УЛЬТРАЗВУКОВАЯ ОЦЕНКА СТРУКТУРНЫХ ИЗМЕНЕНИЙ СОННЫХ АРТЕРИЙ У БОЛЬНЫХ ИШЕМИЧЕСКИМ ИНСУЛЬТОМ

M.A. Dalli; N.F. Posohov; R.Y. Abdulaev; T.A. Dudnik; A.E. Kostyukovskaya; L.N. Vasko; T.A. Jukova

doi:10.34921/amj.2021.4.001

Authors

M.A. Dalli Kharkiv Medical Academy of Postgraduate Education
N.F. Posohov Institute of Neurology, Psychiatry and Narcology of the National Academy of Medical Sciences of Ukraine'' State Institution
R.Y. Abdulaev Kharkiv Medical Academy of Postgraduate Education
T.A. Dudnik Poltava State Medical University
A.E. Kostyukovskaya Kharkiv Medical Academy of Postgraduate Education
L.N. Vasko Poltava State Medical University, Department of Surgery and Radiology
T.A. Jukova Poltava State Medical University, Department of Surgery and Radiology

DOI:

https://doi.org/10.34921/amj.2021.4.001

Keywords:

ultrasonography, dopplerography, ischemic stroke, carotid atherosclerosis, carotid stenosis

Abstract

The article presents information on the ultrasound examination of the carotid arteries in patients with ischemic stroke under the age of 60 years. The frequency of occurrence of various types of plaques on the walls of the carotid arteries was determined. Atherosclerotic changes in the walls of the common carotid artery (CCA) in the form of local or diffuse wall thickening were observed in 62 (83.8%) stroke patients. CCA stenosis within 31-50% was observed in 23 (31.1%) patients, 51-70% in 19 (25.7%) patients, more than 70% in 8 (10.5%) patients, respectively.

Soft plaques were detected in 7 (9.5%) patients, calcification of the CCA wall in 17 (23.0%) cases, in 15 of which it caused stenosis of the arterial lumen within 31-50%. Large plaques causing stenosis of the CCA lumen of more than 50% were registered in 19 (25.7%) cases. Ulcerated plaques were diagnosed in 8 (10.8%) stroke patients - significantly more often (p<0.05) than in the comparison group.