@article{3053567, title = "Serum Lp(a) lipoprotein levels in patients with atherosclerotic occlusive disease of the lower extremities", author = "Dionyssiou-Asteriou, A and Papastamatiou, M and Vatalas, IA and and Bastounis, E", journal = "European Journal of Vascular and Endovascular Surgery", year = "2000", volume = "20", number = "1", pages = "57-60", publisher = "W B SAUNDERS CO LTD", issn = "1078-5884, 1532-2165", doi = "10.1053/ejvs.2000.1100", keywords = "lipoprotein (a) (Lp(a)); high density lipoprotein (HDL); atherosclerotic occlusive disease; peripheral vascular disease (PVD)", abstract = "Objective: to evaluate the association between Lp(a) lipoprotein levels, other serum lipids and the presence of lower limb atherosclerotic occlusive disease. Materials and methods: angiographic findings in 36 patients were related to serum Lp(a). Total cholesterol, triglycerides, LDL-cholesterol, HDL-cholesterol and Lp(a) levels were compared with those of 73 age- and sex-matched healthy controls. Results: atheromatous lesions were localised in the femoropopliteal (approximate to 60%) and aortoiliac (approximate to 40%) segments. The number of stenosed arteries was greater than or equal to 2 and the range of stenosis severity was between 40% and 100%. There was a significant increase in serum Lp(a) (p = 0.000001) and a decrease in serum HDL (p = 0.000009) levels in patients compared to controls. No difference was observed in total cholesterol, LDL-cholesterol or triglyceride. However, the ratio of total cholesterol/HDL-cholesterol was significantly higher (p = 0.005) in patients. Conclusions: a dyslipidaemic serum profile, characterised by increased Lp(a) levels and decreased HDL-cholesterol levels, is associated with atherosclerotic occlusive disease of the lower extremities." }