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Risk factors associated with recurrent carotid stenosis

Volteas, N., Labropoulos, N., Leon, M., Kalodiki, E., Chan, P., Nicolaides, A.N. (1994) Risk factors associated with recurrent carotid stenosis. International Angiology, 13 (2). pp. 143-147. ISSN 0392-9590. (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:78351)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided.


The incidence of restenosis following carotid endarterectomy reported with duplex scanning has ranged from 6-19%. The aim of this study was to determine the importance of risk factors in the development of carotid stenosis following carotid endarterectomy. Two hundred-thirty patients who underwent carotid endarterectomy (nineteen bilateral carotid endarterectomies) and had complete follow-up with duplex scanning for at least one year have been studied between February 1983 and April 1989. Forty six patients developed restenosis (18.5% of carotid endarterectomies) whereas 184 patients did not restenose. All patients were studied for the following risk factors: age, sex, ischemic heart disease, smoking habit, family history of cardiovascular disease diabetes mellitus, hyperlipidemia and peripheral vascular disease. The incidence of ischemic heart disease, a positive family history of cardiovascular disease, hyperlipidemia and diabetes mellitus was significantly increased (p < 0.05) in patients with recurrent carotid stenosis (80.4%, 71.7%, 58.7%, 32.6% respectively) as compared to patients without a recurrent stenosis (55.7%, 33.5%, 31%, 10.5%). None of the above significant risk factors was strongly associated with early (< 2 years) carotid restenosis. There is an increased prevalence of clinical atherosclerotic risk factors such as family history of cardiovascular disease, diabetes mellitus, ischemic heart disease and hyperlipidemia in patients who develop carotid restenosis.

Item Type: Article
Uncontrolled keywords: carotid endarterectomy, risk factors, stenosis, recurrent, adult, aged, article, carotid artery obstruction, carotid endarterectomy, etiology, female, follow up, human, incidence, major clinical study, male, prevalence, recurrent disease, risk factor, Aged, Carotid Stenosis, Comparative Study, Endarterectomy, Carotid, Female, Follow-Up Studies, Human, Incidence, Male, Prevalence, Recurrence, Risk Factors, Time Factors, Ultrasonography, Doppler, Duplex, Ultrasonography, Doppler, Transcranial
Divisions: Divisions > Division of Natural Sciences > Kent and Medway Medical School
Depositing User: Philip Chan
Date Deposited: 08 Nov 2019 09:33 UTC
Last Modified: 14 Dec 2023 04:15 UTC
Resource URI: (The current URI for this page, for reference purposes)

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