Ertan AKBAY, Sinan AKINCI, Ibrahim UYSAL, Adem ADAR, Ali ÇONER, Haldun MÜDERRİSOĞLU

1919

Periaortik yağ dokusu (PYD) ile ateroskleroz ile ilişkilidir. PYD ile koroner darlık ciddiyeti konvansiyonel koroner anjiyografi (KAG) ile değerlendirilmemiştir. Çalışmanın amacı, PYD ile koroner darlık ciddiyeti/yaygınlığı arasındaki ilişkiyi saptamak, ek olarak, PYD’den türetilen yeni bir indeks olan periaortik yağ dokusu indeksi (PYDI) ile değerlendirmektir. Ocak 2017 ile Ocak 2022 tarihleri arasında KAG ve toraks bilgisayarlı tomografisi (BT) yapılan hastalar çalışmaya dahil edildi. PYD volümü BT görüntüleri değerlendirilerek, PYDI ise, PYD volümünün desendan aort çevresine bölünmesiyle hesaplandı. KAG’de ≥%50 darlık varlığına göre hastalar iki gruba ayrıldı. PYD ve PYDI'nın SYNTAX puanı ile korelasyonu değerlendirildi. Çalışmamızda 263 hasta [ortalama yaş 64.5(54/72), erkek 164 (%62.4)) değerlendirildi. 181 hastada (%68.8) ciddi KAH görüldü. Ciddi darlık bulunanlarda PYD hacmi ve PYDI anlamlı olarak daha yüksekti (her ikisi için p

Anahtar Kelimeler:

koroner arter hastalığı, periaortik yağ dokusu, syntax skoru, koroner anjiyografi, bilgisayarlı tomografi

Periaortic Adipose Tissue Index: A New Approach to the Relationship between Coronary Stenosis Severity/Lesion Complexity and Periaortic Adipose Tissue

Periaortic adipose tissue (PAT) is associated with atherosclerosis. The severity of coronary stenosis with PAT has not been evaluated with conventional coronary angiography (CAG). The aim of the study is to determine the relationship between PAT and coronary stenosis severity/ complexity, and to evaluate it with the periaortic adipose tissue index (PATI), a new index derived from PAT. Patients who underwent CAG and thoracic computed tomography (CT) between January 2017 and January 2022 were included in the study. PAT volume was calculated by evaluating CT images, and PATI was calculated by dividing the PAT volume by the circumference of the descending aorta. Patients were divided into two groups according to the presence of ≥50% stenosis on CAG. The correlation of PAT and PATI with the SYNTAX score was evaluated. In our study, 263 patients [mean age 64.5(54/72), male 164 (62.4%)] were evaluated. Severe coronary artery disease (CAD) was observed in 181 patients (68.8%). PAT volume and PATI were significantly higher in patients with severe stenosis (p

Keywords:

coronary artery disease, periaortic adipose tissue, syntax score, coronary angiography, computed tomography,

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Journal of Experimental and Clinical Medicine-Cover

Yayın Aralığı: Yılda 4 Sayı
Başlangıç: 1980
Yayıncı: Ondokuz mayıs Üniversitesi Tıp Fakültesi

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