Clinical significance of the internal carotid artery angle in ischemic stroke

Abstract The carotid artery plays a major role in stroke aetiology and is a good indicator of atherosclerosis. However, the clinical significance of internal carotid artery (ICA) anatomy remains unclear in patients with ischaemic stroke. This study examined the relationship between ICA angle and ris...

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Autores principales:	Sang-Mi Noh, Hyun Goo Kang
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2019
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/95abe4551e5f49ac9d0068692d219678
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spelling	oai:doaj.org-article:95abe4551e5f49ac9d0068692d2196782021-12-02T15:09:56ZClinical significance of the internal carotid artery angle in ischemic stroke10.1038/s41598-018-37783-12045-2322https://doaj.org/article/95abe4551e5f49ac9d0068692d2196782019-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-018-37783-1https://doaj.org/toc/2045-2322Abstract The carotid artery plays a major role in stroke aetiology and is a good indicator of atherosclerosis. However, the clinical significance of internal carotid artery (ICA) anatomy remains unclear in patients with ischaemic stroke. This study examined the relationship between ICA angle and risk of ischaemic stroke. ICA angles of patients with acute ischaemic stroke were retrospectively compared with those of control patients between March 2014 and July 2014. Controls consisted of those with headaches but without ischaemic stroke. In both groups, ICA angles were measured using Maximum Intensity Projection images from computed tomography angiography, and the relationship between ICA angle and risk of ischaemic stroke was analysed. Of 128 screened patients with acute ischaemic stroke, 27 were enrolled, and 29 with headache were enrolled as controls. No differences were found in baseline characteristics between the two groups, but intracranial stenosis was more frequent in patients with stroke than in controls. Bilateral ICA angles were significantly larger in patients with stroke than in controls. Multiple logistic regression models showed that the right ICA angle was associated with risk of ischaemic stroke. Measuring the ICA angle may help assess the risk of ischaemic stroke.Sang-Mi NohHyun Goo KangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 9, Iss 1, Pp 1-5 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sang-Mi Noh Hyun Goo Kang Clinical significance of the internal carotid artery angle in ischemic stroke
description	Abstract The carotid artery plays a major role in stroke aetiology and is a good indicator of atherosclerosis. However, the clinical significance of internal carotid artery (ICA) anatomy remains unclear in patients with ischaemic stroke. This study examined the relationship between ICA angle and risk of ischaemic stroke. ICA angles of patients with acute ischaemic stroke were retrospectively compared with those of control patients between March 2014 and July 2014. Controls consisted of those with headaches but without ischaemic stroke. In both groups, ICA angles were measured using Maximum Intensity Projection images from computed tomography angiography, and the relationship between ICA angle and risk of ischaemic stroke was analysed. Of 128 screened patients with acute ischaemic stroke, 27 were enrolled, and 29 with headache were enrolled as controls. No differences were found in baseline characteristics between the two groups, but intracranial stenosis was more frequent in patients with stroke than in controls. Bilateral ICA angles were significantly larger in patients with stroke than in controls. Multiple logistic regression models showed that the right ICA angle was associated with risk of ischaemic stroke. Measuring the ICA angle may help assess the risk of ischaemic stroke.
format	article
author	Sang-Mi Noh Hyun Goo Kang
author_facet	Sang-Mi Noh Hyun Goo Kang
author_sort	Sang-Mi Noh
title	Clinical significance of the internal carotid artery angle in ischemic stroke
title_short	Clinical significance of the internal carotid artery angle in ischemic stroke
title_full	Clinical significance of the internal carotid artery angle in ischemic stroke
title_fullStr	Clinical significance of the internal carotid artery angle in ischemic stroke
title_full_unstemmed	Clinical significance of the internal carotid artery angle in ischemic stroke
title_sort	clinical significance of the internal carotid artery angle in ischemic stroke
publisher	Nature Portfolio
publishDate	2019
url	https://doaj.org/article/95abe4551e5f49ac9d0068692d219678
work_keys_str_mv	AT sangminoh clinicalsignificanceoftheinternalcarotidarteryangleinischemicstroke AT hyungookang clinicalsignificanceoftheinternalcarotidarteryangleinischemicstroke
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Clinical significance of the internal carotid artery angle in ischemic stroke

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