Author/Editor		Menih, Marija
Title		Ultrasonografske značilnosti karotidnih arterij in dejavniki tveganja za možgansko kap pri bolnikih pred operacijo na odprtem srcu
Type		monografija
Place		Ljubljana
Publisher		Univerza v Ljubljani, Medicinska fakulteta
Publication year		2006
Volume		str. 56
Language		slo
Abstract		Background. The aims of this prospective study were to determine: 1. the prevalence of carotid artery disease in patients undergoing coronary artery bypass grafting and valve replacement 2. the association of risk factors with the severity of carotid artery disease and with the coronary artery disease 3. whether the presence of neck bruit is associated with the carotid artery disease 4. the risk of postoperative complications (stroke and death) in patients with concomitant critical carotid and coronary artery disease. Patients and methods. We analysed the clinical and laboratory data of 93 patients undergoing coronary artery bypass grafting (CABG) and valve replacement (VR) in the last 2 years between January 2004 and December 2005. 93 patients were included in this study, 67 were men and 26 women. The average age of patients was 67,8 years, the youngest had 40 years, the oldest patient had 81 years. We analysed the following data for all the patients: age, sex, hypertension, hyperlipidemia, diabetes, carotid bruit, the presence of peripheral arterial obliterative disease and their association with the severity of carotid and coronary artery disease. We pertormed Doppler ultrasonography of common carotid artery (CCA), internal carotid artery (ICA) and external carotid artery (ECA) for all the patients with 5 - 10 MHz probe on 3 D ultrasonic device Voluson 530D. According to the results of US, the patients were divided into four different groups: I. in the first group were patients with normal ICA and with stenosis of ICA < 30% II. in the second group were patients with ICA stenosis 30 - 50%, I I I. patients with ICA stenosis 50 - 70%, IV. patients with ICA stenosis > 70%. The patients were also examinated for the presence and propagation of carotid bruit. For statistical data analysis the following statistical methods were used: arithmetic mean, standard deviation, ordinal and logistic regression analysis. (Abstract truncated at 2000 characters)
Descriptors		CAROTID STENOSIS CEREBRAL INFARCTION MYOCARDIAL REVASCULARIZATION HEART VALVE PROSTHESIS CORONARY ARTERY BYPASS EXTRACORPOREAL CIRCULATION DIABETES MELLITUS HYPERTENSION HYPERLIPIDEMIA ARTERIAL OCCLUSIVE DISEASES PROSPECTIVE STUDIES