Correlation of clinical history with quantitative histology of lower extremity atheroma biopsies obtained with the Simpson atherectomy catheter.

Abstract:

:The purpose of this study was to compare the histologic variability of atheromas resected from patients with various risk factors for vascular disease. Twenty-seven plaques obtained using the Simpson atherectomy catheter were studied. The results of this light and electron microscopic study indicate that patients with diabetes mellitus had increased numbers of smooth muscle cells in their plaques (P less than 0.05) and a trend toward denser, less fatty connective tissue matrix (P less than 0.07) when compared with non-diabetics, and that female diabetics had more smooth muscle cells in their plaques than male diabetics (P less than 0.05). The female patients, regardless of risk factors, had more smooth muscle cells in their plaques than male patients (P less than 0.004). Patients with poor distal runoff had more neovascularization of plaque (P less than 0.001). Tobacco use and age did not have statistically significant correlations with histologic patterns.

journal_name

Atherosclerosis

journal_title

Atherosclerosis

authors

Barbano EF,Newman GE,McCann RL,Hackel DB,Stack RS,Palmos LE,Mikat EM

doi

10.1016/0021-9150(89)90222-0

subject

Has Abstract

pub_date

1989-08-01 00:00:00

pages

183-96

issue

2-3

eissn

0021-9150

issn

1879-1484

pii

0021-9150(89)90222-0

journal_volume

78

pub_type

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