1.Result of studying lower extremity arterial occlusive disease by CTA-TASC classification of aorta-iliac and femoral popliteal lesions
Badamsed Ts ; Jargalsaikhan S ; Delgertsretseg D ; Tsetsegmaa B ; Sodgerel B ; Bayaraa T ; Galsumiya L ; Natsagdorj U ; Pilmaa Yo
Mongolian Medical Sciences 2021;197(3):52-58
Background:
Lower extremity arterial diseases are chronic stenosis of the artery and occlusive arterial diseases,
which are commonly caused by atherosclerosis. Prevalence of lower extremity arterial diseases has
positive proportional relationship with age of the patients. Furthermore, prevalence of lower extremity
arterial disease is 16% among the males over the age of 60, whereas prevalence among same aged
woman is 13%. Among the age group of 38 to 59 age, 60 to 69 age and 70-82 age group, prevalence
of lower extremity arterial disease was 5.6%, 15.9%, and 33.8%, respectively.
Goal:
Identifying lower extremity arterial occlusive disease and chronic stenosis of arteries by CTA-TASC
classification of aorta-iliac and femoral popliteal lesions.
Obiective:
1. To identify age and sex of the patients with lower extremity arterial occlusive disease and chronic
stenosis of arteries.
2. To identify lower extremity arterial occlusive disease and chronic stenosis of arteries by CTA-TASC classification of aorta-iliac and femoral popliteal lesions.
Material and methods:
Study sample consisted of 237 patients, who were diagnosed with lower extremity arterial occlusive
disease and chronic stenosis of arteries from 2019 to 2020 at reference centre on Diagnostic Imaging
na after R.Purev State Laureate, People’s physician and Honorary professor of the State Third Central
Hospital. Computed angiogram images of lower extremity arteries were examined. Contrast agent
“Ultravist” was pumped by automatic syringe. Lower extremity arterial occlusive disease and chronic
stenosis of arteries are categorized by CTA-TASC classification of аorta-iliac and femoral popliteal
lesions. The youngest participant was 20 years old and the oldest participant was 76 years old.
Common statistical measurements such as means and standard errors were calculated. Probability
of results were checked using Student’s test.
Results:
We have found following results: 185(78.1%±3.0) cases out of 237 diagnosed patients with lower
extremity arterial occlusive disease and chronic stenosis of arteries are males and 52(21.9%±3.0)
cases are female. Distribution of lower extremity arterial occlusive disease and chronic stenosis of
arteries by the age group of patients are: up to 20 years of age is 3 (1.3%±0.7), 21 to 40 years of age
is 14(5.9%±1.5), 41 to 60 years of age is 86(36.3%±3.1) and over the age of 61 is 134(56.5%±3.2).
It is statistically highly significant that experiencing lower extremity arterial occlusive disease and
chronic stenosis of arteries among the age group of over 61(P<0.001).
The result of lower extremity arterial occlusive disease and chronic stenosis of arteries by the CTA-TASC classification of aorta-iliac and femoral popliteal lesions are: CTA-TASS аorta-iliac lesions
A-16(6.8%±1.8), B-8(3.4%±1.2), C-12(5.1%±1.4), D-41(17.3%±2.5), CTA-TASS femoral popliteal
A-41(17.29%±2.5), B-53(22.36%±3.6), C-47(19.83%±2.6), D-96(40.5%±3.2), respectively.
Conclusions
1. Lower extremity arterial occlusive disease and chronic stenosis of arteries occurs 46.5% over the
age of 60 and 78.1% of the patients are males.
2. Following two categories have identified more than the rest, 17.3% CTA-TASC classification of
аorta-iliac lesions, type D and 23.3% CTA-TASC classification of femoral popliteal lesions, type D.
2.Coronary computed tomography angiography (CCTA) signs of unstable plaques of coronary artery disease
Badamsed Ts ; Delgertsretseg D ; Jargalsaikhan S ; Erdenechimeg E ; Sodgerel B ; Bayaraa T ; Galsumiya L ; Natsagdorj U ; Pilmaa Yo
Mongolian Medical Sciences 2021;197(3):48-51
Background:
The American Heart Association estimates that more than 1 million people die each
year from acute coronary heart disease and half a million from acute coronary syndrome, and
that $ 115 billion a year is spent on diagnosing and treating coronary heart disease [Word Health
Organization, 2013].
Goal:
In this study we aimed to using coronary computed tomography angiography (CCTA) to
diagnose unstable plaques in coronary artery disease.
Material and methods:
From 2018 to 2021, we performed a coronary computed tomography
angiography (CCTA) scan with a Philips Ingenuity 64-slice computed tomography (64 MD-CT)
device and examined 47 patients diagnosed with unstable coronary artery disease at the Reference
centre on Diagnostic Imaging named after R.Purev State Laureate, People’s physician and Honorary
professor of the State Third Central Hospital.
Common statistical measurements such as means and standard errors were calculated. Probability
of results were checked using Student’s test.
Result:
In studying signs of coronary computed tomography angiography (CCTA) to diagnose unstable
plaques in coronary artery disease that coronary artery diameters more widening to compared healthy
artery 16(34.0%±6.9), low density sites clarify in plaque (lower than +30HU)- 14(29.8%±6.7), small
calcification detect in plaque 36 (74.5%±6.4), ring liked additional density (lower than +130 HU)
sees in edge of plaque (Halo sign)-9(19.2%±5.8), plaque edge roughness, erosion liked changes- 18
(38.3%±7.1), rupture of intima (dissection)- 8(17.0%±5.5).
Conclusion
We detect that computed tomography angiography (CCTA)’s specific signs of unstable
plaque of coronary artery disease are coronary artery diameters widening, low density sites clarify in
plaque (lower than +30HU), small calcification detect in plaque, ring liked additional density (lower
than +130 HU) sees in edge of plaque (Halo sign), plaque edge roughness, erosion liked changes
and rupture of intima.