Correlation of atherosclerotic renal artery stenosis with extracranial carotid and intracranial cerebral artery atherosclerosis in patients with ischemic stroke

Blood Pressure
Kai WangZhuo-You Chen

Abstract

This study was to evaluate the relationship of atherosclerotic renal artery stenosis (ARAS) with extracranial carotid arteries atherosclerosis (ECAS) and intracranial cerebral atherosclerosis (ICAS) in ischemic stroke (IS) patients. This study was a prospective cohort analysis of consecutive patients with IS who had not a history of renal artery stenosis (RAS). Abdominal aortography was performed to screen for RAS after the cerebrovascular diagnostic procedure. Multivariate logistic regression analysis was performed to investigate the association of the clinical variables with significant ARAS (≥ 50%). ARAS was identified in 61 (23.1%) of all patients and 34 patients (12.9%) had significant ARAS (≥ 50%). ECAS (≥ 70%) and ICAS (≥ 50%) was found in 66 (25%) and 48 (18.2%) respectively. Patients with ECAS (≥ 70%) were more likely to have significant ARAS than patients without ECAS (28.8% vs 6.2%, p < 0.001). In multivariate analysis, only advanced age (≥ 60 years) (OR = 2.84, 95% CI 1.01-7.91) and ECAS (≥ 70%) (OR = 5.27, 95% CI 2.396-11.60) were independent risk factors for significant ARAS. Incidental ARAS is a relatively common finding among patients with IS, and there is a close relationship between ARAS and ECAS. Abdominal ao...Continue Reading

References

Jul 15, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Jin Soo LeeJong S Kim
May 21, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Fang YangXinfeng Liu

Citations

May 6, 1998·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·C G MissourisG A MacGregor
Jan 8, 2000·Stroke; a Journal of Cerebral Circulation·S KurodaG Kimura
Oct 3, 2002·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Takehiro YamashitaAkira Kitabatake
Aug 28, 2003·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·T UeharaA Yamadori
Jun 1, 1964·Archives of Neurology·J A RESCH, A B BAKER
Jun 17, 2004·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Jin Gang YangYuyun Xu
Jun 29, 2005·European Radiology·T LeinerG B C Vasbinder
Jul 19, 2005·Journal of Neurology, Neurosurgery, and Psychiatry·O Y BangK Huh
Aug 16, 2005·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Masayuki TanemotoSadayoshi Ito
Nov 27, 2007·Circulation Journal : Official Journal of the Japanese Circulation Society·Osami KawaradaKazushi Takemoto
Nov 27, 2007·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Satoko NakamuraYuhei Kawano
Dec 7, 2007·European Journal of Radiology·Ugur OzkanTarik Z Nursal
Mar 14, 2008·Cerebrovascular Diseases·Joachim RötherREACH Registry Investigators
Apr 15, 2009·Journal of Hypertension·Quirijn de Mast, Jaap J Beutler
Jan 18, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S BageacuJ-P Favre

Related Concepts

Ischemic Cerebrovascular Accident
Renal Artery Stenosis
Cerebral Arterial Diseases
Atherogenesis
Cerebral Atherosclerosis
Carotid Artery Diseases
Intracranial
Internal Carotid Artery Diseases
Atherosclerosis
Carotid

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