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Amaç: Aterosklerotik damar hastalığı sistemik bir hastalıktır. Bizim çalışmamızdaki amacımız karotis endarterektomi (KEA) operasyonu geçiren hastalardaki alt ekstremite periferik arter hastalığı (PAH) sıklığını belirlemek ve risk faktörlerini ortaya koymaktır. Gereç ve Yöntem: İstanbul Tıp Fakültesi’nde Kalp Damar Cerrahisi Anabilim Dalı tarafından Ocak 2011- Ocak 2015 yılları arasında karotis endarterektomi operasyonu geçiren 65 hasta bu çalışmaya alınmıştır. Karotis endarterektomi operasyonu geçiren hastalar öykü, fizik muayene, ayak bileği kol indeksi ve alt ekstremite dupleks ultrasonografi sonuçları bir bütün halinde değerlendirilerek hastalarda periferik arter hastalığı olup olmadığı araştırıldı. Bulgular: Hastaların %72,3’ü (n=47) erkek, %27,7’si (n=18) kadın olmak üzere toplam 65 hasta bu çalışmaya alınmıştır. Hastaların yaşları 48 ile 88 arasında değişmekte olup ortalama 66,26±8,84 yıldır. Çalışmamız sonucunda karotis endarterektomi operasyonu geçiren hastalarda 65 yaş üstü olmanın (ODDS oranı (OR) 4,65 , %95 CI:1,61-13,4), erkek cinsiyetin (OR 6,75 , %95 CI:1,71-26,50) sigara içmenin (OR 10,50 , %95 CI: 2,15-51,13), aile öyküsünün (OR 0,23 , %95 CI: 0,06-0,80), kronik böbrek yetmezliği varlığının (OR 0,41, %95 CI: 0,30-0,56) periferik arter hastalığını istatistiksel olarak anlamlı derecede arttırdığı tespit edildi. HDL düzeyleri düşük olgularda da periferik arter hastalığı sıklığında artış gözlendi. Çalışmamızda karotis endarterektomi operasyonu geçiren 65 hastadan 30’unda (%46,2) periferik arter hastalığı tespit edilmiştir. Sonuç: Karotis endarterektomi operasyonu geçiren hastalarda aterosklerozun sistemik tutulumu nedeniyle alt ekstremite periferik arter hastalığı olasılığı göz önünde bulundurulmalı ve hastalar bu şekilde değerlendirilmelidir.
Atherosclerotic vascular disease is a systemic pathology. The aim of our study was to determine the frequency of lower extremity peripheral artery disease (PAD) in patients who underwent carotid endarterectomy (CEA) and to identify risk factors. Materials and Methods: The study included 65 patients who underwent carotid endarterectomy in Istanbul Medical Faculty, Department of Cardiovascular Surgery between January 2011 and January 2015. The medical history, physical examination, ankle brachial index and lower extremity duplex ultrasonography results were evaluated and the patients were examined for peripheral artery disease. Results: Among 65 patients, 47 of them were male and 18 of them were female. The patients' ages ranged from 48 to 88 years, with an average of 66.26±8. 84 years ago. In our study, being above the age of 65 (ODDS ratio (OR) 4.65, 95% CI: 1.61-13.4), male gender (OR 6.75, 95% CI: 1.71-26.50), smoking (OR 10.50, 95% CI: 2.15-51.13), the family history (OR 0.23, 95% CI: 0.060,80), the presence of chronic renal failure (OR 0.41, 95% CI: 0.300.56) were found to increase peripheral artery disease in patients who underwent carotid endarterectomy statistically significant. In cases with low HDL levels, the frequency of peripheral artery disease was found increased. In our study, peripheral artery disease was detected in 30 (46.2%) of 65 patients who underwent carotid endarterectomy operation. Conclusion: Due to the systemic involvement of atherosclerosis, lower extremity peripheral artery disease should be considered in patients who underwent carotid endarterectomy operation, and patients should be evaluated accordingly.
Objective: Atherosclerotic vascular disease is a systemic pathology. The aim of our study was to determine the frequency of lower extremity peripheral artery disease (PAD) in patients who underwent carotid endarterectomy (CEA) and to identify risk factors. Materials and Methods: The study included 65 patients who underwent carotid endarterectomy in Istanbul Medical Faculty, Department of Cardiovascular Surgery between January 2011 and January 2015. The medical history, physical examination, ankle brachial index and lower extremity duplex ultrasonography results were evaluated and the patients were examined for peripheral artery disease. Results: Among 65 patients, 47 of them were male and 18 of them were female. The patients’ ages ranged from 48 to 88 years, with an average of 66.26±8.84 years. In our study, being above the age of 65 (ODDS ratio (OR) 4.65, 95% CI: 1.61-13.4), male gender (OR 6.75, 95% CI: 1.71-26.50), smoking (OR 10.50, 95% CI: 2.15-51.13), the family history (OR 0.23, 95% CI: 0.060,80), the presence of chronic renal failure (OR 0.41, 95% CI: 0.300.56) were found to increase peripheral artery disease in patients who underwent carotid endarterectomy statistically significant. In cases with low HDL levels, the frequency of peripheral artery disease was found increased. In our study, peripheral artery disease was detected in 30 (46.2%) of 65 patients who underwent carotid endarterectomy operation. Conclusion: Due to systemic involvement of atherosclerosis, lower extremity peripheral artery disease should be considered in patients who underwent carotid endarterectomy operation, and patients should be evaluated accordingly.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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