MDCTA semiotics of the cerebral vessels disease among patients with hypertonic disease

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Congress:

ECR 2015

Poster Number:

C-0375

Type:

Scientific Exhibit

Keywords:

Neuroradiology brain, Cardiovascular system, Oncology, CT, CT-Angiography, MR, Computer Applications-3D, Colonography CT, Computer Applications-Virtual imaging, Cancer, Embolism / Thrombosis, Image verification

Authors:

N. Romanko-Hrushchak; Kalush/UA

DOI:

10.1594/ecr2015/C-0375

DOI-Link:

https://dx.doi.org/10.1594/ecr2015/C-0375

Fig. 1: 3D-reconstruction of the cerebral vessels of the patient P.,65...

Fig. 2: 3D–reconstruction of cerebral blood vessels of patient P., 65...

Fig. 3: Fig. 3-6. 3D-reconstruction of cerebral blood vessels of the patient...

Aims and objectives

Cardiovascular diseases are one of the most important medical and social problems of modern society. Arterial hypertension (AH) takes the first place in the structure of the prevalence and incidence of cardiovascular diseases among adults and adolescents in Ukraine. According to official statistics of the Ministry of Health on January 1, 2011 in Ukraine were registered over 12 million patients with AH, representing 32.2% of the adult population [1, 2]. Multidetector computed tomographic (MDCT) angiography [3, 5] is a highly informative method of imaging of...

Methods and materials

151 people aged between 20 and 73 were examined. Cerebral vessels were screened by the method of MDCT-angiography. 36 patients aged between 20 and 73 created a control group. At the time of examination the diagnosis of hypertension wasn’t found out. Other 115 patients were divided into 3 groups. The main criterion of the division was the level of total cardiovascular risk (TCR) which was determined by the SCORE model [1]. The first group of the patients with the low level of total cardiovascular risk...

Results

Analysis of the MDCT-angiography data shows that the patients with the diagnosis of hypertension have got topographic and anatomic changes of cerebral vessels. Due to the MDCT-angiography of the cerebral vessels the diminution of the VA was visualized among the 11 (52,38%) patients with hypertension of the low level of total cardiovascular risk. 1 (4.76%) patient of this group had hemodynamically significant stenosis of the V4 segment of right VA with narrowing of the lumen of the artery by 54%. The second change of intracranial...

Conclusion

MDCT-angiography is a highly informative method to research the changes of the cerebral vessels in the patients with arterial hypertension. The greatest changes of the cerebral vessels were found in the patients with the hypertension of the high and very high level of total cardiovascular risk. The vertebral arteries, anterior and posterior cerebral arteries, posterior communicating arteries often underwent changes that, as a rule, showed their varying degrees of stenosis and structural changes. We have established the relationship between changes in cerebral blood vessels, found...

Personal information

References

Nesukay E. G. Reduction of the risk of cerebrovascular diseases in patients with hypertension. Arterial hypertension. 2014; 3: 59 – 65 Yakovleva L. N. Combining of antihypertensive therapy: focus on the fixed combination of enalapril and nitrendipine. Ukrainian cardiological journal. 2014; 1: 67 – 74. Goncharuk O. M., Babkina T. M. The role of modern radiological diagnostic methods in the detection and prevention of ischemic stroke in the background of extensions and bends of extracranial segments of internal carotid arteries. Radiology diagnostic, radiology therapy. 2009;...