The aim of this study was to investigate the predictive value of carotid PVAT attenuation for the prediction of stroke and TIA recurrence in symptomatic patients with <70% carotid stenosis. We demonstrated that increased carotid PVAT attenuation is strongly associated with recurrent events. Importantly, our analysis demonstrated that adding PVAT attenuation to the ECST clinical prediction model, which is the most commonly used model in clinical practice, or to the presence of IPH, provides ad…