The correlation analysis between preoperative cerebral small vessel disease and carotid plaque echo characteristics
Yanqing Zhou1, Pianpian Yan1, Shengwen Guo1
1Department of Anesthesiology, Xiamen Cardiovascular Hospital of Xiamen University, School of Medicine, Fujian Branch of National Clinical Research Center for Cardiovascular Diseases, Xiamen, China.
Purpose:
This study explores the correlation between carotid plaques and cerebral small vessel disease (CSVD).
Method:
A total of 167 patients were divided into CSVD (n = 119) and Non-CSVD (n = 48) groups. Various clinical variables, including body mass index (BMI), coronary artery disease, hypertension, and carotid plaque echo characteristics, were evaluated using multivariate logistic regression analysis.
Results:
The analysis revealed that carotid isoechoic plaques (OR = 2.139, 95% CI 1.421-3.219, P < 0.001) and hypoechoic plaques (OR = 1.687, 95% CI 1.206-2.359, P = 0.002) are independent risk factors for CSVD. Other variables such as BMI, coronary artery disease, hypertension, and hyperlipidemia did not reach statistical significance.
Conclusion:
The presence of carotid isoechoic and hypoechoic plaques significantly increases the risk of CSVD, highlighting the importance of carotid imaging in assessing stroke risk and guiding clinical management.
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