Intra- and extracranial atherosclerotic stenosis in China: epidemiology, diagnosis, treatment and risk factors.

Abstract:

OBJECTIVE:Data regarding the cerebral atherosclerotic stenosis (CAS) and incidence of stroke are conflicting. The number of stroke patients is more than three times that from coronary heart disease in China. The main aim of this report is to review the current status of intracranial and extracranial atherosclerotic stenosis including epidemiology, diagnosis, treatment and risk factors in China. METHODS:Data was identified by searches of MEDLINE (January 1966 to December 2008), China Biological Medicine Database (CBM-disc 1979 to 2008), China National Knowledge Infrastructure (CNKI 1994 to December 2008). RESULTS:The occurrence of intracranial artery stenosis was more frequent than that of extracranial artery in the Chinese population. TCD, Doppler ultrasound, CTA, MRA and DSA techniques are established to examine intracranial and extracranial atherosclerotic stenosis in China. Evidence-based treatments and CAS are more commonly applied in patients with cerebrovascular stenosis in China. However, the development of carotid endoarterectomy (CEA) is limited in Chinese communities. The risks of cerebral atherosclerotic stenosis include age, hypertension, diabetes mellitus, dyslipidemia, smoking and metabolic syndrome. CONCLUSIONS:Further studies are needed to focus on the intracranial atherosclerotic stenosis.

authors

Liu CY,Chen CQ

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

3368-79

issue

22

eissn

1128-3602

issn

2284-0729

journal_volume

18

pub_type

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