Year: 2025 | Month: December | Volume: 12 | Issue: 12 | Pages: 815-825
DOI: https://doi.org/10.52403/ijrr.20251282
3-Years of Cerebral Angiography Profiles in Recurrent Ischemic Stroke at Pelni Hospital Jakarta
Fritz Sumantri Usman1, Yudistira2, Windi Christianti M3, Seri Ulina4, Merlin Pricilla K1, Leny Kurnia1
1Interventional Neurologist, Department of Neurology, Pelni Hospital Jakarta,
2Neurologist, Department of Neurology, Pasar Minggu General Hospital Jakarta,
3Neurologist, Department of Neurology, Sele Be Solu General Hospital Sorong,
4Neurologist, Department of Neurology, Tarutung General Hospital Medan, Indonesia.
Corresponding Author: Yudistira
ABSTRACT
Background: Recurrent ischemic stroke is a leading cause of high morbidity and mortality in Indonesia, with a consistently increasing prevalence in recent years. Cerebral angiography using Digital Subtraction Angiography (DSA) plays a crucial role in assessing underlying vascular abnormalities, such as stenosis caused by atherosclerotic plaque. This study aimed to determine the cerebral angiographic characteristics of patients with recurrent ischemic stroke at Pelni Hospital, Jakarta, between 2022 and 2024.
Methods: This study employed a cross-sectional design using secondary data. The sample consisted of patients diagnosed with recurrent ischemic stroke who underwent angiography at the catheterization laboratory of Pelni Hospital between 2022 and 2024. Data were collected from medical records, including age, gender, hypertension, diabetes mellitus, dyslipidemia, plaque type, and the degree and location of stenosis. Data were analyzed descriptively, and differences between groups were assessed using the Mann–Whitney U test.
Results: Of the 141 patients who met the eligibility criteria, the median age was 52 years (range 40–72), and most were male (80 of 141). Stenosis was most commonly found in the anterior circulation, particularly in the internal carotid artery (especially the distal segment) (n = 37) and the middle cerebral artery (M1 segment) (n = 32). The severity of stenosis was associated with unstable atherosclerotic plaque (p = 0.01) and the risk factors diabetes mellitus (p = 0.024) and dyslipidemia (p = 0.017).
Conclusion: The severity of stenosis in patients with recurrent ischemic stroke was associated with unstable atherosclerotic plaque, diabetes mellitus, and dyslipidemia. The most common stenosis locations were the distal ICA and the M1 segment of the MCA. Cerebral angiography is important for evaluating recurrence risk and guiding further therapeutic strategies.
Keywords: atherosclerosis, cerebral angiography, plaque, recurrent ischemic stroke, stenosis.
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