engleski

Correlation between Carotid Occlusive Disease and Peripheral Arterial Occlusive Disease - a Rationale for Screening

Epidemiology of COD in Croatia seems to be a substantial problem with 3800 symptomatic patients and more than 30 000 asymptomatic ones. The average need for CEA/CAS in Croatia is 3200 procedures per year. Vascular surgeons meet 15% of real needs for carotid procedures. The number of CEAs in the Univ Hosp Merkur Zagreb rose from 12 in 1992 to 221 in 2003 with the stroke/death rate of 1, 2%. Number of patients with PAOD that need vascular intervention was > 4000 in 2003. Vascular surgeons meet up to 40% of the real needs for surgery. The number of PAOD patients in our unit was 3150 in the last 10 years. A prospective study of correlation between COD and PAOD was performed in 2002/03 on 369 patients with COD. The screening on PAOD in this group showed that 33% of patients with COD suffered from significant PAOD. From the PAOD subgroup, 27% of patients had CLI. The severity of COD was not in correlation with the severity of PAOD. In our group, COD < 50% had 8%, >50% had 25%, COD>75% had 28% and subtotal stenosis/occlusion 40% of patients respectively. Screening of PAOD in COD patients could be useful in preventing amputation and QOL improvement.

Carotid occlusive disease; peripheral arterial occlusive disease

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