ABSTRACT
Objective: The aim of this study was to assess the relationship between intima-media thickness [IMT] and coronary artery disease [CAD], peripheral artery disease [PAD], carotid artery stenosis [CAS] and risk of cerebrovascular disease [CVD] and to evaluate the effectiveness of the measurement of the common carotid artery IMT through ultrasonography [US] screening of asymptomatic CAD, PAD, CAS
Patients and Methods: A total of 482 patients [215 females, 267 males] with ages ranging between 65 and 94 years old [mean age: 71.4 years] were examined with ultrasound [US]
Results: Among the 482 patients, 226 [46.8%] [151 males, 75 females] had increased IMT values. A signifi cant relationship was observed between the increase in the IMT, gender and age. The association between increased IMT and CAS [P =0.0001], CAD [P = 0.007], PAD [P = 0.0001] and CVD [P = 0.011] was found statistically signifi cant [P < 0.05]
Conclusions: The increase in the IMT may be used as an independent predictor to foresee the presence and diagnosis of CAD, PAD, CAS and CVD. The results of this study suggest screening for atherosclerosis [CAD, PAD, CAS] patients over 65 years of age using measurement of carotid IMT with US
ABSTRACT
Persistent sciatic artery PSA represents the persistence of the sciatic vessel in adult life that is responsible for the major blood supply to the lower limb in early embryologic development. The incidence of PSA has been estimated as low as 0.025-0.04%. We present 2 cases of PSA, one of which was complicated by an aneurysm that led to a life-threatening hemorrhage