Evidence map›Paper›PMID 29459518›Full record

ArticleJournal of atherosclerosis and thrombosis2018

Noninvasive Assessment of Stenotic Severity and Plaque Characteristics by Coronary CT Angiography in Patients Scheduled for Carotid Artery Revascularization.

Meiko Hoshino, Hideki Kawai, Masayoshi Sarai, Akiyo Sadato, Motoharu Hayakawa, Sadako Motoyama, Yasuomi Nagahara, Keiichi Miyajima, Hiroshi Takahashi, Junnichi Ishii and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
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  5. Comprehensive Assessment of Polyvascular Atherosclerosis.Journal of atherosclerosis and thrombosis · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Meiko HoshinoDepartment of Cardiology, Fujita Health University.
Hideki KawaiDepartment of Cardiology, Fujita Health University.
Masayoshi SaraiDepartment of Cardiology, Fujita Health University.
Akiyo SadatoDepartment of Neurosurgery, Fujita Health University.
Motoharu HayakawaDepartment of Neurosurgery, Fujita Health University.
Sadako MotoyamaDepartment of Cardiology, Fujita Health University.
Yasuomi NagaharaDepartment of Cardiology, Fujita Health University.
Keiichi MiyajimaDepartment of Cardiology, Fujita Health University.
Hiroshi TakahashiDivision of Medical Statistics, Fujita Health University.
Junnichi IshiiDepartment of Cardiology, Fujita Health University.
Ichiro NakaharaDepartment of Comprehensive Strokology, Fujita Health University.
Yuichi HiroseDepartment of Neurosurgery, Fujita Health University.
Yukio OzakiDepartment of Cardiology, Fujita Health University.
Fujita Health University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsCoronary artery atherosclerosis in patients needing carotid revascularization has not been fully clarified. The aim of this study was to evaluate the stenotic severity and plaque characteristics of coronary arteries by coronary computed tomography angiography (CTA) in patients scheduled for carotid-artery stenting (CAS) or carotid endarterectomy (CEA).

methodsWe performed coronary CTA after carotid ultrasound (US) in 164 patients (81.7% male, aged 68.1± 12.2 years) from 2014 to 2016. Of all, 70 were scheduled for CAS or CEA (CAS/CEA group) and 94 were not (non-CAS/CEA group). Carotid US and coronary CTA were compared for the evaluation of stenotic severity and plaque characteristics of each vessel between CAS/CEA and non-CAS/CEA groups.

resultsBetween the two groups, there were significant differences in the presence of significant stenosis (SS: ≥70% stenosis of coronary artery) (55.7% vs. 39.4%, P=0.038), triple-vessel disease (TVD)/left main trunk (LMT) (SS in each of three epicardial vessels and/or LMT) (24.3% vs. 7.5%, P= 0.0025), and high-risk plaque (HRP: positive remodeling and/or low attenuation) (55.7% vs. 24.5%, P<0.0001). CAS/CEA was independently associated with TVD/LMT (OR=2.30, 95%CI: 1.14-8.59, P=0.026) and HRP (OR=3.17, 95%CI: 1.57-6.54, P=0.0012) in multivariable logistic regression analysis. Similarly, vulnerable plaque (78.6% vs. 2.1%, P<0.0001) as well as severe stenosis of carotid artery (98.6% vs. 0%, P<0.0001) was seen more often in CAS/CEA than in non-CAS/CEA group.

conclusionsThe prevalence of TVD/LMT and HRP determined by coronary CTA is higher in patients needing CAS/CEA than in those without. Management of systemic atherosclerosis is required in the perioperative period of CAS/CEA.

Indexed as

Computed Tomography AngiographySeverity of Illness IndexAgedCarotid StenosisCoronary AngiographyCoronary Artery DiseaseFemaleFollow-Up StudiesHumansMalePlaque, AtheroscleroticPrognosisProspective StudiesCarotid artery revascularizationCoronary computed tomography angiographyPlaque characteristicsSystemic atherosclerosis

Identifiers

PMID29459518
PMCPMC6193191
OpenAlexW2788671997

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.