Similarities and differences in ultrasound of extracranial brachiocephalic atherosclerotic lesions in patients with ischemic anterior and posterior circulation stroke

Aim. To establish similarities and differences in ultrasound of extracranial brachiocephalic atherosclerotic lesions in patients with ischemic anterior and posterior circulation stroke.Material and methods. The study involved 668 patients (men, 370; women, 298) with carotid territory IS aged 63±11 a...

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Main Authors: A. Yu. Vishnyakova, A. B. Berdalin, D. A. Golovin, S. E. Lelyuk, V. G. Lelyuk
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2021-02-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/2437
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author A. Yu. Vishnyakova
A. B. Berdalin
D. A. Golovin
S. E. Lelyuk
V. G. Lelyuk
author_facet A. Yu. Vishnyakova
A. B. Berdalin
D. A. Golovin
S. E. Lelyuk
V. G. Lelyuk
author_sort A. Yu. Vishnyakova
collection DOAJ
description Aim. To establish similarities and differences in ultrasound of extracranial brachiocephalic atherosclerotic lesions in patients with ischemic anterior and posterior circulation stroke.Material and methods. The study involved 668 patients (men, 370; women, 298) with carotid territory IS aged 63±11 and 69±9 years, respectively, and 235 patients (men, 129; women, 106) with vertebrobasilar (VB) territory IS aged 59±12 and 63±10 years, respectively, who underwent duplex ultrasound.Results. Atherosclerotic plaques (ASP) in the internal carotid arteries (ICA) were diagnosed significantly more often (p<0,05) (right ICA (ICAr) — 44,0% of cases; left ICA (ICAl) — 48,4%) and the degree of stenosis of ICA mouths was significantly higher (p<0,05) (ICAr —53±23%, ICAl — 54±24%) in carotid territory IS than in VB territory IS (ICAr — 34,0% of cases; average degree of stenosis — 47±18%; ICAl — 33,6%, average degree of stenosis — 46±18%. There were no significant differences in the prevalence of ASP in vertebral arteries and related stenosis in IS in both territories. Also, there were no significant intergroup differences in the prevalence of homogeneous anechoic or hypoechoic and heterogeneous with hypoechoic predominance ASPs in the ICA mouths: in carotid territory IS, such ASPs were detected in each ICA in 33,5% of cases; in VB territory IS, in 29,6% of cases.Conclusion. In patients with carotid and VB territory IS, risky ASPs were recorded with the same frequency, while the overall prevalence of ASPs and the stenosis degree of ICA mouths was significantly higher in carotid IS.
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spelling doaj.art-a35e8b85195d440993c0ad52e0c48a562023-03-13T07:23:30Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252021-02-0120110.15829/1728-8800-2021-24372168Similarities and differences in ultrasound of extracranial brachiocephalic atherosclerotic lesions in patients with ischemic anterior and posterior circulation strokeA. Yu. Vishnyakova0A. B. Berdalin1D. A. Golovin2S. E. Lelyuk3V. G. Lelyuk4ФГБУ Федеральный центр цереброваскулярной патологии и инсульта Министерства здравоохранения Российской ФедерацииФГБУ Федеральный центр цереброваскулярной патологии и инсульта Министерства здравоохранения Российской ФедерацииФГБУ Федеральный центр цереброваскулярной патологии и инсульта Министерства здравоохранения Российской ФедерацииФГБОУ ДПО Российская медицинская академия непрерывного профессионального образования Министерства здравоохранения Российской ФедерацииФГБУ Федеральный центр цереброваскулярной патологии и инсульта Министерства здравоохранения Российской ФедерацииAim. To establish similarities and differences in ultrasound of extracranial brachiocephalic atherosclerotic lesions in patients with ischemic anterior and posterior circulation stroke.Material and methods. The study involved 668 patients (men, 370; women, 298) with carotid territory IS aged 63±11 and 69±9 years, respectively, and 235 patients (men, 129; women, 106) with vertebrobasilar (VB) territory IS aged 59±12 and 63±10 years, respectively, who underwent duplex ultrasound.Results. Atherosclerotic plaques (ASP) in the internal carotid arteries (ICA) were diagnosed significantly more often (p<0,05) (right ICA (ICAr) — 44,0% of cases; left ICA (ICAl) — 48,4%) and the degree of stenosis of ICA mouths was significantly higher (p<0,05) (ICAr —53±23%, ICAl — 54±24%) in carotid territory IS than in VB territory IS (ICAr — 34,0% of cases; average degree of stenosis — 47±18%; ICAl — 33,6%, average degree of stenosis — 46±18%. There were no significant differences in the prevalence of ASP in vertebral arteries and related stenosis in IS in both territories. Also, there were no significant intergroup differences in the prevalence of homogeneous anechoic or hypoechoic and heterogeneous with hypoechoic predominance ASPs in the ICA mouths: in carotid territory IS, such ASPs were detected in each ICA in 33,5% of cases; in VB territory IS, in 29,6% of cases.Conclusion. In patients with carotid and VB territory IS, risky ASPs were recorded with the same frequency, while the overall prevalence of ASPs and the stenosis degree of ICA mouths was significantly higher in carotid IS.https://cardiovascular.elpub.ru/jour/article/view/2437каротидный ишемический инсультвертебрально-базилярный ишемический инсультультразвуковое дуплексное сканированиеатеросклероз брахиоцефальных артерий
spellingShingle A. Yu. Vishnyakova
A. B. Berdalin
D. A. Golovin
S. E. Lelyuk
V. G. Lelyuk
Similarities and differences in ultrasound of extracranial brachiocephalic atherosclerotic lesions in patients with ischemic anterior and posterior circulation stroke
Кардиоваскулярная терапия и профилактика
каротидный ишемический инсульт
вертебрально-базилярный ишемический инсульт
ультразвуковое дуплексное сканирование
атеросклероз брахиоцефальных артерий
title Similarities and differences in ultrasound of extracranial brachiocephalic atherosclerotic lesions in patients with ischemic anterior and posterior circulation stroke
title_full Similarities and differences in ultrasound of extracranial brachiocephalic atherosclerotic lesions in patients with ischemic anterior and posterior circulation stroke
title_fullStr Similarities and differences in ultrasound of extracranial brachiocephalic atherosclerotic lesions in patients with ischemic anterior and posterior circulation stroke
title_full_unstemmed Similarities and differences in ultrasound of extracranial brachiocephalic atherosclerotic lesions in patients with ischemic anterior and posterior circulation stroke
title_short Similarities and differences in ultrasound of extracranial brachiocephalic atherosclerotic lesions in patients with ischemic anterior and posterior circulation stroke
title_sort similarities and differences in ultrasound of extracranial brachiocephalic atherosclerotic lesions in patients with ischemic anterior and posterior circulation stroke
topic каротидный ишемический инсульт
вертебрально-базилярный ишемический инсульт
ультразвуковое дуплексное сканирование
атеросклероз брахиоцефальных артерий
url https://cardiovascular.elpub.ru/jour/article/view/2437
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