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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
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pubmed:dateCreated |
1998-6-25
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pubmed:abstractText |
Significant carotid stenosis in the presence of an occluded contralateral artery has a poor prognosis with medical therapy alone. Carotid cross clamping during surgical endarterectomy results in critical flow reductions in patients with inadequate collateral flow, and represents a significant risk for procedural strokes. Carotid stenting is being evaluated as an alternative to endarterectomy. We describe the immediate and late outcome of a series of 26 patients treated with carotid stenting in the presence of contralateral carotid occlusion. The mean age of the patients in this group was 65 +/- 9 years, 23 (89%) were men and 10 (39%) were symptomatic from the vessel treated. The procedural success of carotid stenting in this group of patients was 96%. The mean diameter stenosis was reduced from 76 +/- 15% to 2.8 +/- 5%. There was 1 (3.8%) minor stroke in a patient who developed air embolism during baseline angiography. At late follow-up there was no neurologic event in any patient at a mean of 16 +/- 9.5 months after the procedure. Thus, carotid stenting of lesions with contralateral occlusion can be performed successfully with a low incidence of procedural neurologic complications and late stroke.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0002-9149
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
81
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1315-7
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:9631969-Aged,
pubmed-meshheading:9631969-Brain Ischemia,
pubmed-meshheading:9631969-Carotid Stenosis,
pubmed-meshheading:9631969-Cerebrovascular Disorders,
pubmed-meshheading:9631969-Diagnostic Imaging,
pubmed-meshheading:9631969-Female,
pubmed-meshheading:9631969-Follow-Up Studies,
pubmed-meshheading:9631969-Humans,
pubmed-meshheading:9631969-Image Processing, Computer-Assisted,
pubmed-meshheading:9631969-Male,
pubmed-meshheading:9631969-Middle Aged,
pubmed-meshheading:9631969-Neurologic Examination,
pubmed-meshheading:9631969-Risk Factors,
pubmed-meshheading:9631969-Stents,
pubmed-meshheading:9631969-Treatment Outcome
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pubmed:year |
1998
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pubmed:articleTitle |
Elective carotid artery stenting in the presence of contralateral occlusion.
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pubmed:affiliation |
Department of Medicine, The University of Alabama at Birmingham, USA.
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pubmed:publicationType |
Journal Article
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