2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease

Brott, Thomas G.; Halperin, Jonathan L.; Abbara, Suhny; Bacharach, J. Michael; Barr, John D.; Bush, Ruth L.; Cates, Christopher U.; Creager, Mark A.; Fowler, Susan B.; Friday, Gary; Hertzberg, Vicki; McIff, E. Bruce; Moore, Wesley S.; Panagos, Peter; Riles, Thomas S.; Rosenwasser, Robert H.; Taylor, Allen J.

doi:10.1161/str.0b013e3182112cc2

Cited by 140 publications

(67 citation statements)

References 782 publications

(299 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Carotid endarterectomy (CEA) is the gold standard for stroke prevention in patients with severe symptomatic carotid disease and in selected patients with asymptomatic stenosis [1][2][3][4][5]. The beneficial effects of the surgical procedure remain uncertain, however, in cases with both extracranial lesion and concomitant intracranial carotid stenosis (ICS), because of the variable results reported in previous studies.…”

Section: Introductionmentioning

confidence: 99%

Clinical Outcomes of Carotid Endarterectomy in Symptomatic and Asymptomatic Patients with Ipsilateral Intracranial Stenosis

et al. 2015

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Clinical Outcomes of Carotid Endarterectomy in Symptomatic and Asymptomatic Patients with Ipsilateral Intracranial Stenosis

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Emanuele [13 ]showed in a retrospective analysis that early CEA can reduce the recurrent strokes and does not result in greater complications than when performed delayed. Recent American Heart Association and American Academy of Neurology guidelines [14,15] advocate that CEA should be performed within 2 weeks of the index event in patients with symptomatic carotid artery stenosis [16]. However, for patients with CWI, the improvement in neurologic symptoms and clinical outcome using early CAS has not yet been established.…”

Section: Discussionmentioning

confidence: 99%

Early Carotid Artery Stenting for Cerebral Watershed Infarction Is Safe and Effective: A Retrospective Study

Liu

Chu²,

Zhang³

et al. 2016

Eur Neurol

View full text Add to dashboard Cite

Background: With carotid artery stenosis, infarcts can occur in the cortical or internal watershed areas, or both. The timing of carotid artery stenting (CAS) after a cerebral watershed infarction (CWI) is not yet codified. In this retrospective study, we analyzed the safety and clinical effect of early CAS for CWI patients due to carotid artery stenosis. Methods: Between March 2011 and April 2014, 120 CWI patients with ipsilateral carotid artery stenosis were recruited. Of these 120 patients, 63 received CAS within 7 days of the symptom onset (group 1) and 57 received standard medical treatment at the symptom onset (group 2). Periprocedural complications were analyzed in group 1 to evaluate the safety of early CAS. Clinical effects were analyzed by evaluating National Institutes of Health Stroke Scale (NIHSS) score as well as modified Ranking Scale (mRS) score of pre- and post-treatment in 2 groups. Results: There was no significant difference in pre-treatment NIHSS score between the 2 groups (8.52 ± 2.46 and 7.84 ± 2.64, p = 0.15). However, group 1 had lower post-treatment NIHSS score as compared to group 2 (3.03 ± 1.44 and 3.84 ± 1.73, p = 0.006). In both groups, NIHSS score after treatment was significantly reduced (p < 0.05). Treatment effect in group 1 was larger compared to group 2 (-5.49 ± 2.12 and -4.00 ± 1.98, p < 0.05). Before the treatment, both groups had similar patient numbers with mRS score ≤2; however, after 30 days of surgery, group 1 had more number of patients with mRS score ≤2 than group 2. Conclusion: This study suggested that early CAS for CWI can be performed without significant risk. More importantly, early CAS for CWI can improve the prognosis.

show abstract

“…No transcranial doppler monitoring was performed. These data were insufficient to recommend surgery [1].…”

Section: Dear Sirsmentioning

confidence: 98%

High-resolution MRI: detection of a culprit plaque after recurrent thrombolysis

et al. 2015

View full text Add to dashboard Cite

2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease

Cited by 140 publications

References 782 publications

Clinical Outcomes of Carotid Endarterectomy in Symptomatic and Asymptomatic Patients with Ipsilateral Intracranial Stenosis

Clinical Outcomes of Carotid Endarterectomy in Symptomatic and Asymptomatic Patients with Ipsilateral Intracranial Stenosis

Early Carotid Artery Stenting for Cerebral Watershed Infarction Is Safe and Effective: A Retrospective Study

High-resolution MRI: detection of a culprit plaque after recurrent thrombolysis

Contact Info

Product

Resources

About