Duplex Study of Carotid Artery in Patient With Ischemic Stroke at European Modern Hospital Sana'a. Yemen Dr. Hussein Salem Ahmad Bamafroosh *
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Abstract
Background: Cerebral ischemic stroke is life‑threatening and debilitating neurological disease. Studies have shown that there is a close relationship between carotid artery stenosis and ischemic cerebral vascular disease. This study was done to assess the carotid artery abnormality with the help of color Doppler sonography and to correlate cerebrovascular accidents.
Patients and Methods: retrospective study was carried out on 151 patients with ischemic stroke. Risk factors such as hypertension, diabetes mellitus,smoking, ischemic heart disease(IHD) ,dyslipidemia and age were documented. The data gathered from color Doppler examination consisted of any carotid artery abnormalities as intimal thickening ,stenosis, and plaque .
Statistical Analysis Used: The collected data were analyzed and presented in the form of tables ,figures, wherever necessary.
Results: There are 103 patient have abnormality in carotid artery which is common in male{ 69 patient (67%)} . The abnormalities are :( 65%) plaque, (36%) stenosis, (15%) intimal thickening & ( 2%) complete occlusion), 59% of the stenosis are significant (i.e. >50% stenosis) .The abnormality is common in the age group of (60 – 69 ) which has a significant association, 76.5 % of Hypertension & 59.5% of IHD has abnormal carotid artery with significant association also .
Conclusion: The duplex abnormality of carotid artery detected by carotid Doppler in the form of plaque ,stenosis, & intimal thickening is common in ischemic stroke and associated significantly with hypertension , old age and IHD as risk factors, and may help in guide of the management of patient.
Key words: carotid artery stenosis , ischemic stroke ,carotid intima-medial thickening (CIMT) ,duplex abnormality
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References
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