Effect of chronic kidney disease and sex on carotid and femoral plaque volume as measured by three-dimensional ultrasound

Clin Nephrol. 2021 Oct;96(4):199-205. doi: 10.5414/CN110381.

Abstract

Introduction: Previously, we reported the association between cardiovascular risk factors (CVRFs) and the presence of cardiovascular disease with peripheral atherosclerosis. In this paper, we specifically aimed to investigate the association of chronic kidney disease (CKD) and sex with carotid and femoral plaque volume.

Materials and methods: 404 patients (median age 64; 57% men) with at least 1 CVRF or established cardiovascular disease where included into the study. 3D ultrasonography evaluated with an automated software was used to measure peripheral plaque volume. Statistical analyses were performed using SPSS Statistic.

Results: CKD was diagnosed in 56 patients (13.9%), with most patients in stage 3a. Total atherosclerotic plaque volume was significantly higher in patients with CKD (p < 0.001) compared to those without CKD and in men compared to women in all vascular territories (p < 0.001).

Conclusion: Our data show that we need to be even more vigilant about the presence of atherosclerotic plaques and cardiovascular disease in these patients. Already in patients with CKD stage 3a, efficient CVRF reduction and intensive treatment is warranted.

MeSH terms

  • Carotid Arteries / diagnostic imaging
  • Carotid Artery Diseases* / diagnostic imaging
  • Carotid Artery Diseases* / epidemiology
  • Female
  • Femoral Artery / diagnostic imaging
  • Humans
  • Male
  • Middle Aged
  • Plaque, Atherosclerotic* / diagnostic imaging
  • Renal Insufficiency, Chronic* / diagnostic imaging
  • Renal Insufficiency, Chronic* / epidemiology
  • Risk Factors
  • Ultrasonography