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Carotid Atherosclerosis and Vascular Events in People With Diabetes

Completed
Conditions
Carotid Atherosclerosis
Interventions
Other: carotid assesment by duplex ultrasonography
Registration Number
NCT02929355
Lead Sponsor
Hospices Civils de Lyon
Brief Summary

Diabetes is a risk factor for carotid atherosclerotic whose progression is associated with an increased risk of vascular events. Investigators assessed prospectively by arterial duplex ultrasonography the progression of carotid atherosclerosis in a cohort of people with diabetes to assess the importance of progression and to analyze the impact of this progression on vascular events. The main hypothesis is that people with carotid atherosclerosis progression are at higher risk of vascular events than those without any progression.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
731
Inclusion Criteria
  • Age >18 ans
  • Diabetes
  • Carotid duplex ultrasonography in 2012
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Exclusion Criteria
  • None
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
diabetic patients with carotid assessmentcarotid assesment by duplex ultrasonographyPatients with diabetes and a carotid assessment by duplex ultrasonography in 2012 in a monocentric diabetic unit
Primary Outcome Measures
NameTimeMethod
Rate of vascular events between day one and the last day of follow-up reviewed by patient examinationDay of the last assessment of carotid atherosclerosis by duplex ultrasonography (between 01/2014 and 09/2016)

Vascular events include ischemic myocardial events, ischemic cerebrovascular events, lower limb ischemia, arterial revascularization procedure

Secondary Outcome Measures
NameTimeMethod
Rate of carotid atherosclerosis progression measured by duplex ultrasonography in percentage of stenosisDay of the last assessment of carotid atherosclerosis by duplex ultrasonography between 01/2014 and 09/2016.

At each visit, carotid arteries were examined by duplex ultrasonography. The most severe lesion for each patient was selected. Results were classified in three Strandness categories: normal (no atherosclerotic lesions), stenosis \< 50% (systolic ratio Internal Carotid Artery (ICA)/Common Carotid Artery (CCA) \< 2) and stenosis ≥ 50% (systolic ratio ICA/CCA ≥ 2). A progression was the move to a higher category.

Trial Locations

Locations (1)

Service d'Endocrinologie, Diabète et Maladie de la Nutrition, GH Sud, Hospices Civils de Lyon

🇫🇷

Pierre-Bénite, France

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