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Plaques' quality in carotid artery stenting
Žvan, Bojana ...
Degree of embolisation is depended on plaques morphology. HDL and triglicerides are associated with an increased risk of having echolucent plaques. It is not clear, whether LDL predict echolucent ...plaques. The aim of study was to evaluate risk for developing of lipid plaques and the need for protection devices during angioplasty. 237 outpatients (171 men and 66 women, mean age 62.9+-10.2 years) were enrolled in the study. 116 patients (61 %) hadstroke while 69 patients (36 %) had transient ischemic attack or amaurosis fugax. All of them underwent color-coded duplex sonography and power sonography examination of the carotid arteries in the last year. Carotid arteries were scanned with color-coded duplex ultrasound equipment with 10-MHzlinear array transducer. Statistical analysis was done by SPSS statistical software. Cholesterol, HDL, LDL, triglicerides and LDL/HDL ratio showed significant differences between patients with plaques type I and IV One-way ANOVA showed significant differences in cholesterol, LDL, triglicerides and LDL/HDL ration between patients with plaques type I to type V Multiple comparisons showed significant differences (p<0,01) of LDL and triglicerides between plaques type I and type III, type I and type IV as well as type I and type V We have concluded, that LDL appears to be risk factor forecholucent plaques. Both, high levels of LDL and triglicerides predict unstable plaques and need for the protection devices.
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