Table 3:

Plaque features with significant association with ipsilateral strokes in patients with cryptogenic and cardioembolic strokes

Plaque FeatureuOR (95%CI)aOR (95%CI)a
Cardioembolic stroke (n = 226 patients/452 carotid arteries)
 Predominantly calcified plaque0.75 (0.52–1.09)
 Irregularity1.50 (0.81–2.79)
 Ulceration1.94 (0.46–8.23)
 Hypodense plaque1.17 (0.77–1.76)
 Maximum plaque thickness1.11 (0.95–1.30)
 Donut signb
 Stenosis degree (31%–50% vs 0%–30%)1.05 (0.77–1.43)
 Webc3.49 (0.36–33.83)
 Unremarkable carotid artery (absence of any of the above–mentioned features)0.96 (0.66–1.40)
Cryptogenic stroke (n = 141 patients/282 carotid arteries)
 Predominantly calcified plaque0.94 (0.58–1.51)
 Irregularity2.32 (1.15–4.70)2.50 (1.22–5.14)
 Ulceration1.47 (0.39–5.59)
 Hypodense plaque1.78 (1.09–2.92)1.89 (1.14–3.14)
 Maximum plaque thickness1.24 (1.03–1.50)1.29 (1.05–1.57)
 Donut signc1.17 (0.07–18.90)
 Stenosis degree (31%–50% vs. 0%–30%)1.31 (0.89–1.96)
 Webc1.77 (0.29–10.77)
 Unremarkable carotid artery (absence of any of the above-mentioned features)0.75 (0.46–1.21)
  • Note:uOR indicates unadjusted OR.

  • a With adjustment for age and sex and patient as a cluster variable. Multivariable analysis was performed for variables only when a significant association was found in univariable analysis.

  • b Omitted because of collinearity (all patients with a donut sign had ipsilateral strokes).

  • c Not a plaque feature but included in the definition of nonstenotic carotid disease.