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Centro de Investigaciones Regionales Dr. Hideyo Noguchi, Universidad Autónoma de Yucatán

2020, Number 3

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Rev Biomed 2020; 31 (3)

Findings of the carotid system by triplex ultrasound in patients with ischemic stroke

Castro D, Brito-Núñez NJ, Saab T, García N

Language: Spanish
References: 27
Page: 125-133
PDF size: 1081.89 Kb.


ABSTRACT

Objective. To evaluate the findings by tríplex ultrasound of the carotid system in patients with ischemic stroke at the “Ruiz y Páez” University Hospital Complex, Ciudad Bolívar. Edo. Bolivar. Venezuela.
Materials and Methods. A descriptive, observational, cross-sectional study was performed. Identification data, carotid intima media thickness, degree of stenosis were determined with ultrasound with a multifrequency linear transducer from 7.5 to 13 HZ. The data were processed using the SPSS 19 statistical package.
Results. Of 62 participants, 46.8% were female and 53.2% male, the average age was 67.9 ± 10.9 years, the average cholesterol was 169.6 ± 42.0 mg / dl, triglycerides (104 ± 59.9 mg / dl) and the average glomerular filtration rate of 74.6 ± 29.2. An association was found between the increase in intima media thickness with age. The most frequent mechanism of stroke was non-cardioembolic (67.7%). The degree of mild right carotid stenosis was 32.3%, followed by moderate with 6.5%, one case of severe obstruction and one case of obstruction of 100%, representing 1.6% respectively. A similar degree of stenosis was observed in the left carotid.
Conclusion. With the use of echo-carotid, it was possible to determine that the thickness of the intima media increased with age, atheroma plaques were more frequent in the common carotid and morphological variables were found in the carotid system, associated with ischemic strokes.


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