Sessiz Serebral İskemi Belirteci Olarak Karotis Arter Stenleme Öncesi Ve Sonrası Bakılan İskemi Modifiye Albümin.

Background: Stroke is the second most common cause of mortality after ischemic heart disease. The aim of this study was to investigate the presence of silent ischemia in carotid stenosis without acute clinical symptoms by checking ischemia-modified albumin (IMA) level before and 14 days after sten-ting. Materials and Methods: Thirty-two patients who applied to our clinic and did not have acute ischemic stroke findings were included in the study. Patients with diseases that caused an increase in ischemia-modified albumin levels were excluded. Samples taken from the patients before and after stenting were centrifuged and stored. All samples were studied on the same day. Results: Thirty-two patients were included in the study. The mean age of the patients was 66.96±11.27 years. No significant difference was found in IMA levels between patients over 70 and under 70 years of age (p>0.05). It was found that the IMA level before carotid stenting (43.94±20.18) was significantly higher than the IMA level after stenting (22.00±11.34) (p<0.05). Conclusions: This study suggests that there is a silent ischemic process in carotid stenosis even in the absence of clinical findings and that IMA can be used as a non-invasive marker of silent cerebral ischemia. [ABSTRACT FROM AUTHOR]