Doppler evaluation of carotid arteries in patients with ischemic stroke in rural coastal region of Maharashtra

 

Deshpande Janhavi Jaywant¹, Kulkarni Pradeep², Maroo Suresh³, Patil Netaji⁴, Patil Chadrakant⁵, Kulkarni Ashwini⁶, Kulkarni Ujjwala Prabhakar^7*

 

Abstract              Background: Cerebral ischemic stroke is a major cause of death, ranking third behind only malignancies and cardiovascular disease. Aims and Objectives: To study Doppler evaluation of carotid arteries in patients with Ischemic Stroke in Rural coastal region of Maharashtra Methodology: This was a cross-sectional study carried out in the patents with Ischemic Stroke at Rural area Konkan during the one year period i.e. Sep 2017 to Aug 2018. In the one year period there were 201 patients enrolled into the study, all details of the patients like age, sex, clinical features, lipid profile etc. investigations were carried out. Patients were evaluated by colour Doppler for the atherosclerotic plaque, site and percentage of stenosis etc. All such information was entered to excel sheets analyzed by excel software for windows 10 Result: In our study we have seen that the majority of the patients were in the age group of 70-80Yrs. were 36.82%, followed by 60-70 Yrs. were 27.86%, 50-60 Yrs. were 19.40%, 80-90 Yrs. were 8.46%, 40-50 Yrs. were 3.48% and 30-40 were 1.49%. The majority of the patients were Male i.e. 55.72% and Female were 44. Plaque was absent in 16.92% of the patients, present on Rt. Side in 20.90% and in 22.89% to Lt. side, in 39.30% patients was present in Bilateral. In 33.33% it was present in CCA, in 30.08 was present in ICA Bulb, in 36.59 present at Bulb. In 86.18% of the patients the stenosis was present in < 50%, in 6.10% was 50-69%, in 4.07% was present in 70 But Less Than Near Occlusion, 20.03% was present in Near occlusion, Total occlusion was present in 1.63%. Conclusion: It can be concluded from our study that the majority of the patients were old and more common in males, the doppler evaluation is a safe and give detail of the features of vessels like Site, Stenosis of arteries etc. features

Key Word: Ischemic stroke, TIAs, Doppler study of CVA, CVA.