Disease of Proximal Part of Vertebral Artery in Patients with Coronary Artery Disease

Abstract

Recognition of coincidence of cerebral vascular disease is of importance in patients with coronary artery disease. One hundred and seventy-three patients who underwent coronary angiography were also studied by angiography of subclavian arteries and abdominal aorta. The majority of the patients (128/173; 74%) were men. Risk factors of hypertension, diabetes, and hypercholesterolemia were present in a high percentage of patients. Disease of the proximal part of the vertebral artery was seen in 41.6% (72/173). Presence of vertebral artery disease was significantly correlated with diabetes (p = 0.02), renal artery stenosis (p = 0.003), coronary artery disease (p = 0.05), and iliac artery disease (p = 0.05). The proximal part of the vertebral artery was found to be affected in a high percentage (41.6%) of patients under going coronary angiography.

Get full access to this article

View all access options for this article.

References

Salasidis GC , Latter DA , Steinmetz OK , et al: Carotid artery duplex scanning in preoperative assessment for coronary artery revascularization: The association between peripheral vascular disease, carotid artery stenosis, and stroke. J Vasc Surg 21:154-162, 1995.

Hoffmann A. , Dinkel M. , Schweiger H. , et al: The influence of the state of the vertebral arteries on the perioperative and postoperative risk in carotid surgery. Eur J Vasc Endovasc Surg 16:329-333, 1998.

Sanguini V. , Gallu M. , Strano A. : Incidence of carotid artery atherosclerosis in patients with coronary artery disease. Angiology 44:34-38, 1993.

Barnes RW , Liebman PR , Marszalek PB , et al: The natural history of asymptomatic carotid disease in patients undergoing cardiovascular surgery. Surgery 90:1079-1083, 1981.

Faggioli GL , Curl R. , Ricotta JJ : The role of carotid screening before coronary artery bypass. J Vasc Surg 12:724-731, 1990.

Chen WH , Ho DS , Ho SL , et al: Prevalence of extracranial carotid and vertebral artery disease in Chinese patients with coronary artery disease. Stroke 29:631-634, 1998.

Craven TE , Ryu JE , Espeland MA , et al: Evaluation of association between carotid artery atherosclerosis and coronary artery stenosis. A case control study. Circulation 82:1230-1242, 1990.

Keller HM , Meier WE , Kumpe DA : Noninvasive angiography for the diagnosis of vertebral artery disease using Doppler ultrasound (vertebral artery Doppler). Stroke 7:364-369, 1976.

Missouris CG , Barley J. , Jeffery S. , et al: Genetic risk for renal artery stenosis: Association with deletion polymorphism in angiotensin 1-converting enzyme gene. Kidney Int 49:534-537, 1996.

10.

Comerota AJ , Maurer AH : Surgical correction and SPECT imaging of vertebrobasilar insufficiency due to unilateral vertebral artery stenosis . Stroke 23:602-606, 1992.

11.

Delcker A. , Diener HC , Timmann D. , et al: The role of vertebral and internal carotid artery disease in the pathogenesis of vertebrobasilar transient ischemic attacks. Eur Arch Psychiatry Clin Neurosci 242 :179-183, 1993.

12.

Wityk RJ , Chang HM , Rosengart A. , et al: Proximal extracranial vertebral artery disease in the New England Medical Center Posterior Circulation Registry. Arch Neurol 55:470-478, 1998.

13.

Motarjeme A. , Keifer JW , Zuska AJ : Percutaneous transluminal angioplasty of the vertebral arteries. Radiology 130:715-717, 1981.

14.

Piotin M. , Spelle L. , Martin JB , et al: Percutaneous transluminal angioplasty and stenting of the proximal vertebral artery for symptomatic stenosis. Am J Neuroradiol 21:727-731, 2000.

15.

Myers KA : Reconstruction of vertebral artery stenosis. Aust N Z J Surg 47:41-48, 1977.

16.

Berguer R. , Flynn LM , Kline RA , et al: Surgical reconstruction of the extracranial vertebral artery: Management and outcome. J Vasc Surg 31:9-18, 2000.

17.

Mitchell J. , Mckay A. : Comparison of left and right vertebral artery intracranial diameters. Anat Rec 242:350-354, 1995.

18.

Feldmann E. , Daneault N. , Kwan E. , et al: Chinese-white differences in the distribution of occlusive cerebrovascular disease. Neurology 40:1541-1545, 1990.

19.

Gorelick PB , Caplan LR , Hier DB , et al: Racial differences in the distribution of posterior circulation occlusive disease. Stroke 16:785-790, 1985.