Carotid Artery Diseases, Metabolic Syndrome, Morbid Obesity
Conditions
Keywords
Morbid Obesity, Carotid Stenosis, Metabolic Syndrome
Brief summary
The correlation between metabolic syndrome and carotid artery stenosis is well established. The purpose of this study is to evaluate the relationship between morbid obesity and carotid artery stenosis.
Detailed description
The investigators hypothesis is that there is a direct relationship between morbid obesity and carotid artery stenosis. The investigators hypothesize that metabolic/Bariatric surgery improves the stenosis in the carotid artery. This is a prospective comparative study on the candidates for metabolic/Bariatric surgery in the bariatric center, Emek Medical Center, Afula, Israel. The investigators will compare the candidate for metabolic surgery with metabolic syndrome risk factors to the ones without metabolic syndrome risk factors. The assessment of the carotid artery will be done by Ultrasound Doppler before surgery and 6, 12 and 24 month post surgery.
Interventions
The two groups will have Ultrasound Duplex before bariatric surgery, and 6,12 and 24 months post surgery
Sponsors
Study design
Eligibility
Inclusion criteria
• Candidates for first bariatric surgery
Exclusion criteria
* Smokers or past smokers * Patients who are post carotid artery intervention
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Correlation between morbid obesity and carotid artery stenosis | 24 months post surgery | Evaluate the correlation between the two in order to identify high risk patient for carotid stenosis without metabolic syndrome risk factors |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Intimal -media thickness | Before bariatric surgery, and 6,12,24 months after the surgery | To compare the baseline Intimal-media thickness before surgery to the one post-surgery by the use of Ultrasound |
| Changes in the carotid artery velocity | Before bariatric surgery, and 6,12,24 months after the surgery | To compare the baseline carotid artery velocity before surgery to the one post-surgery by the use of Ultrasound Doppler |