THE INCIDENCE OF THE ISCHEMIC BRAIN MICROLESIONS AFTER CAROTID ARTERY STENTING
| Autor: | O. M. Drapkina, E. A. Bulgakova, B. A. Rudenko, F. B. Shukurov, T. V. Tvorogova |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
complications carotid angioplasty with stenting Carotid arteries carotid artery disease RM1-950 Asymptomatic Ischemic brain Carotid artery disease Internal medicine medicine Diseases of the circulatory (Cardiovascular) system Pharmacology (medical) cerebral microemboli ischemic brain microlesions medicine.diagnostic_test business.industry Incidence (epidemiology) Magnetic resonance imaging Perioperative medicine.disease Stenosis magnetic resonance tomography in the mode of diffusion-weighted images RC666-701 Cardiology Therapeutics. Pharmacology medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Racionalʹnaâ Farmakoterapiâ v Kardiologii, Vol 14, Iss 1, Pp 53-57 (2018) |
| ISSN: | 2225-3653 1819-6446 |
| DOI: | 10.20996/1819-6446-2018-14-1-53-57 |
| Popis: | Aim. To estimate incidence of periprocedural ischemic brain microlesions after carotid artery stenting (CAS) and to identify most probable predictors. Material and methods. 84 patients with carotid artery stenosis undergoing carotid angioplasty with stenting (CAS) in a specialized medical center, between 2013 and 2016, were examined. All patients had diffusion-weighted magnetic resonance imaging before and after treatment for the detection of new periprocedural ischemic brain microlesions. Statistical analysis was performed using non-parametric methods. Results. Among the selected patients aged 40 to 83 years (mean age of 60.6±3.9 years) there were 68 men (80.95%) and 16 women (19.05%). 39 (46.4%) of 84 patients had new ischemic brain microlesions after CAS both ipsilateral (37.8%) and non-ipsilateral location. 17.95% of them (n=7) had the transient or persistent neurological symptoms and the rest patients were asymptomatic. Patients with ischemic brain microlesions compared with patients without them were older and had lower hemoglobin level before CAS, history of previous strokes and as well as perioperative arterial hypotension persisting up to 24 hours (p |
| Databáze: | OpenAIRE |
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