Repository logo
 
Publication

Morphological Changes of the Internal Carotid Artery: Prevalence and Characteristics. A Clinical and Ultrasonographic Study in a Series of 19 804 Patients Over 25 Years Old

2018Journal article Open access
Simple item page
dc.contributor.authorMartins, H
dc.contributor.authorMayer, A
dc.contributor.authorBatista, P
dc.contributor.authorSoares, F
dc.contributor.authorAlmeida, V
dc.contributor.authorPedro, AJ
dc.contributor.authorOliveira, V
dc.date.accessioned2023-03-01T12:23:18Z
dc.date.available2023-03-01T12:23:18Z
dc.date.issued2018
dc.description.abstractBackground and purpose: Morphological changes of the internal carotid arteries (McICA) are frequently found during cervical ultrasound studies. However, the etiology of McICA remains controversial. During this study, the prevalence and demographic characteristics of McICA, such as kinking, coiling or looping identified by Doppler ultrasound, were analysed and its relationship with vascular risk factors and stroke was assessed. Methods: A retrospective study was performed by analysing 19 804 patients who were subjected to cervical ultrasonographic study between January 2000 and June 2012. The data were statistically analysed with SPSS® 20 and a multivariate logistic regression was performed. Statistical significance was accepted for P < 0.05 and 95% confidence intervals (CIs) were used. Results: Morphological changes of the internal carotid arteries were present in 2678 patients (13.5%) and were unilateral in 61.6% of these cases. Carotid kinking was found in 80% of the patients, coiling in 16% and looping in 1%. In multivariate analysis, the presence of McICA was related to older groups (1.04; 95% CI, 1.04-1.05; P < 0.01), female gender (1.78; 95% CI, 1.64-1.94; P < 0.01), patients with hyperlipidemia (1.28; 95% CI, 1.17-1.40; P < 0.01), carotid thickness (1.22; 95% CI, 1.13-1.33; P < 0.01) and cardiac or cardioembolic disease (1.11; 95% CI, 1.01-1.21; P = 0.02). The results of this study indicate that kinking in the carotid artery was associated with ipsilateral cerebral ischemic events (1.43; 95% CI, 1.040-1.958; P < 0.05). Conclusion: Morphological changes of the internal carotid arteries were associated with aging, female gender and patients with hyperlipidemia, hypertension, diabetes and heart disease. Kinking was associated with ipsilateral cerebral ischemia.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEur J Neurol . 2018 Jan;25(1):171-177.pt_PT
dc.identifier.doi10.1111/ene.13491.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4428
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWileypt_PT
dc.subjectHSJ MEDpt_PT
dc.subjectAdultpt_PT
dc.subjectAgedpt_PT
dc.subjectAged, 80 and overpt_PT
dc.subjectAgingpt_PT
dc.subjectFemalept_PT
dc.subjectMalept_PT
dc.subjectHumanspt_PT
dc.subjectMiddle Agedpt_PT
dc.subjectBrain Ischemia / diagnostic imagingpt_PT
dc.subjectCarotid Artery, Internal / anatomy & histologypt_PT
dc.subjectCarotid Artery, Internal / diagnostic imaging*pt_PT
dc.subjectCarotid Artery, Internal / growth & development*pt_PT
dc.subjectCarotid Intima-Media Thicknesspt_PT
dc.subjectDiabetes Complications / epidemiologypt_PT
dc.subjectHeart Diseases / epidemiologypt_PT
dc.subjectHyperlipidemias / complicationspt_PT
dc.subjectHypertension / complicationspt_PT
dc.subjectImage Processing, Computer-Assistedpt_PT
dc.subjectPrevalencept_PT
dc.subjectRetrospective Studiespt_PT
dc.subjectSex Characteristicspt_PT
dc.subjectUltrasonographypt_PT
dc.titleMorphological Changes of the Internal Carotid Artery: Prevalence and Characteristics. A Clinical and Ultrasonographic Study in a Series of 19 804 Patients Over 25 Years Oldpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage177pt_PT
oaire.citation.startPage171pt_PT
oaire.citation.titleEuropean Journal of Neurologypt_PT
oaire.citation.volume25pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Eur J Neurol 2018.pdf
Size:
584.99 KB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

MED - Artigos