Color doppler assessment of extra cranial carotid arteries in carotid artery disease with correlation of risk factors in predicting cerebro vascular accident in patients with carotid atheromatous disease

Bollipo, Johny Prasad; Rao, Pasupuleti Bhimeswara

doi:10.18203/2349-3933.ijam20184718

Cited by 3 publications

(14 citation statements)

References 7 publications

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“…The present study is also in accordance with Noor ul hadi et al [10] , Bollipo JP [11] et al, SK Sethi et al [12] , and Fernandes et al [13] , all of which showed the most common age group to be involved being 61 -70 years. [12] Noor Ul Hadi (n = 100) 2009…”

Section: Ischemic Stroke -Demographics and Risk Factorssupporting

confidence: 92%

“…2 patients showed Complete carotid occlusion fulfilling the criteria laid down by Erickson SJ et al [33] 3 patients in the present study were found to have near total occlusion. (Graph 10) Laith Ahmed et al [14] Bollipo JP et al [11] The present study correlated with the Bollipo JP et al [11] where the predominant patients were the ones with mild stenosis. In the studies done by Laith Ahmed et al [14] and Noor Ul Hadi et al [10] majority of the patients belonged to the category of <50% stenosis (Table 15) AbuRahma et al [34] did a critical appraisal of the established criteria for the quantification of carotid stenosis by SRU consensus 27 .…”

Section: Degree Of Stenosis In Patients With Atherosclerotic Plaquesupporting

confidence: 85%

“…(Table 2). Bollipo JP et al [11] study showed 82% of the patients had atherosclerotic plaque disease. The present study correlated to the Noor Ul Hadi et ~ 115 ~…”

Section: Plaque Characteristicsmentioning

confidence: 94%

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Role of Colour Doppler Ultrasonography of Extracranial Carotid Vessels in Ischaemic Stroke

Gujjula¹,

Tula²,

Raj³

et al. 2021

Int. J. Radiol. Diagn. Imaging

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Stroke is classically characterized as a neurological deficit attributed to a vascular cause causing an acute focal injury of the central nervous system (CNS). Stroke is one the leading causes of disability, dementia and death worldwide. The aim of our study is to evaluate carotid arteries of stroke patients with colour doppler ultrasonography and comparison of the results of study with available literature. Material and Methods: This prospective study was approved by the Institutional ethics board and was carried out on 80 patients who presented with complaints of cerebrovascular accident to the Department of Radiodiagnosis at Kamineni Institute of Medical Sciences between June 2019 to February 2020. Written informed consent was obtained from the patients and their family members. Following a detail history and physical examination, a CT scan of the head was performed on a Toshiba Asterion 16-slice CT Imager. Patients then underwent Colour Doppler ultrasonography of bilateral extracranial vessels and all the findings were documented. Patients with hemorrhagic stroke, established carotid artery stenosis, vertebrobasilar insufficiency and those with multiple complicated carotid artery plaques were excluded. Results: 80 patients were included in the study with 61-70 years being the most commonly affected age group. Many of the patients had varying degrees of atherosclerotic and non-atherosclerotic carotid disease. 70% of the patients showed unilateral carotid plaque disease whilst 30% accounting to bilateral disease. A total of 83 plaques were evaluated for location, morphology and degree of stenosis with the most common location of the plaque was at carotid bulb in ~47% followed by 31% in CCA, 20% in ICA and 1.2% in ECA. Based on morphology, plaques were divided into 5 types. Of these Type I and Type II were the most predominant accounting to 30% and 26.5% respectively. Majority of the patients had a stenosis of <50% and severe stenosis was seen in only 15% of the patients. Conclusion: Carotid Duplex Ultrasonography still remains the first line modality of choice in evaluation of carotids despite availability of other investigations like MR or CT conventional angiography. In addition to identifying the presence of the carotid artery disease and assessing the degree of stenosis, it very useful in localization of the plaque and determining it's extent and morphological features.

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Section: Ischemic Stroke -Demographics and Risk Factorssupporting

confidence: 92%

Section: Degree Of Stenosis In Patients With Atherosclerotic Plaquesupporting

confidence: 85%

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Role of Colour Doppler Ultrasonography of Extracranial Carotid Vessels in Ischaemic Stroke

Gujjula¹,

Tula²,

Raj³

et al. 2021

Int. J. Radiol. Diagn. Imaging

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“…8,11,15 The common clinical presentation of the study patients was right sided hemiparesis (38.3%), left sided hemiparesis (34.2%), motor aphasia (21.7%), loss of consciousness (21.7%), TIA (17.5%) and facial deviation (17.5%). Hemiparesis (predominantly right sided) followed by aphasia and loss of consciousness were similarly the commonest manifestation by Pathak et al 8 , Fernandes et al 11 , and Bollipo et al 14 No abnormal findings were seen in 15% in brain neuroimaging. Lacunar infarcts (34.2%) were the most common findings followed by MCA infarct (30%), ACA infarct (10.8%) and posterior circulation infarct (10%).…”

Section: Discussionmentioning

confidence: 85%

“…However, maximum number of patients belonged to even younger age group of 51-60 years according to Haq et al1 3 About 7.5% were young stroke patients, aged <40 years in the current study. Even more, i.e., 12% patients were aged below 40 in the study by Bollipo et al 14 Conventional risk factors in the study participants were hypertension (80%), diabetes (62.5%), dyslipidemia (51.7%) and actively smoking (86.6%). These were the independent risk factors of ischemic stroke in previous published studies as well.…”

Section: Discussionmentioning

confidence: 87%

Study of Carotid doppler in Patients with ischemic stroke

Gyawali

Sharma

Karki

2021

J. Brain Spine Fdn Nep.

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Introduction: Stroke is one of the major causes of increased morbidity and death. Large-vessel atherosclerosis of intracranial and extra cranial carotid vessels is an important cause of ischemic stroke. This research was undertaken to study the carotid Doppler findings in patients with acute ischemic stroke. Methods: A hospital-based prospective cross-sectional study was conducted from January 2020 till December 2020 in the department of Radio diagnosis and Imaging at Manipal Teaching Hospital, Pokhara, Nepal. Neuro-imaging and carotid Doppler findings in patients with ischemic stroke were studied. Data analysis was done using SPSS 20. Results: The mean age of subjects with ischemic stroke was 64 ± 13.4 years with the majority of cases in the age group of 51-70 years of age with male predominance (M: F= 3: 2). Lacunar infarcts (34.2%) were the most common findings followed by MCA infarct (30%) and ACA infarct (10.8%). Carotid plaques were seen in 43.3% patients. Bilateral ICA atheromatous plaque was seen in 48.1% of patients. Carotid bulb was the common site for plaque formation. Type III plaque was the commonest type. Significant ICA stenosis > 50 % was observed in 24.2% patients. Age >50 years, male sex, smoking, hypertension, diabetes, and hyperlipidemia were important risk factors. Conclusion: Carotid artery Doppler demonstrated atherosclerotic plaques and significant stenosis in patients with ischemic stroke. Increasing age >50 years, male sex, smoking, hypertension, diabetes, and hyperlipidemia were associated with an increased rate of atherosclerosis, carotid stenosis and ischemic stroke.

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Study the carotid Doppler and computed tomography of head in ischemic stroke patients

Tilchan Pandey,

Jeevan Khanal,

Shami Pokhrel

et al. 2024

Asian J Med Sci

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Background: A stroke is an episode of acute neurological dysfunction from either ischemic infarction or a collection of blood within the brain or ventricular system with resultant focal injury of the central nervous system. The estimated global incidence of stroke is 2–3/1000 person-years, with older patients and patients with carotid artery stenosis or atrial fibrillation having the highest risk. Hence, carotid studies may help with early prevention and management in patients. Aims and Objectives: We aimed to study the prevalence of carotid artery stenosis in acute ischemic stroke and the association of risk factors. Materials and Methods: This was a descriptive study conducted in the department of internal medicine over a period of 6 months. It was carried out in 125 ischemic stroke patients’ inpatient departments. The ischemic stroke was established with history, examination, and computed tomography (CT) with carotid color Doppler study for percentage of stenosis. Results: The 47 (37.6%) stroke patients had carotid stenosis <50% and 78 (62.4%) had >50%; out of them, 32% (40) had (≥50–69%) stenosis, 24% (30) exhibited 70–99%, and 6.4% (8) reported total occlusion. In the CT brain, lacunar infarcts were found in 42 (33.6%), normal and middle cerebral artery infarcts in 27 (21.6%), anterior cerebral artery infarcts in 17 (13.6%), and posterior cerebral artery infarcts in 12 (9.6%). In clinical profiles, 75 (60%) patients presented with right-sided hemiparesis, 50 (40%) with left-sided hemiparesis, 62 (49.6%) with loss of consciousness, 28 (22.4%) with dizziness, and 31 (24.8%) with motor aphasia. Conventional risk factors include hypertension in 68 (54.4%), diabetes in 39 (31.2%), dyslipidemia in 58 (46.4%), heart disease in 65 (52%), and smoking in 51 (40.8%). In the present study, the majority of patients found carotid stenosis >50%, lacunar infarcts were the most common CT findings, and right hemiparesis was common paresis. Hypertension was the most common risk factor among others, and all were significant (P<0.05) for the stroke. Conclusion: There is a high prevalence of carotid stenosis, with >50% in ischemic stroke patients with hypertension being the most common risk factor.

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Color doppler assessment of extra cranial carotid arteries in carotid artery disease with correlation of risk factors in predicting cerebro vascular accident in patients with carotid atheromatous disease

Cited by 3 publications

References 7 publications

Role of Colour Doppler Ultrasonography of Extracranial Carotid Vessels in Ischaemic Stroke

Role of Colour Doppler Ultrasonography of Extracranial Carotid Vessels in Ischaemic Stroke

Study of Carotid doppler in Patients with ischemic stroke

Study the carotid Doppler and computed tomography of head in ischemic stroke patients

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