This study investigated the correlation between intracranial and extracranial carotid artery atherosclerotic disease in symptomatic patients. We found that extracranial artery disease showed larger plaque burden than intracranial artery disease. In addition, the number of extracranial plaques was found to be associated with intracranial plaque number and maximum wall thickness (MaxWT) and the extracranial carotid MaxWT was independently associated with intracraninal artery stenosis. The association of extracranial artery plaque number and MaxWT with severity of intracranial artery disease suggests that the plaque burden measurements in extracranial carotid arteries might be effective indicators for the severity of intracranial atherosclerosis.
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