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Carotid artery atherosclerosis among 65-year-old Swedish men - a population-based screening study.

https://arctichealth.org/en/permalink/ahliterature103069
Source
Eur J Vasc Endovasc Surg. 2014 Jul;48(1):5-10
Publication Type
Article
Date
Jul-2014
Author
D. Högberg
B. Kragsterman
M. Björck
J. Tjärnström
A. Wanhainen
Author Affiliation
Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University Hospital, Uppsala, Sweden; Department of Surgery, NU-Hospital Organization, Trollhättan, Sweden.
Source
Eur J Vasc Endovasc Surg. 2014 Jul;48(1):5-10
Date
Jul-2014
Language
English
Publication Type
Article
Keywords
Age Factors
Aged
Carotid Artery Diseases - epidemiology - ultrasonography
Carotid Stenosis - epidemiology - ultrasonography
Comorbidity
Coronary Artery Disease - epidemiology
Diabetes Mellitus - epidemiology
Humans
Hypertension - epidemiology
Logistic Models
Male
Mass Screening - methods
Multivariate Analysis
Odds Ratio
Predictive value of tests
Prevalence
Risk assessment
Risk factors
Severity of Illness Index
Sex Factors
Smoking - adverse effects - epidemiology
Sweden - epidemiology
Ultrasonography, Doppler, Duplex
Abstract
There are limited contemporary epidemiological data on the prevalence of carotid atherosclerosis in the general population. The aim was to determine the prevalence of and risk factors associated with carotid artery atherosclerosis among 65-year-old men.
This was a population-based screening study. All 65-year-old men in the County of Uppsala, Sweden, who attended screening for abdominal aortic aneurysm (AAA) 2007-2009, were invited for duplex scanning of the carotid arteries.
Of 4801 men invited, 4657 (97%) accepted. Carotid plaques (>2 × 6 mm) were observed in 1169 (25%) men, 94 (2.0%) had carotid stenoses (50-99%), and 15 (0.3%) had occluded carotid arteries. In a multivariate logistic regression model, smoking (OR 1.7, 95% CI 1.5-1.9), hypertension (1.5, 95% CI 1.3-1.7), diabetes mellitus (1.2, 95% CI 1.0-1.5), and coronary artery disease (1.5, 95% CI 1.3-1.8) were associated with prevalence of carotid atherosclerosis (plaque and/or stenosis). The use of antiplatelet agents and statins in participants with a carotid plaque was 20% and 29%, respectively. The corresponding figures in participants with a stenosis were 42% and 41%.
This study offers contemporary data on the prevalence of carotid atherosclerosis in a population-based cohort of 65-year-old men. Most of those at risk had no other clinical manifestation of atherosclerosis, and therefore had no secondary prevention.
Notes
Comment In: Eur J Vasc Endovasc Surg. 2014 Jul;48(1):11-224878233
PubMed ID
24631197 View in PubMed
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Risk factors for complications after carotid endarterectomy--a population-based study.

https://arctichealth.org/en/permalink/ahliterature47230
Source
Eur J Vasc Endovasc Surg. 2004 Jul;28(1):98-103
Publication Type
Article
Date
Jul-2004
Author
B. Kragsterman
K. Logason
A. Ahari
T. Troëng
H. Parsson
D. Bergqvist
Author Affiliation
Section of Surgery, Department of Surgical Sciences, University Hospital, Akademiska sjukhuset, SE-751 85 Uppsala, Sweden.
Source
Eur J Vasc Endovasc Surg. 2004 Jul;28(1):98-103
Date
Jul-2004
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Aortic Rupture - epidemiology - etiology
Case-Control Studies
Cerebrovascular Accident - epidemiology - etiology
Comparative Study
Endarterectomy, Carotid - adverse effects
Female
Follow-Up Studies
Humans
Ischemic Attack, Transient - epidemiology - etiology
Male
Middle Aged
Postoperative Complications - epidemiology - etiology
Research Support, Non-U.S. Gov't
Retrospective Studies
Risk factors
Survival Analysis
Sweden - epidemiology
Treatment Outcome
Abstract
OBJECTIVES: The overall benefit of carotid endarterectomy (CEA) is dependent on the outcome from the procedure. However, many reports are from selected centres and not population-based. The aim of this study was to assess the 30-day complication rate for a whole country and also to determine independent risk factors for serious complications. MATERIALS AND METHODS: One thousand five hundred and eighteen CEA were retrospectively reviewed, covering principally all the CEAs in Sweden, during a three year period. Indications for surgery were; minor stroke 34%, TIA 34%, amaurosis fugax 18%, asymptomatic 11% and others 3%. Data were collected from the Swedish Vascular Registry (Swedvasc). Combined cohort and case-control methodology was used. RESULTS: Registered complications were; 43 permanent strokes, 32 transient strokes (
PubMed ID
15177238 View in PubMed
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Low post-operative mortality after surgery on patients with screening-detected abdominal aortic aneurysms: a Swedvasc registry study.

https://arctichealth.org/en/permalink/ahliterature260421
Source
Eur J Vasc Endovasc Surg. 2014 Dec;48(6):649-56
Publication Type
Article
Date
Dec-2014
Author
A. Linné
K. Smidfelt
M. Langenskiöld
R. Hultgren
J. Nordanstig
B. Kragsterman
D. Lindström
Source
Eur J Vasc Endovasc Surg. 2014 Dec;48(6):649-56
Date
Dec-2014
Language
English
Publication Type
Article
Keywords
Aged
Aortic Aneurysm, Abdominal - diagnosis - mortality - surgery
Endovascular Procedures - adverse effects - mortality
Hospital Mortality
Humans
Male
Mass Screening - methods
Medical Audit
Patient Selection
Postoperative Complications - mortality
Predictive value of tests
Registries
Retrospective Studies
Risk factors
Sex Factors
Sweden
Time Factors
Treatment Outcome
Vascular Surgical Procedures - adverse effects - mortality
Abstract
Screening for abdominal aortic aneurysms (AAAs) substantially reduces aneurysm-related mortality in men and is increasing worldwide. This cohort study compares post-operative mortality and complications in men with screening-detected vs. non-screening-detected AAAs.
Data were extracted from the Swedish National Registry for Vascular Surgery (Swedvasc) for all screening-detected men treated for AAA (n = 350) and age-matched controls treated for non-screening-detected AAA (n = 350).
There were no differences in baseline characteristics besides age, which was lower in the screening-detected group than in the non-screening-detected group (median 66 vs. 68, p
Notes
Comment In: Eur J Vasc Endovasc Surg. 2014 Dec;48(6):657-825465471
PubMed ID
25301773 View in PubMed
Less detail