Utility of routine carotid duplex screening in patients who have claudication

Marek, John; Mills, Joseph L.; Harvich, Jana; Cui, Haiyan; Fujitani, Roy M.

doi:10.1016/s0741-5214(96)70072-1

Cited by 70 publications

(45 citation statements)

References 15 publications

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“…There is ongoing controversy about the value of screening all patients with PAOD, symptomatic or not, for carotid disease and aortic aneurysms [35,36]. Based on duplex sonography, carotid disease could be demonstrated in 26 to 50% of patients with PAOD [35,37].…”

Section: Discussionmentioning

confidence: 99%

Total-body 3D magnetic resonance angiography influences the management of patients with peripheral arterial occlusive disease

et al. 2005

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High-resolution total-body 3D MR angiography (MRA) has recently become available, revealing additional clinically relevant disease in patients with peripheral arterial occlusive disease (PAOD). However, the actual impact of total-body MRA on patient management in patients with PAOD has not been investigated so far. Two hundred forty-nine consecutive patients with angiographically proven PAOD were prospectively examined by means of contrast-enhanced total-body 3D MRA on a 1.5-T MR scanner. All correlative imaging studies performed within 60 days of total-body MRA were included in the efficacy analysis. Additional clinically relevant disease (luminal narrowing >50%, aneurysmal changes or dissections) was found in 73 segments (52 patients), including the renal arteries (36 segments), carotid arteries (28 segments), subclavian arteries (four segments) and abdominal aortic aneurysms (AAA) (five segments). Of the 73 segments, 36 were deemed necessary for further investigation by means of focused MRA examinations; the diagnosis was confirmed in all cases. Within the 60-day follow-up period, interventional or surgical therapy outside the peripheral arterial tree was performed in nine patients (11 segments), including carotid endatherectomy and renal artery angioplasty. The outlined total-body 3D MRA approach permits a comprehensive evaluation of the arterial system in patients with atherosclerosis and does indeed have an impact on patient management in patients with PAOD.

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Section: Discussionmentioning

confidence: 99%

Total-body 3D magnetic resonance angiography influences the management of patients with peripheral arterial occlusive disease

et al. 2005

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“…17) Conversely, the frequencies of concurrence of CS in CAD and PAD patients have also been reported. 11,29) Kawarada et al 16) observed that CAD was complicated by CS in 13.7% and by PAD in 15.3% of the 380 patients who underwent elective CABG and reported the necessity of screening patients with cardiovascular risk factors for atherosclerotic diseases. 11) Marek et al 29) performed carotid artery ultrasound in 188 patients showing claudication with no history of cerebrovascular disorder and reported that ≥50% internal CS was noted in 24.5% and that it was occluded in 2.7%.…”

Section: Discussionmentioning

confidence: 99%

Carotid Artery Stenosis as a Part of Atherosclerosis

Seguchi

Shibata

Nakajima

et al. 2018

JNET

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Objective: There have been few reports on the frequency of atherosclerotic diseases complicating carotid artery stenosis. This study was conducted to clarify the frequency of various atherosclerotic diseases concurrent with carotid artery stenosis that required revascularization. Methods:Examinations concerning various atherosclerotic diseases were reviewed using clinical records of 152 consecutive patients who underwent carotid artery stenting from January 2012 to October 2016 at our hospital. The patients were also divided into those with systemic atherosclerosis (SA group) and those without SA (non-SA group), and their characteristics were analyzed. Results:Of the 152 patients, carotid artery stenosis was complicated by other atherosclerotic diseases in 50 (32.9%), of whom 28 (18.4%) had coronary artery disease, 23 (15.1%) had peripheral artery disease, and 3 (2.0%) had renal artery stenosis. In the SA group, the frequencies of diabetes and dyslipidemia were significantly higher, hemoglobin A1c (HbA1c) level was higher, and high-density lipoprotein (HDL) cholesterol level and estimated glomerular filtration rate (eGFR) were lower. Conclusion:Carotid artery stenosis that required revascularization was frequently complicated by other atherosclerotic diseases. It is considered necessary to treat carotid artery stenosis with the prevention of cardiovascular events.

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“…Coronary heart disease has been already shown to represent only a part of a more generalized atherosclerotic disease, and a clear correlation [6,7,29,31] has been found between extent of coronary artery disease and incidence of carotid and/or peripheral vascular disease. Nevertheless there is still a lack of guidelines about which preoperative vascular investigations should be performed in a patient undergoing CABG: some authors [18,21] are limiting preoperative vascular investigations to those patients with symptoms and/or clinical signs of associated vascular disease (e.g. carotid bruit or peripheral pulse losses); others [2,9,13,16], in order to prevent and reduce the incidence of postoperative cerebrovascular events, are performing routinely preoperative Echo-Doppler screening of carotid vessels.…”

Section: Introductionmentioning

confidence: 99%