Distribution of Cerebral Atherosclerosis in Patients with Cerebral, Coronary and Peripheral Ischemic Diseases
Ahmed Fawzy Amin;
Abstract
Atherosclerosis is a systemic disease that is not limited to a single arterial territory. The presence of clinical signs in a given territory predispose the individual to an increase risk of ischemic insult in another territory.
Aim of the work; to study to distribution of cerebral atherosclerosis in ischemic patient with CVD, CAD or PAD.
Subject and methods: 50 patient (29 patient with ischemic stroke or TIA, 11 patient with CAD and 10 patient with PAD) underwent carotid duplex, MRI, MRA and DSA (11 patient only).
Results, cervical carotid assessment of our patient with carotid duplex revealed that 72% of patient had insignificant carotid stenosis < 50%, 6% between 50.70% stenosis and 22% had 770% stenosis of them 6% had total occlusion.
While assessment of intracranial arteries with MRA/DSA reported that 52% of patient had significant stenosis in at least one of the major arteries. The most frequent site of stenosi was ICA 40% then carotid siphon 19%, MCA (19%), basilar artery (5.4%), vertebral artery 5.4%, then PCA 2.7%.
In comparison between 3 groups, we found that 48% of stroke patient 48% of patient had past history of PAD, 44% with patient of CAD, 51% of patient had ICAD and 27% of patient had ECAD while in CAD patient 36% of patient with PH of stroke, 54% patient had PH of PAD, 18% had ECAD and 72% had ICAD.
In PAD patient 40% of patient had PH of stroke 60% had PH
of CAD, 20% had ECAD and 30% of patient had ICAD.
Conclusion: careful concern about CAD is needed in patient presenting with stroke, also vascular screening in patient presenting with stroke, CAD or PAD is needed to investigate the association of atherosclerosis in another vascular beds.
Aim of the work; to study to distribution of cerebral atherosclerosis in ischemic patient with CVD, CAD or PAD.
Subject and methods: 50 patient (29 patient with ischemic stroke or TIA, 11 patient with CAD and 10 patient with PAD) underwent carotid duplex, MRI, MRA and DSA (11 patient only).
Results, cervical carotid assessment of our patient with carotid duplex revealed that 72% of patient had insignificant carotid stenosis < 50%, 6% between 50.70% stenosis and 22% had 770% stenosis of them 6% had total occlusion.
While assessment of intracranial arteries with MRA/DSA reported that 52% of patient had significant stenosis in at least one of the major arteries. The most frequent site of stenosi was ICA 40% then carotid siphon 19%, MCA (19%), basilar artery (5.4%), vertebral artery 5.4%, then PCA 2.7%.
In comparison between 3 groups, we found that 48% of stroke patient 48% of patient had past history of PAD, 44% with patient of CAD, 51% of patient had ICAD and 27% of patient had ECAD while in CAD patient 36% of patient with PH of stroke, 54% patient had PH of PAD, 18% had ECAD and 72% had ICAD.
In PAD patient 40% of patient had PH of stroke 60% had PH
of CAD, 20% had ECAD and 30% of patient had ICAD.
Conclusion: careful concern about CAD is needed in patient presenting with stroke, also vascular screening in patient presenting with stroke, CAD or PAD is needed to investigate the association of atherosclerosis in another vascular beds.
Other data
| Title | Distribution of Cerebral Atherosclerosis in Patients with Cerebral, Coronary and Peripheral Ischemic Diseases | Other Titles | تأثر الشرايين المخية بمرض تصلب الشرايين فى مرضى القصور الشريانى المخى والتاجى والطرفى | Authors | Ahmed Fawzy Amin | Issue Date | 2011 |
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