The İncidence Of Renal Artery Stenosis İn Patients With Significant Stenosis Of Lower Extremity Arteries
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Dosyalar
Tarih
2012
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info:eu-repo/semantics/openAccess
Özet
Bu çalışmanın amacı, renal arter stenozu ile periferik arter hastalığı birlikteliğini değerlendirmek ve periferik arter hastalığı olan hastalarda insidental renal arter stenozu sıklığını saptamaktır. Bu çalışmaya alt ekstremite arterlerine yönelik DSA yapılan ve en az bir segmentinde %50 ve üzeri stenoz saptanan toplam 1502 hasta dahil edildi. Alt ekstremite arterleri aortoiliak, femoropop- liteal ve infrapopliteal olarak 3 segmente ayrılarak değerlendirildi. Segmentler tek segment ve multisegment tutulumu olarak sınıflandırıldı. Multisegmentler aortoiliakfemoropopliteal, aortoiliakinfrapopliteal, femoropoplitealinfrapopliteal ve aorto ilaikfemoropoplitealinfrapopliteal olarak isimlendirildi. En az bir segmentde %50 ve üzeri stenozu olanlar çalışmaya alındı. Segmental periferal arter hastalığı ve renal arter stenozu birlikteliğini karşılaştırmada ki-kare testi kullanıldı. Periferik vasküler hastalığı olan 1502 hastanın 228 inderenal arter stenozu saptandı. Renal arter stenozu sıklığı tek segment tutulumu olanlarda multi segment tutulumuna göre daha az bulundu (p0.03). Renal arter stenozu sıklığı tek segment tutulumunda %11,9 ve multi- segment tutulumunda %16,4 bulundu. Renal arter stenozu sıklığı diğerleriyle karşılaştırıldığında infrapopliteal tutulumda (%6) daha az bulundu (p0.027). Sağ, sol ve bilateral renal arter stenozuyla segment tutulumları karşılaştırıldığında segment grupları arasında fark bulunmadı (p0.086, p0.219). Kadınlarda renal arter stenozu sıklığı daha yüksek oranda bulundu (%23.6, p0.01). Renal arter stenozu periferal vasküler hastalığı olanlarda %15,2 sıklıkla görülmektedir. Renal arter stenozu infrapopliteal segment tutulumunda daha görüşmektedir. Multisegment tutulumu ile karşılaştırıldığında tek segment tutulumunda renal arter stenozu sıklığı kadınlarda erkeklere nazaran daha sıktır.
The purpose of this study is to evaluate the unity of renal artery stenosis and peripheral vascular disease and to find the fre- quency of incidental renal artery stenosis in the patients with peripheral vascular disease. In this study,it was included 1502 patients that were sent from cardiovascular surgery department to radiology department to do lower extremity digital substrac- tion angiography and found on at least one segment 50% stenosis and more. The arteries of lower extremity were evaluated by dividing into three segments as aortoiliac, femoropopliteal and infrapopliteal. Segments were classified as unisegment and mul- tisegment. Multisegments were named aortoiliacfemoropopliteal, aortoiliacinfrapopliteal, femoropoplitealinfrapopliteal and aortoiliacfemoropopliteal infrapopliteal. Patients with 50% stenosis and more of renal artery are decided. The unity of renal artery stenosis and the segmental disease of peripheral artery were compared by using Chi-Square test. It was found evident renal artery stenosis in 228 (15.2%) of 1502 patients with peripheral vascular disease. The frequency of renal artery stenosis was found lesser at unisegment disease than multisegment disease (p0.03). The renal artery stenosis was found 11.9% unisegment and %16.4 at multisegment disease. The frequency of renal artery stenosis was appeared less at infrapopliteal (6%) disease compared to the others (p0.027). It was not found any difference between groups when the segmental groups of peripheral vascular disease was compared with right, left and bilateral renal artery stenosis (p0.086, p0.219). It was found higher rate of renal artery stenosis at women (23.6%, p0.01). The frequency of renal artery stenosis is %15,2 in the patients with peripheral vascular disease. Renal artery stenosis is less at infrapopliteal segment disease. Renal artery stenosis in women is more than men at multisegment disease compared to unisegment disease.
The purpose of this study is to evaluate the unity of renal artery stenosis and peripheral vascular disease and to find the fre- quency of incidental renal artery stenosis in the patients with peripheral vascular disease. In this study,it was included 1502 patients that were sent from cardiovascular surgery department to radiology department to do lower extremity digital substrac- tion angiography and found on at least one segment 50% stenosis and more. The arteries of lower extremity were evaluated by dividing into three segments as aortoiliac, femoropopliteal and infrapopliteal. Segments were classified as unisegment and mul- tisegment. Multisegments were named aortoiliacfemoropopliteal, aortoiliacinfrapopliteal, femoropoplitealinfrapopliteal and aortoiliacfemoropopliteal infrapopliteal. Patients with 50% stenosis and more of renal artery are decided. The unity of renal artery stenosis and the segmental disease of peripheral artery were compared by using Chi-Square test. It was found evident renal artery stenosis in 228 (15.2%) of 1502 patients with peripheral vascular disease. The frequency of renal artery stenosis was found lesser at unisegment disease than multisegment disease (p0.03). The renal artery stenosis was found 11.9% unisegment and %16.4 at multisegment disease. The frequency of renal artery stenosis was appeared less at infrapopliteal (6%) disease compared to the others (p0.027). It was not found any difference between groups when the segmental groups of peripheral vascular disease was compared with right, left and bilateral renal artery stenosis (p0.086, p0.219). It was found higher rate of renal artery stenosis at women (23.6%, p0.01). The frequency of renal artery stenosis is %15,2 in the patients with peripheral vascular disease. Renal artery stenosis is less at infrapopliteal segment disease. Renal artery stenosis in women is more than men at multisegment disease compared to unisegment disease.
Açıklama
Anahtar Kelimeler
Cerrahi, Atherosclerosis, Renal Artery Stenosis, Peripheral Vascular Disease
Kaynak
European Journal of General Medicine
WoS Q Değeri
Scopus Q Değeri
Cilt
9
Sayı
1
Künye
Keskin, Z., Küçükay, F., Keskin, S. (2012). The Incidence of Renal Artery Stenosis in Patients with Significant Stenosis of Lower Extremity Arteries. Electronic Journal of General Medicine, 9, 1, 1-6.
