Carotid atherosclerosis in patients operated for lower extremity ischemia before the age of 50: a case control study.

Abstract:

:The purpose of this study was to investigate the presence of, and to identify factors associated with carotid atherosclerosis in patients, previously operated on for lower extremity ischemia before the age of 50. Forty-eight patients were compared to sex- and age-matched controls. All subjects were examined with duplex ultrasonography of the neck arteries and analysis of serum lipoproteins. History including smoking habits, family history of cardiovascular disease, and medication was also obtained. The patients were examined clinically and their preoperative angiograms were reevaluated. Thirty-one patients (64%) and 13 controls (23%) had a carotid lesion (p < 0.0001). Patients with suprainguinal or multilevel disease had a higher proportion of carotid lesions than those with only infrainguinal disease in whom the proportion was similar to the controls. A multiple regression analysis among the patients revealed that age, level of lower extremity arterial disease, presence of family history, and the ratio apolipoproteinB/apolipoproteinA discriminated significantly between those with and without carotid disease. It is concluded that a high proportion of patients operated on for lower extremity suprainguinal arterial occlusive disease at an early age have carotid lesions at follow-up, while patients operated on due to isolated infrainguinal disease have a prevalence similar to controls.

journal_name

Ann Vasc Surg

authors

Bergmark C,Jogestrand T,Swedenborg J

doi

10.1007/s100169900180

subject

Has Abstract

pub_date

1998-09-01 00:00:00

pages

430-5

issue

5

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(06)61681-6

journal_volume

12

pub_type

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