title: Incidental visceral and renal artery stenosis in patients undergoing coronary angiography.
abstract: OBJECTIVE
  The study aimed to examine the association between incidentally discovered mesenteric artery stenosis, renal artery stenosis (RAS) and coronary artery disease in patients undergoing coronary angiography.
  
  
  METHODS
  We performed a prospective analysis of consecutive patients undergoing routine cardiac catheterisation. Abdominal aortograms in lateral and antero-posterior view were obtained to assess arterial stenosis of the coeliac axis, superior mesenteric artery and renal arteries. Significant arterial stenosis was defined as a narrowing of at least 50% compared with the normal artery. Demographic data and cardiovascular risk factors were analysed.
  
  
  RESULTS
  The prevalence of visceral artery stenosis (VAS) was 63/450 (14%) including 48/450 (10.6%) cases of coeliac axis stenosis and 15/450 (3.3%) cases of superior mesenteric artery stenosis. Female sex (p = 0.01), older age (p = 0.03) and the presence of coronary artery disease (p = 0.05) were significant predictors for the presence of VAS in univariate analysis. The determinants for VAS in multivariate analysis were female sex and three-vessel coronary artery disease, while two- and three-vessel coronary artery disease was significant for RAS.
  
  
  CONCLUSIONS
  Screening for VAS and RAS in female patients older than 60 years with more than two diseased coronary segments could have a high diagnostic value.
authors.affiliation: Service de Chirurgie Cardiovasculaire, Centre Hospitalier Universitaire de Saint-Etienne, France. serban.bageacu@chu-st-etienne.fr
authors.forename: S
authors.initials: S
authors.lastname: Bageacu
authors.forename: A
authors.initials: A
authors.lastname: Cerisier
authors.forename: K
authors.initials: K
authors.lastname: Isaaz
authors.forename: A
authors.initials: A
authors.lastname: Nourissat
authors.forename: X
authors.initials: X
authors.lastname: Barral
authors.forename: J-P
authors.initials: JP
authors.lastname: Favre
mesh_terms: D000367:Age Factors; D000368:Aged; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000453:epidemiology; D016009:Chi-Square Distribution; D003251:Constriction, Pathologic; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications / Q000000981:diagnostic imaging* / Q000453:epidemiology; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D033162:Incidental Findings; D016013:Likelihood Functions; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D015995:Prevalence; D011446:Prospective Studies; D012078:Renal Artery Obstruction / Q000150:complications / Q000000981:diagnostic imaging* / Q000453:epidemiology; D018570:Risk Assessment; D012307:Risk Factors; D012720:Severity of Illness Index; D012737:Sex Factors; D014781:Viscera / Q000098:blood supply*