Lusiani L, Visonà A, Castellani V, Ronsisvalle G, Scaldalai E, Bonanome A, Pagnan A, Cirillo F M, Valfrè C, Gallucci V
G Ital Cardiol. 1986 Feb;16(2):103-13.
The association of an overt coronary artery disease with a cerebrovascular disease is frequently reported. However the real prevalence of atherosclerotic lesions at the carotid bifurcation in coronary patients is not well established. The aim of our study was to evaluate the prevalence of atherosclerotic involvement of the extracranial carotid arteries in a group of 141 patients undergoing coronary artery by-pass graft (CABG) and to verify whether any correlations between coronary and carotid artery disease exist. The extracranial carotid arteries have been studied by means of an echo-doppler (duplex) system, which combines a B-mode images with a pulsed doppler. A high prevalence (17.02%) of patients with a severe (greater than 50% diameter reduction) carotid involvement was detected (Tab. II). However, no correlations between the coronary and the carotid disease were found in terms of extension and severity (Tab. V). In conclusion, a systematic evaluation of the carotid arteries is recommendable in the coronary patients, candidates to CABG, even in the absence of cerebrovascular symptoms.
明显的冠状动脉疾病与脑血管疾病之间的关联屡有报道。然而，冠心病患者颈动脉分叉处动脉粥样硬化病变的实际患病率尚未明确。我们研究的目的是评估141例接受冠状动脉搭桥术（CABG）患者的颅外颈动脉粥样硬化累及情况，并验证冠状动脉疾病与颈动脉疾病之间是否存在任何相关性。通过将B型图像与脉冲多普勒相结合的超声多普勒（双功）系统对颅外颈动脉进行了研究。检测到严重（直径缩小大于50%）颈动脉受累患者的患病率较高（17.02%）（表二）。然而，在病变范围和严重程度方面，未发现冠状动脉疾病与颈动脉疾病之间存在相关性（表五）。总之，对于拟行CABG的冠心病患者，即使没有脑血管症状，也建议对颈动脉进行系统评估。
