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Prevalence and Factors Associated with Carotid Stenosis in Acute Ischemic Stroke Patients with Atrial Fibrillation

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dc.contributor.author Sagris, Dimitrios
dc.contributor.author Korompoki, Eleni
dc.contributor.author Strambo, Davide
dc.contributor.author Mavraganis, Georgios
dc.contributor.author Michel, Patrik
dc.contributor.author Eskandari, Ashraf
dc.contributor.author Vemmos, Konstantinos
dc.contributor.author Lastras, Clara
dc.contributor.author Rodriguez Pardo, Jorge
dc.contributor.author Fuentes, Blanca
dc.contributor.author Díez Tejedor, Exuperio
dc.contributor.author Tiili, Paula
dc.contributor.author Lehto, Mika
dc.contributor.author Putaala, Jukka
dc.contributor.author Cuadrado Godia, Elisa
dc.contributor.author Farington Terrero, Esmirna
dc.contributor.author Arauz, Antonio
dc.contributor.author Kamel, Hooman
dc.contributor.author Rosales, Julieta Soledad
dc.contributor.author Rodríguez Pérez, María Soledad
dc.contributor.author Gómez Schneider, Maia
dc.contributor.author Barboza, Miguel
dc.contributor.author Tsiskaridze, Alexander
dc.contributor.author Ntaios, George
dc.date.accessioned 2024-09-02T15:13:22Z
dc.date.available 2024-09-02T15:13:22Z
dc.date.issued 2024-07-09
dc.identifier.citation Sagris D, Korompoki E, Strambo D, Mavraganis G, Michel P, Eskandari A, Vemmos K, Lastras C, Rodriguez-Pardo J, Fuentes B, Díez-Tejedor E, Tiili P, Lehto M, Putaala J, Cuadrado-Godia E, Farington-Terrero E, Arauz A, Kamel H, Soledad Rosales J, Rodriguez Perez MS, Gomez Schneider M, Barboza M, Tsiskaridze A, Ntaios G. Prevalence and Factors Associated with Carotid Stenosis in Acute Ischemic Stroke Patients with Atrial Fibrillation. Neuroepidemiology. 2024 Jul 9:1-10. doi: 10.1159/000539693. Epub ahead of print. es_ES
dc.identifier.uri https://doi.org/10.1159/000539693
dc.identifier.uri https://repositorio.fleni.org.ar/xmlui/handle/123456789/1202
dc.description.abstract Introduction: Among stroke patients with atrial fibrillation (AF), it is not uncommon to identify carotid atherosclerosis. This study aimed to estimate the prevalence of, and factors associated with, carotid atherosclerosis among patients with AF and acute ischemic stroke. Patients and methods: Prospectively collected data from consecutive patients with anterior ischemic stroke and AF who underwent carotid imaging from 10 stroke registries were categorized retrospectively according to the degree of stenosis in: no atherosclerosis, stenosis <50%, stenosis ≥50%, and occlusion. Logistic regression analysis was used to identify factors associated with ipsilateral carotid atherosclerosis. Results: Among 2,955 patients with ischemic stroke and AF, carotid atherosclerosis was evident in 1,022 (34.6%) patients, while carotid stenosis ≥50% and occlusion were identified in 204 (6.9%) and 168 (5.7%) patients, respectively. Ipsilateral carotid stenosis ≥50% or occlusion was associated with higher age (OR: 1.15, 95% CI: 1.01-1.32, per decade), previous ischemic stroke or transient ischemic attack (OR: 1.70, 95% CI: 1.29-2.25), peripheral artery disease (OR: 1.85, 95% CI: 1.23-2.78), coronary artery disease (OR: 1.53, 95% CI: 1.16-2.04), and statin treatment on admission (OR: 1.30, 95% CI: 1.01-1.67). Patients with lacunar stroke had a lower likelihood of stenosis ≥50% or occlusion (OR: 0.29, 95% CI: 0.13-0.68). Compared to the absence of atherosclerotic disease, atherosclerosis in one and two arterial beds was associated with the identification of ipsilateral carotid stenosis (OR: 1.49, 95% CI: 1.22-2.98 and OR: 3.18, 95% CI: 1.85-5.49, respectively). Conclusion: Among acute ischemic stroke patients with AF, 1 out of 3 had ipsilateral carotid atherosclerosis, and 1 out of 8 had ipsilateral carotid stenosis ≥50% or occlusion. Atherosclerosis in two arterial beds was the most important predictor for the identification of ipsilateral carotid stenosis. Among ischemic stroke patients with AF, carotid atherosclerosis is common, while carotid imaging should not be overlooked, especially in those with coronary or/and peripheral artery disease. es_ES
dc.language.iso eng es_ES
dc.publisher Karger es_ES
dc.subject Stroke es_ES
dc.subject Accidente Cerebrovascular Isquémico es_ES
dc.subject Ischemic Stroke es_ES
dc.subject Atrial Fibrillation es_ES
dc.subject Fibrilación Atrial es_ES
dc.subject Carotid Artery Diseases es_ES
dc.subject Enfermedades de las Arterias Carótidas es_ES
dc.subject Epidemiology
dc.subject Epidemiology
dc.title Prevalence and Factors Associated with Carotid Stenosis in Acute Ischemic Stroke Patients with Atrial Fibrillation es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.description.fil Fil: Rosales, Julieta Soledad. Fleni. Departamento de Neurología. Servicio de Neurología Vascular; Argentina.
dc.description.fil Fil: Rodríguez Pérez, María Soledad. Fleni. Departamento de Neurología. Servicio de Neurología Vascular; Argentina.
dc.description.fil Fil: Gómez Schneider, Maia Macarena. Fleni. Departamento de Neurología; Argentina.
dc.relation.ispartofPAGINATION 1-10.
dc.relation.ispartofCOUNTRY Estados Unidos
dc.relation.ispartofCITY Nueva York
dc.relation.ispartofTITLE Neuroepidemiology
dc.relation.ispartofISSN 1423-0208
dc.type.snrd info:ar-repo/semantics/artículo es_ES


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