TITLE

Prevalence of carotid and peripheral arterial disease in acute stroke patients with intracranial arterial stenosis

AUTHOR(S)
Jun Hong Lee
PUB. DATE
November 2008
SOURCE
Annals of Indian Academy of Neurology;Nov2008 Supplement, Vol. 11, pS143
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background and Aims: Intracranial atherosclerosis, carotid disease, and peripheral arterial disease each reflects advanced atherosclerosis. The frequency of their coexistence in the same acute stroke patients has not been fully elucidated. Methods: Acute stroke patients at the National Health Insurance Corporation Ilsan Hospital from January 2007 to June 2007 with available transcranial Doppler (TCD) examination, carotid ultrasound and ankle-brachial indexes (ABI) formed the analysis cohorts. Retrospective review was performed. Results: A total of 185 patients were included during that period. 30 patients with poor temporal on TCD were excluded. Among both MCA and basilar arteries, 0 vessel stenosis is in 75 patients, 1 vessel in 8 patients, 2 and 3 vessel in 0 patients on TCD. Among patients with 0 vessel stenosis on TCD, 20.3% of patients had carotid stenosis on carotid ultrasound, mean ABI value was 1.16. Among 1 vessel stenosis on TCD, 25% had carotid stenosis, mean ABI value was 1.07. Conclusions: Among the acute stroke patients, compared with patients without intracranial atherosclerosis, patients with intracranial atherosclerosis tend to have higher burden of advanced atherosclerosis as evidenced by a higher prevalence of significant carotid stenosis and lower ABI.
ACCESSION #
35388686

 

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