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Journals / Haseki Tıp Bülteni / 2019 / Cilt: 57 - Sayı: 4

64 Kesitli BT’de ‘‘CC’’ Yöntemiyle Tespit Edilen Karotid Arter Darlık Şiddetinin Doppler Ultrasonografi Bulguları ile Korelasyonu

Correlation of the Severity of Carotid Artery Stenosis Identified by 64 Detected CT using ‘‘CC’’ Method with Color Doppler Ultrasound Findings

Ata TURGUT
Behice Kaniye YILMAZ
Elif ERGUN
Pınar Nercis KOŞAR
Pages
386–391
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

CC metodu karotid stenozunun ölçülmesinde rutin pratikte yaygın olarak kullanıma adaydır.

📌 3 Key Takeaways

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Objective & Hypothesis:Amaç: Bu çalışmanın amacı 64 kesitli multidedektör bilgisayarlı tomografi anjiyografide (BTA) ‘‘common carotid’’ (CC) yöntemine göre tespit edilen karotis darlık şiddetinin, renkli Doppler US (RDUS) bulguları ile korelasyonunu araştırmaktır.
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Key Findings & Data:Yöntemler: Geçici iskemik atak/inme öyküsü ve karotid arterlerde darlık şüphesi nedeniyle ile boyun BTA’ya refere edilen 143 hastada 286 internal karotid arter (İCA) incelendi.
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Conclusion & Impact:CC metodu karotid stenozunun ölçülmesinde rutin pratikte yaygın olarak kullanıma adaydır.
🔬Design:Research Article
📍Scope:143 hasta
⚙️Variables:Domain Parameters

Abstract

Amaç: Bu çalışmanın amacı 64 kesitli multidedektör bilgisayarlı tomografi anjiyografide (BTA) ‘‘common carotid’’ (CC) yöntemine göre tespit edilen karotis darlık şiddetinin, renkli Doppler US (RDUS) bulguları ile korelasyonunu araştırmaktır. Yöntemler: Geçici iskemik atak/inme öyküsü ve karotid arterlerde darlık şüphesi nedeniyle ile boyun BTA’ya refere edilen 143 hastada 286 internal karotid arter (İCA) incelendi. Plak lokalizasyonu, plak tipi ve stenoz derecesi RDUS ve BTA ile rapor edildi. Stenoz derecesi BTA’da CC metoduna göre hesaplandı. Elde edilen sonuçlar sırasıyla karşılaştırıldı. Bulgular: RDUS’da toplam 202 İCA’da (%72,2) ve BTA’da toplam 200 İCA’da (%71,4) plak izlendi. İzlenen plaklar RDUS ve BTA ile yumuşak, kalsifik ve mikst plak olarak sınıflandırıldı. RDUS ile olguların %12,2’sinde ≥%70’inde darlık kaydedilirken, BTA’da olguların %10,0‘unda ≥%70 darlık kaydedildi. Karotid darlık düzeyi belirlenmesinde RDUS ve BTA bulguları arasında %91 (r=91 p<0.001) korelasyon tespit edilmiştir. Sonuç: CC yöntemi ile yapılan stenoz ölçümlerin RDUS bulguları ile yüksek oranda koreledir. CC metodu karotid stenozunun ölçülmesinde rutin pratikte yaygın olarak kullanıma adaydır.

Özet

Aim: The aim of this study was to investigate the correlation between the severity of carotid stenosis determined with 64-multidetector row computed tomographic angiography (CTA) (64-MDCTA) using the ‘‘common carotid’’ (CC) method and color Doppler ultrasound (CDUS) findings. Methods: Two hundred and eighty-six internal carotid arteries (ICAs) of 143 patients with a history of transient ischemic attack/stroke and suspected ICA stenosis who were referred for cervical CTA were examined. Plaque location, plaque type and stenosis severity were reported with CDUS and CTA. Stenosis severity was calculated with CTA using the CC method. The results were compared retrospectively. Results: Plaques were observed in a total of 202 (72.2%) ICAs by CDUS and using MDCTA in a total of 200 (71.4%) ICAs. The plaques were classified according to the plaque type as soft, calcified and mixed by CDUS and by MDCTA Stenosis ≥70% was observed in 12.2% of cases on CDUS and in 10.0% of cases on CTA. A correlation of 91% (r=91, p<0.001) was observed between findings of CDUS and CTA for the determination of the grade of carotid stenosis. Conclusion: Stenosis measurement done using the CC method is highly correlated with CDUS findings. The CC method is a candidate for widespread use in carotid stenosis measurement in routine practice.

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Cite This Article

TURGUT, A., YILMAZ, B. K., ERGUN, E., KOŞAR, P. N. (2019). 64 Kesitli BT’de ‘‘CC’’ Yöntemiyle Tespit Edilen Karotid Arter Darlık Şiddetinin Doppler Ultrasonografi Bulguları ile Korelasyonu. Haseki Tıp Bülteni, Cilt: 57 - Sayı: 4, 386–391. https://ajindex.com/articles/189582

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