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Carotid and femoral atherosclerotic plaques show different morphology: Patterns of Peripheral Arterial Disease

OBJECTIVE: Results of endovascular repair vary according to the arterial bed. We hypothesized that these differences may be related to the plaque features. To explore this hypothesis, we designed a prospective study that compared carotid and femoral atheroma. METHODS AND RESULTS: Patients that under...

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Published in:Atherosclerosis 2011-06, Vol.216 (2), p.348-54
Main Authors: Herisson, Fanny, Heymann, Marie-Françoise, Chétiveaux, Maud, Charrier, Céline, Battaglia, Séverine, Pilet, Paul, Rouillon, Thierry, Krempf, Michel, Lemarchand, Patricia, Heymann, Dominique, Gouëffic, Yann
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container_end_page 54
container_issue 2
container_start_page 348
container_title Atherosclerosis
container_volume 216
creator Herisson, Fanny
Heymann, Marie-Françoise
Chétiveaux, Maud
Charrier, Céline
Battaglia, Séverine
Pilet, Paul
Rouillon, Thierry
Krempf, Michel
Lemarchand, Patricia
Heymann, Dominique
Gouëffic, Yann
description OBJECTIVE: Results of endovascular repair vary according to the arterial bed. We hypothesized that these differences may be related to the plaque features. To explore this hypothesis, we designed a prospective study that compared carotid and femoral atheroma. METHODS AND RESULTS: Patients that underwent femoral or carotid endarterectomy were included in our study. Demographic data and blood sampling were obtained prior to surgery. Plaques were evaluated for AHA grading, calcification and lipid content. Eighty-eight plaques were harvested during this study (45 carotid specimens and 43 femoral specimens). No differences were noted between carotid and femoral groups regarding demographic and biological data. Histological data more frequently showed fibrous cap atheroma in carotid arteries (75%) and fibrocalcific plaques in femoral arteries (93%), p
doi_str_mv 10.1016/j.atherosclerosis.2011.02.004
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We hypothesized that these differences may be related to the plaque features. To explore this hypothesis, we designed a prospective study that compared carotid and femoral atheroma. METHODS AND RESULTS: Patients that underwent femoral or carotid endarterectomy were included in our study. Demographic data and blood sampling were obtained prior to surgery. Plaques were evaluated for AHA grading, calcification and lipid content. Eighty-eight plaques were harvested during this study (45 carotid specimens and 43 femoral specimens). No differences were noted between carotid and femoral groups regarding demographic and biological data. Histological data more frequently showed fibrous cap atheroma in carotid arteries (75%) and fibrocalcific plaques in femoral arteries (93%), p&lt;0.001. Morphological analyses showed a high prevalence of osteoid metaplasia in femoral arteries (63%) compared to carotid arteries (20%, p&lt;0.001). Biochemical analyses were consistent with histological data, showing higher calcium and lesser cholesterol concentrations in femoral than in carotid plaques (p&lt;0.01). 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source ScienceDirect Freedom Collection 2022-2024
subjects Aged
Calcium
Carotid Arteries
Cellular Biology
Cholesterol
Endarterectomy
Female
Femoral Artery
Humans
Immunohistochemistry
Life Sciences
Lipids
Male
Metaplasia
Microscopy, Electron, Scanning
Middle Aged
Plaque, Atherosclerotic
Prospective Studies
Risk Factors
title Carotid and femoral atherosclerotic plaques show different morphology: Patterns of Peripheral Arterial Disease
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