Prospective Evaluation of Hypertensive Patients with Carotid Kinking and Coiling: An Ultrasonographic 7-Year Study
The aim of this study was to determine the incidence of vascular events during a 7-year follow- up evaluation in a group of 34 hypertensive patients with kinking of the internal carotid artery and 36 well-matched hypertensive control subjects. The carotid intima-media thickness (IMT) was measured at...
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| Veröffentlicht in: | Angiology 2003-03, Vol.54 (2), p.169-175 |
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| container_title | Angiology |
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| creator | Oliviero, Ugo Scherillo, Giovanna Casaburi, Cosma di Martino, Marilena di Gianni, Angela Serpico, Raffaella Fazio, Serafino Saccà, Luigi |
| description | The aim of this study was to determine the incidence of vascular events during a 7-year follow- up evaluation in a group of 34 hypertensive patients with kinking of the internal carotid artery and 36 well-matched hypertensive control subjects. The carotid intima-media thickness (IMT) was measured at three points of the carotid bifurcation and at three points of carotid kinking on the ultrasonographic posterior wall. The mean IMT measured in the segment of the angular bending was lower than the mean values detected at the bifurcation in normal subjects and in hypertensives without carotid elongation (p |
| doi_str_mv | 10.1177/000331970305400205 |
| format | Article |
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The carotid intima-media thickness (IMT) was measured at three points of the carotid bifurcation and at three points of carotid kinking on the ultrasonographic posterior wall. The mean IMT measured in the segment of the angular bending was lower than the mean values detected at the bifurcation in normal subjects and in hypertensives without carotid elongation (p<0.01). At the carotid bifurcation of the same side of the kinking, there was an arterial IMT that was significantly lower as compared to the contralateral axis and to the measurements obtained in other hypertensive subjects. During a 7-year follow-up study, 10 vascular events occurred in the hypertensives with carotid kinking and 14 in the controls, without significant differences between the 2 groups. In hypertensives with carotid kinking, the mean IMT measured on the angular bending and at the ipsilateral carotid bifurcation was significantly lower than the values obtained at the contralateral bifur cation and in the other hypertensive subjects. In the 7-year follow-up study, moreover, the presence of carotid kinking does not impact the incidence of vascular events in the hyperten sive population. Thus, the presence of carotid kinking in hypertensive subjects may not be considered a further risk factor for ischemic events.</description><identifier>ISSN: 0003-3197</identifier><identifier>EISSN: 1940-1574</identifier><identifier>DOI: 10.1177/000331970305400205</identifier><identifier>PMID: 12678191</identifier><identifier>CODEN: ANGIAB</identifier><language>eng</language><publisher>Thousand Oaks, CA: SAGE Publications</publisher><subject>Aged ; Biological and medical sciences ; Carotid Artery, Internal - diagnostic imaging ; Carotid Artery, Internal - pathology ; Female ; Heart diseases ; Humans ; Hypertension - diagnostic imaging ; Hypertension - pathology ; Male ; Medical sciences ; Middle Aged ; Neurology ; Prospective Studies ; Ultrasonography, Doppler, Color ; Ultrasonography, Doppler, Pulsed ; Ultrasonography, Interventional ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Angiology, 2003-03, Vol.54 (2), p.169-175</ispartof><rights>2003 INIST-CNRS</rights><rights>COPYRIGHT 2003 Sage Publications, Inc.</rights><rights>Copyright Westminster Publications, Inc. 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The carotid intima-media thickness (IMT) was measured at three points of the carotid bifurcation and at three points of carotid kinking on the ultrasonographic posterior wall. The mean IMT measured in the segment of the angular bending was lower than the mean values detected at the bifurcation in normal subjects and in hypertensives without carotid elongation (p<0.01). At the carotid bifurcation of the same side of the kinking, there was an arterial IMT that was significantly lower as compared to the contralateral axis and to the measurements obtained in other hypertensive subjects. During a 7-year follow-up study, 10 vascular events occurred in the hypertensives with carotid kinking and 14 in the controls, without significant differences between the 2 groups. In hypertensives with carotid kinking, the mean IMT measured on the angular bending and at the ipsilateral carotid bifurcation was significantly lower than the values obtained at the contralateral bifur cation and in the other hypertensive subjects. In the 7-year follow-up study, moreover, the presence of carotid kinking does not impact the incidence of vascular events in the hyperten sive population. Thus, the presence of carotid kinking in hypertensive subjects may not be considered a further risk factor for ischemic events.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Carotid Artery, Internal - diagnostic imaging</subject><subject>Carotid Artery, Internal - pathology</subject><subject>Female</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>Hypertension - diagnostic imaging</subject><subject>Hypertension - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Prospective Studies</subject><subject>Ultrasonography, Doppler, Color</subject><subject>Ultrasonography, Doppler, Pulsed</subject><subject>Ultrasonography, Interventional</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0003-3197</issn><issn>1940-1574</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkk1vEzEQhi0EomngD3BAFhKcWOqPtb3LLYoKRVSiEvTAaeXY49RlY2_t3aL8-zpKpEhQgXywPX5mPO_MIPSKkg-UKnVGCOGctopwImpCGBFP0Iy2NamoUPVTNNsB1Y44Qac535aroEQ-RyeUSdXQls5QukoxD2BGfw_4_F73kx59DDg6fLEdII0Q8u7pqpghjBn_9uMNXuoUR2_xVx9--bDGOli8jL4v5494EfB1PyadY4jrpIcbb7CqfoJO-Ps42e0L9MzpPsPLwz5H15_Ofywvqstvn78sF5eVEYSNlRVKC9U6ySwRfCVaKwUvIldyxWnRIZRjNSNAoHGukUZIYQ2vqQSgWtiGz9G7fdwhxbsJ8thtfDbQ9zpAnHKnOJWlfuq_ICNE1qphBXzzB3gbpxSKiI6xWray5Fug93torXvofHCx1MKsIUDSfQzgfDEv2lYJ1pTWzVH1CF6WhY03j_Fsz5vSuJzAdUPyG522HSXdbiy6v8eiOL0-JD6tNmCPLoc5KMDbA6Cz0b1LOhifj1wtJRelWnN0tueyXsNR_T--fgDl98qo</recordid><startdate>20030301</startdate><enddate>20030301</enddate><creator>Oliviero, Ugo</creator><creator>Scherillo, Giovanna</creator><creator>Casaburi, Cosma</creator><creator>di Martino, Marilena</creator><creator>di Gianni, Angela</creator><creator>Serpico, Raffaella</creator><creator>Fazio, Serafino</creator><creator>Saccà, Luigi</creator><general>SAGE Publications</general><general>Westminster</general><general>Sage Publications, Inc</general><general>SAGE PUBLICATIONS, INC</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>20030301</creationdate><title>Prospective Evaluation of Hypertensive Patients with Carotid Kinking and Coiling: An Ultrasonographic 7-Year Study</title><author>Oliviero, Ugo ; Scherillo, Giovanna ; Casaburi, Cosma ; di Martino, Marilena ; di Gianni, Angela ; Serpico, Raffaella ; Fazio, Serafino ; Saccà, Luigi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c502t-d57a579f62d053b59d653020b6b3151057f2420e0e8ff86c565dc3416ee1a5d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Carotid Artery, Internal - diagnostic imaging</topic><topic>Carotid Artery, Internal - pathology</topic><topic>Female</topic><topic>Heart diseases</topic><topic>Humans</topic><topic>Hypertension - diagnostic imaging</topic><topic>Hypertension - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Prospective Studies</topic><topic>Ultrasonography, Doppler, Color</topic><topic>Ultrasonography, Doppler, Pulsed</topic><topic>Ultrasonography, Interventional</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oliviero, Ugo</creatorcontrib><creatorcontrib>Scherillo, Giovanna</creatorcontrib><creatorcontrib>Casaburi, Cosma</creatorcontrib><creatorcontrib>di Martino, Marilena</creatorcontrib><creatorcontrib>di Gianni, Angela</creatorcontrib><creatorcontrib>Serpico, Raffaella</creatorcontrib><creatorcontrib>Fazio, Serafino</creatorcontrib><creatorcontrib>Saccà, Luigi</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Angiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oliviero, Ugo</au><au>Scherillo, Giovanna</au><au>Casaburi, Cosma</au><au>di Martino, Marilena</au><au>di Gianni, Angela</au><au>Serpico, Raffaella</au><au>Fazio, Serafino</au><au>Saccà, Luigi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective Evaluation of Hypertensive Patients with Carotid Kinking and Coiling: An Ultrasonographic 7-Year Study</atitle><jtitle>Angiology</jtitle><addtitle>Angiology</addtitle><date>2003-03-01</date><risdate>2003</risdate><volume>54</volume><issue>2</issue><spage>169</spage><epage>175</epage><pages>169-175</pages><issn>0003-3197</issn><eissn>1940-1574</eissn><coden>ANGIAB</coden><abstract>The aim of this study was to determine the incidence of vascular events during a 7-year follow- up evaluation in a group of 34 hypertensive patients with kinking of the internal carotid artery and 36 well-matched hypertensive control subjects. The carotid intima-media thickness (IMT) was measured at three points of the carotid bifurcation and at three points of carotid kinking on the ultrasonographic posterior wall. The mean IMT measured in the segment of the angular bending was lower than the mean values detected at the bifurcation in normal subjects and in hypertensives without carotid elongation (p<0.01). At the carotid bifurcation of the same side of the kinking, there was an arterial IMT that was significantly lower as compared to the contralateral axis and to the measurements obtained in other hypertensive subjects. During a 7-year follow-up study, 10 vascular events occurred in the hypertensives with carotid kinking and 14 in the controls, without significant differences between the 2 groups. In hypertensives with carotid kinking, the mean IMT measured on the angular bending and at the ipsilateral carotid bifurcation was significantly lower than the values obtained at the contralateral bifur cation and in the other hypertensive subjects. In the 7-year follow-up study, moreover, the presence of carotid kinking does not impact the incidence of vascular events in the hyperten sive population. Thus, the presence of carotid kinking in hypertensive subjects may not be considered a further risk factor for ischemic events.</abstract><cop>Thousand Oaks, CA</cop><pub>SAGE Publications</pub><pmid>12678191</pmid><doi>10.1177/000331970305400205</doi><tpages>7</tpages></addata></record> |
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| ispartof | Angiology, 2003-03, Vol.54 (2), p.169-175 |
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| source | SAGE Complete A-Z List; MEDLINE |
| subjects | Aged Biological and medical sciences Carotid Artery, Internal - diagnostic imaging Carotid Artery, Internal - pathology Female Heart diseases Humans Hypertension - diagnostic imaging Hypertension - pathology Male Medical sciences Middle Aged Neurology Prospective Studies Ultrasonography, Doppler, Color Ultrasonography, Doppler, Pulsed Ultrasonography, Interventional Vascular diseases and vascular malformations of the nervous system |
| title | Prospective Evaluation of Hypertensive Patients with Carotid Kinking and Coiling: An Ultrasonographic 7-Year Study |
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