کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2913475 1575515 2009 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Determinants of Micro-embolic Signals in Patients with Atherosclerotic Plaques of the Internal Carotid Artery
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Determinants of Micro-embolic Signals in Patients with Atherosclerotic Plaques of the Internal Carotid Artery
چکیده انگلیسی

Background and purposeThis study aimed to investigate the embolic potential of carotid plaques, employing both the presence and the rate of micro-embolic signals (MESs), based on the presence and timing (current or past) of symptoms, degree of stenosis and ultrasonic characteristics of plaques.MethodsWe used the transcranial Doppler (TCD) to monitor MES and the Doppler ultrasound to classify carotid plaques in newly symptomatic (acute stroke or transient ischaemic attack (TIA)), formerly symptomatic (relevant stroke or TIA per anamnesis) and asymptomatic patients with internal carotid artery (ICA) stenosis.ResultsStroke-related arteries evidenced a significantly greater presence of MES than the TIA-related and asymptomatic arteries (p = 0.04), with no significant difference found between the latter two groups (stroke: 42/90, 46.7%; TIA: 15/49, 30.6%; asymptomatic: 40/130, 30.8%). Adjustment for anti-platelet treatment did not change this finding. The degree of stenosis, ultrasonic characteristics of texture and the density of plaques were not found to be associated with the presence or quantity of MES.ConclusionMESs are present significantly more often in stenosed, stroke-related carotid arteries as compared with TIA-related or asymptomatic arteries. Neither the ultrasonic characteristics nor the degree of stenosis were found to influence the presence or rate of MES.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Vascular and Endovascular Surgery - Volume 38, Issue 2, August 2009, Pages 143–147
نویسندگان
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