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The Effect Of Demographic Features On Aortic Arch Anatomy And Its Role In The Etiology Of Cerebrovascular Disease

Yılmaz Inanc, Y. Inanç, Halil Ay
Published 2018 · Medicine

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Purpose The aim of this study was to retrospectively evaluate the distribution of aortic arches, the relationship with demographic characteristics, and the results of carotid and vertebral artery stenting procedures in patients diagnosed with cerebrovascular disease through the intra-arterial digital subtraction angiography (DSA) technique. Methods A retrospective examination was performed on 288 patients diagnosed with cerebrovascular disease, who underwent DSA in the Department of Neurology of Gaziantep University Medical Faculty and Kahramanmaraş¸ Sütçü Imam University Medical Faculty. The patients were examined in respect of demographic features and aortic arch anatomic structure characteristics. All demographic characteristics, DSA, carotid, and vertebral artery stent results were recorded. Results The patients comprised 60.1% males and 39.9% females with a mean age of 58.25 years. Type 2 aortic arch was found in 175 (60.7%) patients, Type 2 aortic arch in 99 (34.3%) patients, and Type 3 aortic arch in 14 (4.8%) patients. The right carotid artery stenosis rate was found to be higher in patients with Type 2 aortic arch (P=0.013). When the patients were evaluated according to the presence of a bovine arch, there was no significant difference in terms of age, carotid, and vertebral artery lesions (P>0.05). Conclusion The aortic arch and its branching properties were not found to have a direct effect on increased risk of cerebrovascular disease or stenting rates. This study can be considered to raise awareness for new studies to demonstrate the effect of aortic arch anatomic differences on cerebrovascular diseases.
This paper references
Aortic Arch in Arterial Variations in Man Classification and Frequency. Munich: JF Bergmann-Verlag; 1985:3–10
H Lippert (1985)
Incidence of Branching Patterns Variations of the Arch in Aortic Dissection in Chinese Patients
G. Tapia (2015)
Clinical and procedural impact of aortic arch anatomic variants in carotid stenting procedures
F. Burzotta (2015)
Protruding aortic atheromas predict stroke in elderly patients undergoing cardiopulmonary bypass: experience with intraoperative transesophageal echocardiography.
E. Katz (1992)
Atherosclerotic disease of the aortic arch as a risk factor for recurrent ischemic stroke.
P. Amarenco (1996)
A study on branching pattern of human aortic arch and its variations in south indian population
P Rekha (2013)
Aortic arch anomalies are associated with increased risk of neurological events in carotid stent procedures.
G. Faggioli (2007)
Analysis of Anatomic Factors and Age in Patients Undergoing Carotid Angioplasty and Stenting
Stephanie C. Lin (2005)
Anatomical organization of aortic arch variations in the India: embryological basis and review
S. Nayak (2006)
Carotid artery stenting is associated with increased complications in octogenarians: 30-day stroke and death rates in the CREST lead-in phase.
R. Hobson (2004)
Predictors of difficult carotid stenting as determined by aortic arch angiography.
S. Madhwal (2008)
Intravenous digital subtraction angiography in the evaluation of congenital abnormalities of the aorta and aortic arch.
D. Moodie (1982)
Carotid stenting in the bovine arch
J. Shaw (2003)
Current Management of Extracranial Carotid Artery Disease
P. Faries (2006)
Early Clinical Differentiation of Cerebral Infarction From Severe Atherosclerotic Stenosis and Cardioembolism
S. G. Timsit (1992)
Digital subtraction angiography of the aortic arch
M. Chernin (2007)
Anatomical variations in the branches of the human aortic arch in 633 angiographies: clinical significance and literature review
K. Natsis (2008)
The prevalence of ulcerated plaques in the aortic arch in patients with stroke.
P. Amarenco (1992)
Effect of aging on the configurational change of the aortic arch
A. Kojima (2016)
Angiographic study of a rare anomalous origin of the vertebral artery
L. Bernardi (2004)
Aortic Plaques in Stroke
French Study (1996)
Arterial variations in man. Classification and frequency
C. Jones (1987)
Recognition and embolic potential of intraaortic atherosclerotic debris.
D. Karalis (1991)
Bovine arch
M. Špaček (2012)
Aortic arch morphometry in living humans
S. Demertzis (2010)

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