Study of carotid disease in patients with peripheral artery disease

Navarro, Túlio Pinho

doi:10.1590/0100-69912014005003

Cited by 9 publications

(6 citation statements)

References 32 publications

(37 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A Brazilian study found a prevalence of 84% of carotid stenosis in patients who already had peripheral arterial disease. In this same sample, carotid stenosis greater than 50% was present in 40% of patients and stenosis greater than 70% in 17% of them 22 . The treatment of extracranial carotid stenosis is usually composed of two strategies: clinical or surgical.…”

Section: Indications For Treatmentmentioning

confidence: 71%

“…Most patients with extracranial carotid artery stenosis are asymptomatic and have their diagnosis through the identification of lesions on imaging tests such as vascular echography with Doppler 22 . Indications for treatment are made after imaging of the carotid bifurcation, which may be (1) for the neurologically symptomatic patient or (2) for the neurologically asymptomatic patient.…”

Section: Indications For Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

Estenose de carótida extracraniana: revisão baseada em evidências

Flumignan

Navarro

2017

Rev. Col. Bras. Cir.

Self Cite

View full text Add to dashboard Cite

RESUMO A doença vascular cerebral extracraniana é uma das mais importantes causas de morte e de incapacidade em todo o mundo e seu tratamento se baseia em estratégias clínica e cirúrgica, sendo que esta última pode ser feita pelas técnicas convencional ou endovascular. O manejo da estenose da bifurcação carotídea visa principalmente a prevenir o acidente vascular cerebral e tem sido objeto de extensa investigação. O papel do tratamento clínico tem sido re-enfatizado, mas a endarterectomia de carótida permanece como o tratamento de primeira linha para pacientes sintomáticos com estenose de 50% a 99% e, para pacientes assintomáticos, com estenose de 60% a 99%. A angioplastia com stent é reservada para pacientes sintomáticos, com estenose de 50% a 99% e com risco elevado para a cirurgia aberta, por motivos anatômicos ou clínicos. Atualmente, o procedimento endovascular não é recomendado para pacientes assintomáticos que tenham condições de serem submetidos ao tratamento cirúrgico convencional. O Brasil apresenta tendência semelhante à de outros países da América do Norte e Europa, observando a manutenção da endarterectomia como a principal indicação para o tratamento da estenose carotídea e reservando o procedimento endovascular para casos em que há contraindicações para a primeira intervenção. Todavia, temos de melhorar os nossos resultados, reduzindo as complicações, notadamente a taxa de mortalidade geral.

show abstract

Section: Indications For Treatmentmentioning

confidence: 71%

Section: Indications For Treatmentmentioning

confidence: 99%

Estenose de carótida extracraniana: revisão baseada em evidências

Flumignan

Navarro

2017

Rev. Col. Bras. Cir.

Self Cite

View full text Add to dashboard Cite

show abstract

“…In other work, age, duration of diabetes, smoking habits, high blood pressure and an HbA1c > 7% were significant predictors of PAD, while obesity did not correlate with PAD [21]. Whereas, in a study by Bez and Navarro [10], of the patients with PAD investigated, 86% had hypertension, 66% exposure to tobacco smoke, 47% diabetes, 65% dyslipidemia, 24% coronary artery disease, 16% renal failure, and 60% a family history of cardiovascular disease [10]. It seems worth underlining at this point that in trying to explain such a high incidence of hypertension in patients with PAD (70% in our study of patients with normal creatinine levels) in comparison with other populations, the potential coexistence of renal artery stenosis (RAS) should be taken into account [14] because, in an analysis by Endo et al [22] of 410 Japanese patients with PAD, 22.9% had RAS > 50% and 11.0% had RAS > 75%.…”

Section: Discussionmentioning

confidence: 93%

“…They may overlap (polyvascular disease, multisite atherosclerosis), in which case the risk of cardiovascular event and mortality increases significantly [4,5,[9][10][11][12][13][14]. Sometimes, the respective types of vascular disease prevalence demonstrate a family association, which suggests that they may be related to composite domestic factors; not only genetic, but also, for example, active and passive smoking habits, diet, overeating, low physical activity, stress, alcohol abuse, etc.…”

Section: Introductionmentioning

confidence: 99%

Atherosclerosis risk factors in male patients qualified for percutaneous stenting of lower extremity arteries. A retrospective cohort study

Trofimiuk

Koza

Grzelązka

et al. 2016

MBS

View full text Add to dashboard Cite

S u m m a r y O b j e c t i v e s . Leg ischemia is the third leading cause of atherosclerotic cardiovascular morbidity, concerning about 20-30% of the elderly population. Recognition of its risk factors helps in early diagnosis and patient management. The aim of this study was to determine the prevalence of respective atherosclerosis risk factors among patients with peripheral artery disease (PAD) referred for lower limb endovascular revascularization and compare their prevalence with the data obtained in large epidemiological investigations and in patients with atherosclerosis manifestation in coronary and cerebral vascular beds. M a t e r i a l a n d m e t h o d s . Medical documentation for 73 male patients with PAD after a first endovascular intervention was evaluated retrospectively, and the prevalence of atherosclerosis risk factors found was compared with historical control groups from the literature. R e s u l t s . The patients studied presented significantly greater prevalence of a current smoking habit and diabetes mellitus than in the POLSCREEN, WOBASZ and NATPOL PLUS studies, significantly greater prevalence of hypertension than in WOBASZ and NATPOL PLUS, significantly greater prevalence of dyslipidemia than in POLSCREEN and NATPOL PLUS, significantly lower prevalence of BMI ≥ 25 kg/m 2 than in POLSCREEN, and greater than in NATPOL PLUS. In comparison to patients with coronary artery disease (CAD), individuals with PAD had a lower prevalence of hypertension and overweight and/or obesity, but greater occurrence of a current smoking habit and dyslipidemia. C o n c l u s i o n s . Patients with PAD who were qualified for endovascular therapy presented greater prevalence of atherosclerosis risk factors and multisite vascular disease manifestation than various general Polish populations and subjects with CAD, which suggests the need for the improved management of these patients.S t r e s z c z e n i e C e l e . Przewlekłe niedokrwienie kończyn dolnych (PNKD) jest trzecim, co do częstości, schorzeniem sercowonaczyniowym, dotyczącym około 20-30% dorosłej populacji. Określenie czynników ryzyka PNKD jest istotne dla wczesnej diagnozy i właściwego leczenia chorych. Celem pracy było porównanie częstości występowania poszczególnych czynników ryzyka u pacjentów leczonych wewnątrznaczyniowo z powodu PNKD z danymi

show abstract

“…Son muchos los estudios que relacionan la estenosis carotidea con determinados factores de riesgo como la hipertensión arterial, la diabetes, la dislipemia y el hábito de fumar (6)(7)(8)(9)(10)(11). Desde hace años se conoce la relación entre la presión arterial y el riesgo de desarrollo de ECA, de manera que por cada aumento de la presión arterial sistólica en 20 mm de Hg se duplica el riesgo de desarrollar esta patología (6).…”

Section: Introductionunclassified

Factores de riesgo cardiovascular en pacientes intervenidos de estenosis carotídea en el Hospital 12 de Octubre

Garijo¹,

Pérez²,

Domínguez³

et al. 2019

Rev. enferm. vasc.

View full text Add to dashboard Cite

Objetivos. Analizar los factores de riesgo asociados a la estenosis carotídea en los enfermos operados por esta patología desde enero de 2013 hasta diciembre de 2017 en el Servicio de Cirugía Vascular del Hospital Universitario 12 de Octubre de Madrid.Material y método. Estudio descriptivo, retrospectivo observacional, en el que se analizan las historias clínicas de los pacientes intervenidos de estenosis carotídea para identificar los factores de riesgo asociados a esta patología.Resultados. 161 pacientes fueron intervenidos, con una media de edad de 72 años ± 9,68. Un 80% fueron hombres (n=129) y un 20% mujeres (n=32). El 44.7% de los casos tenía entre 70 y 80 años. En este rango se sitúa también el mayor porcentaje de enfermos sintomáticos, correspondiendo estos a un 55.3% (n=89) del total de la muestra. La hipertensión y la dislipemia fueron los factores más prevalentes. La sintomatología previa y la hipertensión guardan una relación significativa (p≤0,05), así como el ser fumador o exfumador y ser hombre.Discusión-conclusión. Los factores de riesgo identificados en la bibliografía fueron encontrados en la muestra de estudio. Todos presentaban algún factor de riesgo. El control de dichos factores es un aspecto importante del tratamiento médico.

show abstract

Study of carotid disease in patients with peripheral artery disease

Abstract: the study of the carotid arteries by duplex scan examination is of paramount importance in the evaluation of patients with symptomatic peripheral arterial disease, and should be systematically conducted in the study of such patients.

Cited by 9 publications

References 32 publications

Estenose de carótida extracraniana: revisão baseada em evidências

Estenose de carótida extracraniana: revisão baseada em evidências

Atherosclerosis risk factors in male patients qualified for percutaneous stenting of lower extremity arteries. A retrospective cohort study

Factores de riesgo cardiovascular en pacientes intervenidos de estenosis carotídea en el Hospital 12 de Octubre

Contact Info

Product

Resources

About