asymptomatic intermediate carotid disease and are associated with non-lacunar covert brain infarcts. Cognitive impairment was common in the cohort, although not associated with high-risk carotid plaque. These findings support the use of a comprehensive plaque characterization beyond stenosis grading for cerebrovascular risk assessment in such patients.

European Journal of Preventive Cardiology
University of Pisa (IT), Fondazione Toscana Gabriele Monasterio (IT), Azienda Ospedaliera Universitaria Pisana (IT)
Good health and well-being
Openalex Percentile: Top 69%
Cerebrovascular and Carotid Artery Diseases
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High-risk atherosclerotic plaque features, covert brain infarcts, and cognitive performance: a cross-sectional analysis of the carotid artery multi-modality imaging prognostic study — Vinicio Napoli, Mirco Cosottini, et al. · European Journal of Preventive Cardiology (2026) | TGRS Research Map | TGRS