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

Jun Hong Lee
November 2008
Annals of Indian Academy of Neurology;Nov2008 Supplement, Vol. 11, pS143
Academic Journal
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.


Related Articles

  • Atherosclerotic Carotid Artery Dissection. Tiryakioglu, Osman; Demirtas, Sinan; Ozyazicioglu, Ahmet Fatih; Yavuz, Senol // Internet Journal of Thoracic & Cardiovascular Surgery;2007, Vol. 11 Issue 1, p8 

    The diagnostic and therapeutic alternatives in a 54 year old patient with 70-90% stenosis in the right carotid artery and dissection due to atherosclerosis in the left carotid artery are presented.

  • Inflammatory Biomarkers in Atherosclerosis: Pentraxin 3 Can Become a Novel Marker of Plaque Vulnerability. Shindo, Akihiro; Tanemura, Hiroshi; Yata, Kenichiro; Hamada, Kazuhide; Shibata, Masunari; Umeda, Yasuyuki; Asakura, Fumio; Toma, Naoki; Sakaida, Hiroshi; Fujisawa, Takao; Taki, Waro; Tomimoto, Hidekazu // PLoS ONE;Jun2014, Vol. 9 Issue 6, p1 

    Inflammation is crucially involved in the development of carotid plaques. We examined the relationship between plaque vulnerability and inflammatory biomarkers using intraoperative blood and tissue specimens. We examined 58 patients with carotid stenosis. Following carotid plaque magnetic...

  • CORRECTION.  // JAMA: Journal of the American Medical Association;3/3/2015, Vol. 313 Issue 9, p972 

    A correction to the article "Screening for Asymptomatic Carotid Artery Stenosis," which appeared in the January 13, 2015 issue of the periodical, is presented.

  • Carotid artery stenosis classification, costs vary by institution.  // Cardiology Today;Jun2014, Vol. 17 Issue 6, p40 

    The article discusses the cost of the diagnostic criteria for carotid duplex ultrasonorapy.

  • Screening for Carotid Artery Stenosis. WOLFF, TRACY; FAN, TINA; LEWIS III, PAUL // American Family Physician;5/15/2015, Vol. 91 Issue 10, p717 

    The article presents questions and answers related to screening for carotid artery stenosis including the recommended action, accuracy, and the benefits and harms.

  • Aggressive Medical Treatment versus Carotid Artery Stenting in Management of Carotid Artery Stenosis: An Egyptian Study. Mohamed Khaled Elewa; Mahmoud Hemeda; Nahed Salah El-din; Hany M Zakieldine; Samia Ashour Helal // Egyptian Journal of Neurology, Psychiatry & Neurosurgery;Apr2013, Vol. 50 Issue 2, p113 

    Background: Carotid revascularization is superior to medical treatment in stroke prevention in patients with severe symptomatic or asymptomatic atherosclerotic carotid artery stenosis. However, integrated aggressive medical treatment should be tested against revascularization. Objective: To...

  • Current strategies for the treatment of intracranial atherosclerotic internal carotid artery stenosis. Patel, Toral R.; Bulsara, Ketan R. // Neurosurgical Review;Jan2009, Vol. 32 Issue 1, p23 

    We evaluate the current literature regarding treatment of intracranial atherosclerotic disease, with particular emphasis on emerging medical, surgical, and endovascular trials. A MEDLINE and PubMed search of the literature related to intracranial atherosclerotic disease was performed. Articles...

  • Carotid stenosis assessment with multi-detector CT angiography: comparison between manual and automatic segmentation methods. Zhu, Chengcheng; Patterson, Andrew; Thomas, Owen; Sadat, Umar; Graves, Martin; Gillard, Jonathan // International Journal of Cardiovascular Imaging;Apr2013, Vol. 29 Issue 4, p899 

    Luminal stenosis is used for selecting the optimal management strategy for patients with carotid artery disease. The aim of this study is to evaluate the reproducibility of carotid stenosis quantification using manual and automated segmentation methods using submillimeter through-plane...

  • Incidental internal carotid artery calcifications on temporal bone CT in children. Koch, Bernadette; Blackham, Aaron; Jones, Blaise // Pediatric Radiology;Feb2007, Vol. 37 Issue 2, p141 

    Background: Incidental internal carotid artery (ICA) calcifications are occasionally noted on CT images of the brain and temporal bone. In adults, incidental calcifications have been correlated with increased incidence of hypercholesterolemia, cardiac disease, diabetes and carotid...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics