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• W2759285514 abstract "Carotid duplex ultrasonography (CDUS) is one of useful screening modality for internal carotid artery stenosis (ICAS) associated with vascular disease. We aimed to clinical utility of CDUS for neurological asymptomatic patient prior to operation for peripheral artery disease (PAD). This study had institutional review board approval, and informed consent was waived. From January 2011 to December 2015, 231 consecutive patients (69.5±7.74 years, male 202 patients) who had undergone preoperative CDUS (Phlilips IU 22 , Philps Healthcare, Amsterdam, Netherland) for peripheral artery disease were included in this study and two radiologists assessed degree of ICAS by using European Carotid Surgery Trial (ECST) with consensus and severe (> 70%) ICAS or moderate ICAS (50-69%) ICAS with vulnerable plaque were defined as significant ICAS. To find out risk factors of asymptomatic significant ICAS, we analyzed demographics, co-existing medial conditions, lesion of PAD, and ankle brachial index (ABI) with multiple logistic regression model. For statistical analysis, data were tested by multiple logistic regression analysis and Chi-square test. Among 231 PAD patients, 35 patients had significant ICAS (15.1%). Multi-level lesion revealed significantly higher incidence of significant ICAS than iliac and infrainguinal lesion (22.5% vs. 9.4% vs. 8%: P = 0.016). Age (OR:1.05, 95% CI: 1.00-1.10: P = 0.035), Chronic kidney disease (CKD, OR:6.19, 95% CI: 1.47-26.06: P = 0.013) and cerebral vascular disease (CVD, OR:4.08, 95% CI: 1.09-15.30: P = 0.037) were significant risk factors of significant ICAS in multivariate analysis. Prevalence of significant ICAS according to ABI in PAD was not significant. CDUS can be a useful non-invasive preoperative screening imaging tool for evaluation of significant ICAS in PAD patients with multi-level lesion, age, CKD, and CVA." @default.
• W2759285514 created "2017-10-06" @default.
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• W2759285514 date "2017-01-01" @default.
• W2759285514 modified "2023-10-05" @default.
• W2759285514 title "Clinical Utility of Preoperative Carotid Duplex Ultrasonography Prior to Operation for Peripheral Artery Disease" @default.
• W2759285514 doi "https://doi.org/10.1016/j.ultrasmedbio.2017.08.1873" @default.
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