Exposure to Cigarette Smoke and the Carotid Arteries Calcification Index in Patients with Essential Hypertension

Gać, Paweł; Jaźwiec, Przemysław; Mazur, Grzegorz; Poręba, Rafał

doi:10.1007/s12012-016-9391-x

Cited by 8 publications

(3 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Smoking has been demonstrated to increase the total calcification index of the carotid arteries and arterial stiffness and endothelial dysfunction and is associated with poorer control of other cerebrovascular risk factors, again potentially contributing to such arterial problems. 24 Most interesting, age, diabetes mellitus, stroke mechanism (Trial of Org 10172 in Acute Stroke Treatment [TOAST]), 25 and the type of anesthesia were not significantly associated with an increased occurrence of procedural complications. A higher stroke severity (admission NIHSS score) was associated with complications in the univariate but not multivariate analysis.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Endovascular Treatment Procedural Complications in Acute Ischemic Stroke: A Single-Center Cohort Study

Maslias¹,

Puccinelli

Nannoni³

et al. 2022

AJNR Am J Neuroradiol

View full text Add to dashboard Cite

BACKGROUND AND PURPOSE: Procedural complications occur in 4%-29% of endovascular treatments in acute ischemic stroke. However, little is known about their predictors and clinical impact in the real world. We aimed to investigate the frequency and clinical impact of procedural complications of endovascular treatment and identify associated risk factors. MATERIALS AND METHODS:From 2015-2019, we retrospectively reviewed all patients with acute ischemic stroke receiving endovascular treatment within 24 hours included in the Acute STroke Registry and Analysis of Lausanne. We identified patients having an endovascular treatment procedural complication (local access complication, arterial perforation, dissection or vasospasm, and embolization in a previously nonischemic territory) and performed logistic regression analyses to identify associated predictors. We also correlated procedural complications with long-term clinical outcome. RESULTS:Of the 684 consecutive patients receiving endovascular treatment, 113 (16.5%) had at least 1 procedural complication. The most powerful predictors were groin puncture off-hours (OR ¼ 2.24), treatment of 2 arterial sites (OR ¼ 2.71), and active smoking (OR ¼ 1.93). Patients with a complication had a significantly less favorable short-term clinical outcome (D-NIHSS score of À2.2 versus À4.33, P-value adjusted , .001), but a similar long-term clinical outcome (mRS at 3 months ¼ 3 versus 2, P-value adjusted ¼ .272).CONCLUSIONS: Procedural complications are quite common in endovascular treatment and lead to a less favorable short-term but similar long-term outcome. Their association with treatment off-hours and at 2 arterial sites requires particular attention in these situations to optimize the overall benefit of endovascular treatment.ABBREVIATIONS: AIS ¼ acute ischemic stroke; EVT ¼ endovascular treatment E ndovascular treatment (EVT) with stent retrievers or the direct aspiration first-pass technique is considered the criterion standard procedure for eligible patients with acute ischemic stroke (AIS) with proximal intracranial large-vessel occlusion. 1-3 Even though complication rates of 4%-29% have been reported, 4-10 they do not eliminate its global beneficial effect.Procedural complications during EVT include local-access complications (ie, hemorrhage or arterial lesion at the access site) and cerebrovascular complications (ie, arterial dissection, embolization in a previously nonischemic territory, arterial perforation, or vasospasm). The occurrence of procedural complications carries the risk of additional diagnostic and therapeutic procedures, longer hospital stays, and increased illness, mortality, and costs.Awareness of the frequency and clinical impact of EVT procedural complications and of the independently associated risk factors could guide stroke teams in patient selection and complication's prevention during the procedure. In addition, the presence of such risk factors should intensify intraprocedural monitoring, which may permit a more proactive management of complicati...

show abstract

Section: Discussionmentioning

confidence: 99%

Predictors of Endovascular Treatment Procedural Complications in Acute Ischemic Stroke: A Single-Center Cohort Study

Maslias¹,

Puccinelli

Nannoni³

et al. 2022

AJNR Am J Neuroradiol

View full text Add to dashboard Cite

show abstract

“…Previous study has found that the average values of the total calcification of active smokers and passive smokers with essential hypertension were significantly higher than that of the patients without exposure to cigarette smoke. 25,26 In another study using high-resolution magnetic resonance imaging to evaluate the carotid atherosclerosis plaque distribution, total plaque length was significantly positively associated with the history of smoking. 27 It has been considered that the process of atherosclerotic plaque calcification presents a number of similarities with the physiological processes that occur in bone, involving both osteoblasts and osteoclasts-like arterial cells.…”

Section: Discussionmentioning

confidence: 99%

Current Smoking is a Risk Factor for the Irregular Surface and Calcification of Carotid Plaque in Men

Zhou

Yang

et al. 2021

IJGM

View full text Add to dashboard Cite

Objective: To explore whether current smoking could influence plaque characteristics and determine its correlation to the irregular surface and calcification of carotid plaque. Methods: Three hundred and seventeen patients with severe carotid atherosclerosis stenosis (SCAS) detected by color duplex flow imaging (CDFI) and confirmed by CT angiography (CTA) were recruited. The results of laboratory parameters were collected by using electronic database of the hospital. Computerized tomography (CT) scanning and high-resolution ultrasonography were performed for assessment of plaque morphology, respectively. Results: All enrolled smokers and non-smokers had no significant difference among all characteristics not related to smoking. CT scanning could efficiently identify the difference among enrolled smokers and non-smokers not only for the characteristics related to smoking but also the onsets of carotid plaque. Surface morphology was also efficiently detected by ultrasonography. Further ridge trace analysis showed that ultrasonography is efficient for diagnosis of calcified plaque compared with gold standard for plaque diagnosis. Further correlation analysis showed that ultrasonography parameters could offer reliable evidence for plaque scores, which was associated with age index. Ultrasonography parameters could efficiently differentiate plaque morphologies among enrolled smokers and never-smokers. Conclusion: Current smoking was positively associated with plaque calcification onsets, and smoking cessation could efficiently attenuate such injury. High-frequency ultrasound can clearly distinguish the details of calcification with promising clinical significance for current smoking patients.

show abstract

“…In a large prospective cohort of black adults, current smokers were also found to have greater odds of coronary artery calcification compared with never smokers [241] . Meanwhile, Gac et al reported that both active and passive smoking in patients with essential hypertension was associated with a higher calcification index of carotid arteries according to computed tomography angiography [242] .…”

Section: Cardiovascular-related Key Events Triggered By Cigarette And...mentioning

confidence: 99%

An integral perspective of canonical cigarette and e-cigarette-related cardiovascular toxicity based on the adverse outcome pathway framework

Ding

Ren

Sun

et al. 2022

Journal of Advanced Research

View full text Add to dashboard Cite

Exposure to Cigarette Smoke and the Carotid Arteries Calcification Index in Patients with Essential Hypertension

Cited by 8 publications

References 26 publications

Predictors of Endovascular Treatment Procedural Complications in Acute Ischemic Stroke: A Single-Center Cohort Study

Predictors of Endovascular Treatment Procedural Complications in Acute Ischemic Stroke: A Single-Center Cohort Study

Current Smoking is a Risk Factor for the Irregular Surface and Calcification of Carotid Plaque in Men

An integral perspective of canonical cigarette and e-cigarette-related cardiovascular toxicity based on the adverse outcome pathway framework

Contact Info

Product

Resources

About