[Prevalence of carotid arteries atherosclerotic changes in ischemic stroke patients].
The aim of our study was to investigate prevalence, characteristics and extensiveness of CA plaques in acute stroke using high-resolution B-mode USG.


METHODS
USG of CA was performed with a 7.0-MHz Duplex-type scanner Acuson 128 XP/10 C. We examined 149 patients aged 26-95 years, with acute ischemic stroke, consecutively admitted to our Department. Atheromatous plaques morphology was determined using the HSP Classification (H--Hemodynamic characteristics, S--Surface plaque, P--Plaque echogenics).


RESULTS
An extracranial carotid disease (CCA, ICA, ECA) was found in 85 (57%) patients, while 67 (45%) patients had atheromatous changes in ICA. Bilateral ICA plaques were found in 22 (15%) patients, and unilateral--in 45 (30%) patients. In 17 (11%) patients plaques were associated with artery occlusion (in 16 cases ipsilateral to the stroke site, and in 1 case--contralateral). No bilateral occlusion of ICA was observed. In 6 (4%) patients stenosis (ranging from 60 to 99%) was found in only one ICA, while in 4 (2.7%) cases there was also contralateral stenosis < 60%. In 4 patients a contralateral occlusion was present. Ulcerated plaques were noted in 22 (15%) patients--in 18 cases ipsilateral to the stroke, and in the remaining 4--contralaterally. None of the patients had a bilateral ulceration.


CONCLUSIONS
Atheromatous ICA changes were found in 45% of the patients under study. However, these plaques may be the cause of cerebral ischemia associated with a high-grade stenosis, occlusion or ulceration ipsilateral to the stroke site in 15.45% of the patients only.
Nowaczenko
Marek
M
II Kliniki Neurologii Instytutu Psychiatrii i Neurologii w Warszawie.
Sarzyńska-Długosz
Iwona
I
Członkowska
Anna
A
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001921:Brain / Q000098:blood supply; D002545:Brain Ischemia / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000503:physiopathology; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000453:epidemiology*; D002342:Carotid Artery, External / Q000000981:diagnostic imaging / Q000503:physiopathology; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000503:physiopathology; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000503:physiopathology; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012720:Severity of Illness Index; D014463:Ultrasonography