Brachial–Ankle Pulse Wave Velocity as a Predictor of Silent Cerebral Embolism after Carotid Artery Stenting

Murakami, Tomoaki; Nakamura, Hajime; Nishida, Tomomi; Ozaki, Tomohiko; Asai, Katsunori; Kidani, Tomoki; Kadono, Yoshinori; Sakaguchi, Manabu; Yoshimine, Toshiki; Kishima, Haruhiko

doi:10.1016/j.jstrokecerebrovasdis.2017.05.021

Cited by 7 publications

(7 citation statements)

References 32 publications

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“…However, the complications of thromboembolism after neuroendovascular therapy still represent a major problem. We have recently reported that severe arterial stiffness was predictive of cerebral thromboembolisms after carotid artery stenting [7]. Therefore, it was important in the present study to assess arterial stiffness before neuroendovascular therapy.…”

Section: Introductionmentioning

confidence: 92%

“…Brachial-ankle pulse wave velocity was performed as previously described [7]. BaPWV was measured with a volume-plethysmographic apparatus (BP-203RPE III; Colin-Omron, Co., Ltd., Tokyo, Japan).…”

Section: Bapwv Measurementmentioning

confidence: 99%

“…RESULTS progressed arterial stiffness. If there is heavy arterial tortuosity and many plaques in the access route, the risk of thromboembolism by catheter manipulation is predicted to increase [7]. BaPWV is a proven method for the assessment of arterial stiffness.…”

Section: Statistical Analysesmentioning

confidence: 99%

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Assessment of Arterial Stiffness Index Calculated from Accelerated Photoplethysmography

Murakami¹,

Asai²,

Kadono³

et al. 2019

Artery Res

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Objective: An Arterial Stiffness Index (ASI) can be obtained by measuring finger photoplethysmogram using the SB200 pulse oximeter, giving a level between 1 and 6. However, it was unclear whether this method accurately reflected arterial stiffness. Brachial-Ankle Pulse Wave Velocity (baPWV) is an established method for the assessment of arterial stiffness, allowing us to compare baPWV and our own ASI. Methods: We retrospectively collected data from 18 patients scheduled for neuroendovascular therapy in the Department of Neurosurgery at Osaka University Hospital between March 2016 and December 2016, for whom both baPWV and SB200 measurements were performed prior to their procedure. This allowed us to assess the relationship between the ASI and the baPWV. We defined patients with an ASI ≥ 3 on the SB200 as the progressed arterial stiffness group, while patients with a level of ≤2 were considered normal. BaPWV was compared across the two groups. We also analyzed the receiver operating characteristic curve for predicting baPWV values ≥ 1700 cm/s by the ASI measurement. Results: The progressed arterial stiffness group showed significantly higher baPWV values (p = 0.0087). The area under the curve for the ASI was 0.84. The ASI of 3 had a sensitivity of 71.4% and a specificity of 90.1% for predicting baPWV ≥ 1700 cm/s. Conclusion: We conclude that the non-invasive and portable SB200 device successfully measured arterial stiffness.

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Section: Introductionmentioning

confidence: 92%

Section: Bapwv Measurementmentioning

confidence: 99%

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Assessment of Arterial Stiffness Index Calculated from Accelerated Photoplethysmography

Murakami¹,

Asai²,

Kadono³

et al. 2019

Artery Res

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“…11 In a small study of patients that underwent carotid artery stenting, baPWV was found to be an independent predictor of future silent cerebral embolisms. 12 In more than 1557 patients with acute stroke, baPWV values >23.64 m/s were associated with higher mortality compared with patients with lower values. 13 Last, increase in baPWV of 1 standard deviation was related with a 59% risk increase for major CV events among patients with a history of at least two CV events.…”

mentioning

confidence: 95%

“…In patients with non‐ST‐elevation myocardial infarction, major CV events and CV mortality were higher in patients with high baPWV (17 m/s) compared with patients with lower values . In a small study of patients that underwent carotid artery stenting, baPWV was found to be an independent predictor of future silent cerebral embolisms . In more than 1557 patients with acute stroke, baPWV values >23.64 m/s were associated with higher mortality compared with patients with lower values .…”

mentioning

confidence: 98%

Peripheral arterial stiffness as a surrogate of central hemodynamics: A new era for cardiovascular risk estimation?

Doumas

Imprialos

Stavropoulos

et al. 2018

J of Clinical Hypertension

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He who cures a disease may be the skill fullest, but he that prevents it is the safest physician. -Thomas Fuller 1608- 1661, English Clergyman and Historian.This comment, made by one of the most emblematic personalities of the 17th century, highlights the widely accepted opinion of preventing, rather than curing, a disease. Prevention of cardiovascular (CV) disease, the leading cause of death worldwide, 1 remains a challenging aspect in clinical practice and requires the timely recognition of patients at risk for CV events. Arterial hypertension, diabetes mellitus, dyslipidemia, and obesity, along with other traditional risk factors, have been identified as strong and independent predictors of CV disease; however, even these established risk factors fail to fully predict CV events. 2 Research efforts have been emphasizing in unveiling novel CV risk factors that alone, or in combination, could offer a better stratification of CV risk. For a marker to be established as a valid risk factor, strong data indicating an independent association between the marker and CV morbidity and mortality, along with evidence supporting the marker's ability to predict CV events beyond traditional risk factors, is needed. More importantly, the management of emerging risk factors should offer reduction in CV outcomes. Nonetheless, a number of studies have demonstrated an association between increased baPWV and CV morbidity and mortality in several populations. The Hisayama study followed more than 2900 subjects free of CV disease for more than 7 years. It was found that a 20% increase in baPWV was associated with a 1.3-fold risk increase for CV events after adjustment for potential risk factors. 6 Similarly, another population-based prospective cohort study showed that among 4164 patients without a history of CV disease, baPWV was an independent predictor of future CV events, and values >18 m/s were associated with a 1.7-fold risk increase for CV events compared with patients with PWV lower than 18 m/s. 7 The J-TOPP trial evaluated the association of baPWV with the incidence of CV disease in 662 hypertensive subjects. Patients with high, compared with low, baPWV had more CV events and less 8-year cardiovascular-free survival rates. Similarly, a sub analysis of the CSPPT trial unveiled that among 3310 hypertensive patients, the risk for stroke was significantly higher in patients with baPWV at the highest quartile compared with those in the lower quartiles. 9 Important information comes from a sub-analysis of the IMPACT-ABI registry evaluating the association between baPWV

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Hematological predictors of silent new cerebral ischemic lesions in carotid artery stenting: A retrospective study

Altunova,

Demir,

Gulmez

et al. 2024

Journal of Clinical Neuroscience

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Brachial–Ankle Pulse Wave Velocity as a Predictor of Silent Cerebral Embolism after Carotid Artery Stenting

Cited by 7 publications

References 32 publications

Assessment of Arterial Stiffness Index Calculated from Accelerated Photoplethysmography

Assessment of Arterial Stiffness Index Calculated from Accelerated Photoplethysmography

Peripheral arterial stiffness as a surrogate of central hemodynamics: A new era for cardiovascular risk estimation?

Hematological predictors of silent new cerebral ischemic lesions in carotid artery stenting: A retrospective study

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