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Prevalence of concomitant atherosclerotic arterial diseases in patients with significant cervical carotid artery stenosis in Taiwan

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Abstract

Backgrounds

Atherosclerotic stenosis of extracranial carotid arteries is an important cause of ischemic stroke in Taiwan, an ethnic Chinese population. Concurrent atherosclerotic arterial disease is an important issue in the management of patients with carotid stenosis, but its prevalence and extent are unknown.

Methods

One hundred and sixty-three consecutive patients with angiographically proven significant cervical carotid artery stenosis (≥50% stenosis) were enrolled in this study. Angiography was done to document concurrent coronary, renal, and limb artery stenosis. Clinical symptoms and signs were also correlated with the angiographic findings.

Results

One or more significant concurrent arterial stenotic disease was found in 73% of the patients. The most frequent were coronary artery disease, found in 68% of the patients, while renal artery stenosis and limb artery stenosis were found in 20% and 21% of the patients, respectively. Age, diabetes, history of angina pectoris, intermittent claudication, and asymmetric arm blood pressures were significantly associated with the presence of concurrent arterial stenosis. However, 41% of the patients with concurrent coronary artery disease did not have any clinical symptoms or history of myocardial infarction.

Conclusions

Our data indicated that concurrent advanced and extensive arterial disease is common in patients with significant cervical carotid stenosis, and also suggest the importance of global evaluation of systemic atherosclerosis in these patients to achieve optimal management.

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Authors and Affiliations

  1. Cardiology Section, Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Chung-Shan South Rd, Taipei, 10002, Taiwan, ROC

    Yen-Wen Wu, Yen-Hung Lin, Chia-Lun Chao & Hsien-Li Kao

  2. Department of Nuclear Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan, ROC

    Yen-Wen Wu

  3. Cardiology Section, Department of Internal Medicine, National Taiwan University Hospital Yun-Lin Branch, Yun-lin, Taiwan, ROC

    Mao-Shin Lin

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  1. Yen-Wen Wu
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  2. Mao-Shin Lin
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  3. Yen-Hung Lin
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  4. Chia-Lun Chao
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  5. Hsien-Li Kao
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Correspondence to Hsien-Li Kao.

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Wu, YW., Lin, MS., Lin, YH. et al. Prevalence of concomitant atherosclerotic arterial diseases in patients with significant cervical carotid artery stenosis in Taiwan. Int J Cardiovasc Imaging 23, 433–439 (2007). https://doi.org/10.1007/s10554-006-9180-x

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  • DOI: https://doi.org/10.1007/s10554-006-9180-x

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