Introduction. Stroke is the fourth leading cause of death in the United States and the leading cause of disability. Of these, carotid artery disease is responsible for up to 15% to 30% of strokes. The objetive is knowing the risk factors and their impact on four possible scenarios in the diagnosis and treatment of carotid artery disease. 1: significant stenosis measured by ultrasound Doppler carotid, 2: significant stenosis measured by diagnostic cerebral angiography, 3: plaque ulceration measured by angiography, and 4: carotid stent placement. Material and Methods. A retrospective study was carried out with 29 patients, 12 patients to whom was placed a carotid stent and 17 control patients, Odds ratio was calculated for risk factors: high blood pressure, diabetes, cancer, smoking and dyslipidemia. And then multivariate analysis was performed with the same variables. Results. For the risk factors with statistical significance for carotid ulcer were dyslipidemia and cancer, and for stent placement, smoking, and clinically presented as a transient ischemic attack. For the multivariate analysis, the only factor associated with stent placement was smoking. Conclusions. Of the entire range of risk factors associated with cerebrovascular disease, tobacco use is the factor most strongly associated with a patient with carotid disease ending up in endovascular treatment. So prevention or lifestyle modification is the best tool to avoid these outcomes.
| Published in | International Journal of Neurosurgery (Volume 6, Issue 1) |
| DOI | 10.11648/j.ijn.20220601.13 |
| Page(s) | 11-18 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Carotid Artery Disease, Ulcerated Carotid Plaque, Carotid Stent, Transient Isquemic Attack, Stroke
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APA Style
Daniel Alejandro Vega-Moreno, José Ramón Aguilar-Calderón, María Elena Córdoba-Mosqueda, Víctor Andrés Reyes-Rodríguez, Mauricio Daniel Sánchez-Calderón, et al. (2022). Carotid Artery Disease: Multivariate Analysis of a Single Center in Mexico City. International Journal of Neurosurgery, 6(1), 11-18. https://doi.org/10.11648/j.ijn.20220601.13
ACS Style
Daniel Alejandro Vega-Moreno; José Ramón Aguilar-Calderón; María Elena Córdoba-Mosqueda; Víctor Andrés Reyes-Rodríguez; Mauricio Daniel Sánchez-Calderón, et al. Carotid Artery Disease: Multivariate Analysis of a Single Center in Mexico City. Int. J. Neurosurg. 2022, 6(1), 11-18. doi: 10.11648/j.ijn.20220601.13
AMA Style
Daniel Alejandro Vega-Moreno, José Ramón Aguilar-Calderón, María Elena Córdoba-Mosqueda, Víctor Andrés Reyes-Rodríguez, Mauricio Daniel Sánchez-Calderón, et al. Carotid Artery Disease: Multivariate Analysis of a Single Center in Mexico City. Int J Neurosurg. 2022;6(1):11-18. doi: 10.11648/j.ijn.20220601.13
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Download@article{10.11648/j.ijn.20220601.13,
author = {Daniel Alejandro Vega-Moreno and José Ramón Aguilar-Calderón and María Elena Córdoba-Mosqueda and Víctor Andrés Reyes-Rodríguez and Mauricio Daniel Sánchez-Calderón and José Omar Santellán-Hernández and Diego Ochoa-Cacique and Carlos Betancourt-Quiroz and Mario Alberto Dueñas-Espinoza and Andrés Alberto Moral-Naranjo and Martha Elena González-Jiménez and Ulises García-González},
title = {Carotid Artery Disease: Multivariate Analysis of a Single Center in Mexico City},
journal = {International Journal of Neurosurgery},
volume = {6},
number = {1},
pages = {11-18},
doi = {10.11648/j.ijn.20220601.13},
url = {https://doi.org/10.11648/j.ijn.20220601.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20220601.13},
abstract = {Introduction. Stroke is the fourth leading cause of death in the United States and the leading cause of disability. Of these, carotid artery disease is responsible for up to 15% to 30% of strokes. The objetive is knowing the risk factors and their impact on four possible scenarios in the diagnosis and treatment of carotid artery disease. 1: significant stenosis measured by ultrasound Doppler carotid, 2: significant stenosis measured by diagnostic cerebral angiography, 3: plaque ulceration measured by angiography, and 4: carotid stent placement. Material and Methods. A retrospective study was carried out with 29 patients, 12 patients to whom was placed a carotid stent and 17 control patients, Odds ratio was calculated for risk factors: high blood pressure, diabetes, cancer, smoking and dyslipidemia. And then multivariate analysis was performed with the same variables. Results. For the risk factors with statistical significance for carotid ulcer were dyslipidemia and cancer, and for stent placement, smoking, and clinically presented as a transient ischemic attack. For the multivariate analysis, the only factor associated with stent placement was smoking. Conclusions. Of the entire range of risk factors associated with cerebrovascular disease, tobacco use is the factor most strongly associated with a patient with carotid disease ending up in endovascular treatment. So prevention or lifestyle modification is the best tool to avoid these outcomes.},
year = {2022}
}
TY - JOUR T1 - Carotid Artery Disease: Multivariate Analysis of a Single Center in Mexico City AU - Daniel Alejandro Vega-Moreno AU - José Ramón Aguilar-Calderón AU - María Elena Córdoba-Mosqueda AU - Víctor Andrés Reyes-Rodríguez AU - Mauricio Daniel Sánchez-Calderón AU - José Omar Santellán-Hernández AU - Diego Ochoa-Cacique AU - Carlos Betancourt-Quiroz AU - Mario Alberto Dueñas-Espinoza AU - Andrés Alberto Moral-Naranjo AU - Martha Elena González-Jiménez AU - Ulises García-González Y1 - 2022/05/10 PY - 2022 N1 - https://doi.org/10.11648/j.ijn.20220601.13 DO - 10.11648/j.ijn.20220601.13 T2 - International Journal of Neurosurgery JF - International Journal of Neurosurgery JO - International Journal of Neurosurgery SP - 11 EP - 18 PB - Science Publishing Group SN - 2640-1959 UR - https://doi.org/10.11648/j.ijn.20220601.13 AB - Introduction. Stroke is the fourth leading cause of death in the United States and the leading cause of disability. Of these, carotid artery disease is responsible for up to 15% to 30% of strokes. The objetive is knowing the risk factors and their impact on four possible scenarios in the diagnosis and treatment of carotid artery disease. 1: significant stenosis measured by ultrasound Doppler carotid, 2: significant stenosis measured by diagnostic cerebral angiography, 3: plaque ulceration measured by angiography, and 4: carotid stent placement. Material and Methods. A retrospective study was carried out with 29 patients, 12 patients to whom was placed a carotid stent and 17 control patients, Odds ratio was calculated for risk factors: high blood pressure, diabetes, cancer, smoking and dyslipidemia. And then multivariate analysis was performed with the same variables. Results. For the risk factors with statistical significance for carotid ulcer were dyslipidemia and cancer, and for stent placement, smoking, and clinically presented as a transient ischemic attack. For the multivariate analysis, the only factor associated with stent placement was smoking. Conclusions. Of the entire range of risk factors associated with cerebrovascular disease, tobacco use is the factor most strongly associated with a patient with carotid disease ending up in endovascular treatment. So prevention or lifestyle modification is the best tool to avoid these outcomes. VL - 6 IS - 1 ER -
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