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MDCTA diagnosis of cerebral vessel disease among patients with arterial hypertension

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MDCTA diagnosis of cerebral vessel disease among patients with arterial hypertension

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dc.contributor.author Romanko-Hrushchak, Nataliya pl
dc.date.accessioned 2017-09-05T08:09:38Z
dc.date.available 2017-09-05T08:09:38Z
dc.date.issued 2013 pl
dc.identifier.issn 1733-134X pl
dc.identifier.uri http://ruj.uj.edu.pl/xmlui/handle/item/43818
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode *
dc.title MDCTA diagnosis of cerebral vessel disease among patients with arterial hypertension pl
dc.type JournalArticle pl
dc.description.physical 28-34 pl
dc.description.additional Bibliogr. s. 34 pl
dc.abstract.en Background: To study changes involving cerebral vessels in patients with hypertension and various levels of total cardiovascular risk. Material/Methods: One hundred and thirty-four patients underwent CT-angiography of intracranial vessels. Ninety-eight of them were diagnosed with hypertension. Taking into consideration high blood pressure, presence of risk factors and target organ damage subjects were divided into 4 groups: with low, medium, high and very high total cardiovascular risk. Control group included 36 patients. They were not diagnosed with hypertension at the time of examination. One hundred and five patients were examined using a 4-slice CT scanner (Toshiba Asteion 4, Toshiba Medical System, Japan), and 29 patients were examined using a 128-slice scanner (Siemens Definition AS+, Siemens Healthcare, Germany) with an injection system. We used iodine-containing contrast agents such as iodixanol and iopromide for angiography. Results: Anatomical and topographic changes of cerebral vessels were most frequently found in hypertensive patients with high and very high total cardiovascular risk. Narrowing of vertebral vessels was the most common change (27 patients (27.55%), 21 patients (21.43%) had narrowing of the right artery, and 6 (6.12%) subjects - of the left one). Tortuous course of internal carotid arteries at the neck level was visualized in 11 patients (11.22%). Narrowing of A1 segment of anterior cerebral artery was noted in 9 patients (9.18%), of the right one - in 8 patients (8.16%), of the left one - in 1 patient (1.02%). Aneurysmal dilation of intracranial vessels was visualized in 6 patients (6.12%). Saccular aneurysm of left internal carotid artery was diagnosed in 2 patients (2.04%), one patient (1.02%) had right internal carotid artery aneurysm and one patient (1.02%) had an aneurysm of the basilar artery. Discussions: The most common changes of cerebral vessels diagnosed in MDCTA among patients with hypertension included various degrees of narrowing of vertebral vessels, anterior, posterior and posterior communicating arteries and internal carotid arteries. Changes of middle cerebral arteries and basilar arteries were extremely rare, thus we can say that these vessels are influenced by high blood pressure to lesser extent. We established the relationship between changes in cerebral blood vessels and total cardiovascular risk. Therefore, we believe that findings will be useful for establishing prognosis in hypertension and prevention of complications such as stroke. Conclusions: MDCT angiography is a highly informative method to study changes of cerebral vessels in patients with hypertension. The relationship between changes in cerebral blood vessels diagnosed through MDCT angiography and the level of total cardiovascular risk among patients with hypertension had been established. pl
dc.subject.en CT angiography pl
dc.subject.en cerebral vessels pl
dc.subject.en arterial hypertension pl
dc.subject.en total cardiovascular risk pl
dc.subject.en diminution pl
dc.subject.en S-shaped deviation pl
dc.subject.en saccular aneurysm pl
dc.subject.en stenosis pl
dc.subject.en hypoplasia pl
dc.subject.en trifurcation pl
dc.subject.en fenestration pl
dc.description.volume 78 pl
dc.description.number 3 pl
dc.identifier.doi 10.12659/PJR.889460 pl
dc.identifier.eissn 1899-0967 pl
dc.title.journal Polish Journal of Radiology pl
dc.language.container eng pl
dc.subtype Article pl
dc.rights.original CC-BY-NC-ND; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0; pl


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Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska