Leukoaraiosis and carotid artery stenosis: evaluation with CT angiography
Hakan Demirtaş1, Can Özkaynak, Mehmet Sedat Durmaz
1Department of Radiology, Yalvac Hospital, Isparta, Turkey.
Insights
Leukoaraiosis is common in older adults and significantly correlates with carotid artery stenosis severity. This suggests leukoaraiosis may indicate advanced atherosclerosis.
Area of Science:
- Neurology
- Vascular Medicine
- Radiology
Background:
- Leukoaraiosis, a marker of cerebral small vessel disease, is prevalent in aging populations.
- Carotid artery stenosis is a significant risk factor for stroke.
- The relationship between leukoaraiosis and carotid artery stenosis requires further elucidation.
Purpose of the Study:
- To investigate the association between leukoaraiosis and carotid artery stenosis.
- To determine if the severity of leukoaraiosis correlates with the degree of carotid artery stenosis.
Main Methods:
- Retrospective analysis of 194 patients' carotid-cerebral multislice computed tomography angiographies.
- Evaluation of leukoaraiosis presence and severity using European Task Force criteria.
- Assessment of carotid artery stenosis based on North American Symptomatic Carotid Endarterectomy Trial criteria.
Main Results:
- Leukoaraiosis was observed in 52% of the study cohort.
- Significant correlations were found between age and both leukoaraiosis and carotid artery stenosis.
- A significant relationship exists between the presence of leukoaraiosis and carotid artery stenosis, with severity positively correlating.
Conclusions:
- Leukoaraiosis is more frequent in elderly individuals.
- The positive correlation between leukoaraiosis severity and carotid artery stenosis degree suggests a potential link to advanced atherosclerosis.
- These findings highlight leukoaraiosis as a potential indicator of systemic vascular disease.
Objective:
We aim to determine the relationship between leukoaraiosis and carotid artery stenosis.
Methods:
Carotid-cerebral multislice computed tomography angiographies of 194 patients (mean age, 63.5 years) were retrospectively evaluated. Presence and severity of leukoaraiosis and carotid artery stenosis were compared to each other. Carotid artery stenosis was defined by the criteria of the North American Symptomatic Carotid Endarterectomy Trial; leukoaraiosis was evaluated based on the European Task Force on Age-Related White Matter Changes criteria.
Results:
The frequency of leukoaraiosis was 52%. The correlations between age and presence and severity of leukoaraiosis as well as the degree of carotid artery stenosis were significant. There was a significant relationship between the presence of leukoaraiosis and carotid artery stenosis; also, a positive correlation was found between the severity of the leukoaraiosis and the degree of carotid artery stenosis.
Conclusions:
Leukoaraiosis is more common among the elderly. Significant relationship between the severity of leukoaraiosis and the degree of carotid artery stenosis points out that leukoaraiosis may be an advanced stage of atherosclerosis.
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