Peripheral arterial occlusive disease complicating asymptomatic carotid stenosis

VernacularTitle:下肢动脉硬化闭塞症合并无症状性颈动脉狭窄229例
Author: Hua ZHANG ; Zhongjie PAN ; Qi ZHAO ; Li LI
Publication Type:Journal Article
Keywords: Arterial occlusive diseases; Carotid stenosis; Ultrasonography,Doppler
From: Chinese Journal of General Surgery 2014;29(8):607-609
CountryChina
Language:Chinese
Abstract: Objective To evaluate the incidence of asymptomatic carotid stenosis (ACS) in patients with peripheral arterial occlusive disease (PAOD) who was admitted for revascularization.Methods 229 PAOD patients were evaluated by carotid ultrasound preoperatively and divided into severe ACS group (ACS ≥ 70％) and non severe ACS group (ACS ＜ 70％).The clinical characteristics and associated risk factors of the two groups were analyzed.Results The incidence of severe ACS was 19.7％,age,blood pressure,total cholesterol and fibrinogen levels in severe ACS group were significantly higher than those in non-severe ACS group (P ＜ 0.05),the more severe the symptoms of PAOD are,the higher is the incidence of severe ACS.Age,hypertension and hypercholesterolemia were all predictors of severe ACS.Conclusions The severity of PAOD is positively correlated with the incidence of severe ACS.Age,hypertension and hypercholesterolemia are independent risk factors for severe ACS.