Carotid artery plaque structure in the context of symptomatic/asymptomatic nature of carotid artery stenosis

dc.authorid0000-0001-9919-8392
dc.authorid0000-0001-6643-9364
dc.contributor.authorÖztaş, Didem Melis
dc.contributor.authorTanören Bilen, Bukem
dc.contributor.authorTürker Şener, Leyla
dc.contributor.authorBeyaz, Metin Onur
dc.contributor.authorUlukan, Mustafa Özer
dc.contributor.authorÜnal, Orçun
dc.contributor.authorÜnlü, Mehmet Burçin
dc.contributor.authorReis, Paulo Eduardo Ocke
dc.contributor.authorUğurlucan, Murat
dc.date.accessioned2021-09-23T07:37:40Z
dc.date.available2021-09-23T07:37:40Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.description.abstractObjective: In this paper, we examined the relationship between atherosclerotic plaque characteristics and symptomatic carotid artery disease. Material and methods: Twenty-two patients who underwent carotid endarterectomy were enrolled into the study. Thirteen patients were male and remaining 9 patients were female. The mean age was 60.2 +/- 9.6 years. The carotid artery stenosis ranged between 75% and 99%. Eight patients were asymptomatic and remaining 14 patients were symptomatic. Ten patients suffered stroke. One of them had recurrent transient ischemic attacks, 4 patients had dizziness, and one of them had amaurosis fugax. The extracted plaques were evaluated by scanning acoustic microscopy (SAM) and micro-computerized tomography (micro-CT). Results: Smaller acoustic impedance values that reveal collagen-rich plaque formation were detected in patients who had stroke, while higher acoustic impedance values that reveal calcium-rich plaque formation were detected in the asymptomatic patients' plaques. Conclusions: Determination of plaque characteristics with modern radiographic techniques, rather than relying on the degree of stenosis in patients with carotid artery disease, may be helpful to discriminate patients requiring intervention.
dc.description.abstractCíl: V této studii jsme zkoumali vztah mezi charakteristikami aterosklerotického plátu a symptomatick?m posti?ením karotick?ch tepen. Materiál a metody: Do studie bylo za?azeno 22 pacient? (13 mu?? a 9 ?en pr?m?rného v?ku 60,2 ± 9,6 roku) po endarterektomii karotick?ch tepen. Záva?nost stenózy karotické tepny se pohybovala v rozmezí 75 % a? 99 %. Osm pacient? bylo asymptomatick?ch a zb?vajících 14 symptomatick?ch. Deset pacient? prod?lalo cévní mozkovou p?íhodu. V anamnéze m?l jeden pacient recidivující tranzitorní ischemické p?íhody, ?ty?i pacienti uvád?li presynkopální stav a u jednoho byla stanovena diagnóza amaurosis fugax. Odstran?né pláty byly vyšet?eny skenující akustickou mikroskopií (scanning acoustic microscopy, SAM) a mikrov?po?etní tomografi í (micro-computerized tomography, micro-CT). V?sledky: U pacient? po cévní mozkové p?íhod? byly nalezeny ni?ší hodnoty akustické impedance ukazující na tvorbu plát? s vysok?m obsahem kolagenu, zatímco u asymptomatick?ch pacient? byly vyšší hodnoty akustické impedance spojeny s tvorbou plát? bohat?ch na vápník. Záv?ry: Spíše ne? spoléhání se na záva?nost stenózy u pacient? s posti?ením karotick?ch tepen m??e p?i vyhledávání pacient? vy?adujících intervenci napomáhat ur?ení charakteristik plát? moderními radiografi ck?mi metodami.
dc.description.sponsorshipTürkiye Cumhuriyeti Kalkınma Bakanlığıen_US
dc.identifier.citationÖztaş, D. M., Tanören Bilen, B., Türker Şener, L., Beyaz, M. O., Ulukan, M. Ö., Ünal, O. ... Uğurlucan, M. (2021). Carotid artery plaque structure in the context of symptomatic/asymptomatic nature of carotid artery stenosis. Cor et Vasa, 63(4), 459-465. https://dx.doi.org/10.33678/cor.2021.027
dc.identifier.doi10.33678/cor.2021.027
dc.identifier.endpage465
dc.identifier.issn0010-8650
dc.identifier.issn1803-7712
dc.identifier.issue4
dc.identifier.scopusqualityQ4
dc.identifier.startpage459
dc.identifier.urihttps://dx.doi.org/10.33678/cor.2021.027
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8281
dc.identifier.volume63
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherCzech Society of Cardiology and Czech Society for Cardiovascular Surgery
dc.relation.ispartofCor et Vasaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAtherosclerotic Plaque
dc.subjectCharacteristics
dc.subjectCarotid Artery Stenosis
dc.subjectSymptomatic Disease
dc.subjectCharakteristiky Aterosklerotického
dc.subjectPlátu
dc.subjectStenóza Karotické Tepny
dc.subjectSymptomatické Onemocn?ní
dc.titleCarotid artery plaque structure in the context of symptomatic/asymptomatic nature of carotid artery stenosis
dc.typeArticle

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