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The Journal of Cardiovascular Surgery 2000 April;41(2):275-9

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Carotid stenosis and abdominal aortic aneurysm at the follow-up examination in patients treated for acute extremity ischaemia

Kuukasjärvi P., Kaira P. *, Riekkinen H. **, Salenius J. P.

From the Department of Surgery Tampere University Hospital, Tampere, Finland
*Department of Radiology and **Department of Surgery Central Hospital of Central Finland, Javäskylä, Finland


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Background. To eval­u­ate sur­vi­vors treat­ed for ­acute extrem­ity ischae­mia as a risk­group for carot­id sten­o­sis and abdom­i­nal aor­tic aneu­rysm at the fol­low-up exam­ina­tion.
Methods. Experimental ­design: Clinical ­study ­with ­median fol­low-up of 14 (8-32) ­months. Setting: Central Hospital of Central Finland. Patients: Eighteen sur­vi­vors ­with ­median age of 77 (51-92) ­years treat­ed for ­acute extrem­ity ischae­mia dur­ing two-year peri­od intend­ed to a sep­ar­ate fol­low-up exam­ina­tion ­median 14 (8-32) ­months ­after the ­acute epi­sode of vas­cu­lar occlu­sion. Ischaemia was con­sid­ered as ­acute in 14 ­patients and ­acute on chron­ic in ­four ­patients. Interventions: Thromboembolectomy was the pri­mary inter­ven­tion exclud­ing two ­patients ­with dis­tal ­upper ­limb ischae­mia who ­were treat­ed by intra­ve­nous hep­ar­in. Measures: Clinical exam­ina­tion, ­duplex scan­ning of carot­id bifur­ca­tion and sonog­ra­phy of abdom­i­nal aor­ta ­were per­formed at the fol­low-up exam­ina­tion.
Results. Significant asymp­to­mat­ic carot­id sten­o­sis >60% was ­found in ­four ­patients (22%), two of ­these ­patients had sig­nif­i­cant bilat­er­al carot­id sten­o­sis. One ­patient (6%) had abdom­i­nal aor­tic aneu­rysm of 5.2 cm.
Conclusions. In sur­vi­vors treat­ed for ­acute extrem­ity ischae­mia asymp­to­mat­ic carot­id sten­o­sis >60% was ­found ­with sig­nif­i­cant­ly ­increased prev­a­lence com­pared ­with gen­er­al pop­u­la­tion and ­with ­equal prev­a­lence ­when com­pared ­with ­patients ­with periph­er­al vas­cu­lar dis­ease. Occurrence of abdom­i­nal aor­tic aneu­rysm was par­allel ­with find­ings in screen­ing sur­veys.

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