Association between carotid plaque and intracerebral hemorrhage

Abstract

Although the relationship between carotid plaque and ischemic stroke has been proven, in some studies, its relationship with ICH has also been considered probable. Considering that the risk assessment in patients prone to stroke is valuable and if there is a relationship between the presence or absence of plaque and its size and location with the occurrence or non-occurrence of ICH, it can be used to prevent the occurrence of stroke and also select Appropriate treatment method should be used. The aim of this study is to evaluate the relationship between carotid plaque and its size and location with the occurrence of ICH. Methods: The present study was a descriptive observational study that was conducted with the participation of 200 patients; An information collection form was designed for patients, which includes questions such as age, gender, type of underlying disease (diabetes mellitus, high blood pressure, heart disease, lung disease, kidney disease, liver disease). , the type of drugs used by the patients, history of cancer and receiving radiotherapy or chemotherapy, history of cerebral ischemia, history of cardiac ischemia, history of left ventricular hypotrophy, patient's vital signs while visiting the hospital (systolic and diastolic blood pressure and heart rate), measurement of parameters Biochemical (LDH, HDL, Tg, Chlos) carotid artery ultrasound results (plaque presence/absence, carotid plaque location, degree of obstruction) brain damaged area based on imaging results, duration of hospitalization, duration of hospitalization In the special care department, the need for surgery, the need for patient intubation, and the discharge or death of patients were recorded. Results: Carotid plaque was present in 114 patients (57 percent); Of these people, 68 patients (34%) had plaque in the right carotid artery and the rest (46 patients - 23%) in the left carotid artery. Out of the total number of people with plaque, 21 people had complete blockage, 68 patients had more than 75% blockage and 25 patients had less than 75% blockage. 29 patients had large lesions, 108 patients had medium lesions, and 63 patients had small lesions; 73 patients (67.03%) had plaque in the proximal part of the internal carotid artery; Also, the bifurcation parts (28 people - 24.56%) and the distal carotid part (13 people - 11.40%) were the next most common parts with carotid plaque; Examining the relationship between carotid plaque location and intraparenchymal bleeding indicated that plaque location cannot predict intraparenchymal bleeding (P=0.068).