Title Endovaskularno liječenje stenoza karotidnih arterija Title (english) Endovascular treatment of carotid artery stenosis Author Nela Dragić Mentor Lovro Tkalčić (mentor) Committee member Melita Kukuljan (predsjednik povjerenstva)Committee member Ivan Brumini (član povjerenstva) Committee member Lovro Tkalčić (član povjerenstva) Granter University of Rijeka Defense date and country 2024-09-30, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Endovaskularno liječenje stenoze karotidne arterije minimalno je invazivni postupak kod kojeg se pristupa karotidnoj arteriji kroz femoralnu arteriju te se stent postavlja kako bi se proširio suženi lumen arterije, najčešće stenoziran plakom. Plakovi nastaju uslijed ateroskleroze koja se defnira kao proces zadebljanja stijenke krvne žile koji karakterizira upala i proliferacija stanica stijenke istih. Stenoze se djele na blage, ako je suženje lumena oko 25%, umjerene ako je veće od 50% ili značajne ako je suženje veće od 70%. Aterosklerotske promjene mogu biti uzrok raznih kardiovaskularnih bolesti kao što su koronarna bolest srca, moždani udar ili periferna arterijska bolest. Ishemijski moždani udar uzrokovan stenozom unutarnje karotidne arterije pojavljuje se u 8-30 % slučajeva. U prevenciji važno je kontroliranje okolinskih čimbenika koji utječu na nastanak aterosklerotskih promjena te uključuju hiperlipidemiju, hipertenziju, pušenje duhanskih proizvoda i dijabetes. Dijagnosticiranje stenoze karotidne arterije i planiranje endovaskularnog zahvata zahtijeva pregled Doppler ultrazvukom i/ili CT/MR angiografiju s upotrebom jodnog kontrastnog sredstva.
Ovaj rad retrospektivno analizira tri cilja, dob i prohodnost kontralateralne strane u bolesnika podvrgnutih endovaskularnom liječenju stenoze karotidne arterije na Kliničkom zavodu za dijagnostičku i intervencijsku radiologiju u KBC-u Rijeka, u vremenskom razdoblju od 1. siječnja 2020. do 31. prosinca 2023. te tehničku uspješnost i broj komplikacija samog zahvata. U već navedenom vremenskom razdoblju, anonimno su prikupljeni podaci o 77 bolesnika iz njihove medicinske dokumentacije. Ovim istraživanjem, potvrdili smo da je najveći broj bolesnika podvrgnutih zahvatu starije dobi. Utvrdili smo broj bolesnika koji su podvrgnuti endovaskularnom zahvatu liječnenja karodtidne arterije s okluzijom kontralatrealne strane. Također, utvrdili smo postotak komplikacija endovaskularnog zahvata.
Abstract (english) Endovascular treatment of carotid artery stenosis is a minimally invasive procedure in which the carotid artery is accessed through the femoral artery and a stent is placed to widen the narrowed lumen of the artery, most often stenosed by plaque. Plaques are formed due to atherosclerosis, which is defined as a process of thickening of the blood vessel wall characterized by inflammation and proliferation of the cells of the same wall. Stenoses are divided into mild, if the narrowing of the lumen is about 25%, moderate if it is more than 50% or significant if the narrowing is more than 70%. Atherosclerotic changes can be the cause of various cardiovascular diseases such as coronary heart disease, stroke or peripheral arterial disease. Ischemic stroke caused by stenosis of the internal carotid artery occurs in 8-30% of cases. In prevention, it is important to control environmental factors that influence the development of atherosclerotic changes, including hyperlipidemia, hypertension, smoking tobacco products, and diabetes. Diagnosing caroid artery stenosis and planning an endovascular procedure requires a Doppler ultrasound examination and/or CT/MR angiography with the use of an iodine contrast agent.
This paper retrospectively analyzes three goals, age and the patency of the contralateral side in patients undergoing endovascular treatment of carotid artery stenosis at the Clinical Institute for Diagnostic and Interventional Radiology at KBC Rijeka, in the period from January 1, 2020 to December 31, 2020. 2023 and the technical success and number of complications of the procedure itself. In the above-mentioned period of time, data on 77 patients was collected anonymously from their medical records. With this research, we have confirmed that the largest number of patients undergoing the procedure are of an older age. We determined the number of patients who underwent endovascular treatment of the carotid artery with occlusion of the contralateral side. Also, we determined the percentage of complications of endovascular procedures.
Keywords
Ključne riječi: ateroskleroza
endovaskularno liječenje
stenoza karotidnih arterija
Keywords (english)
Key words: atherosclerosis
endovascular treatment
carotid artery stenosis
Language croatian URN:NBN urn:nbn:hr:184:968548 Study programme Title: Radiological Technology Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2024-09-20 10:10:27
