Embolic Stroke after Carotid Stenting

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Embolic stroke after carotid stenting: microscopic computed tomography analysis of en bloc surgical specimen demonstrating ulceration.

The precise sequence of events leading to carotid plaque vulnerability is as yet unknown, and the majority of ischemic strokes seem to result from atherosclerotic plaque rupture or thrombus propagation at the carotid bifurcation.1 Traditionally, the surgical approach of carotid endarterectomy is well accepted for the treatment of symptomatic and severe asymptomatic carotid stenosis.2,3 More rec...

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ANGIOPLASTY AND STENTING OF CAROTID ARTERY STENOSIS WITH EMBOLIC PROTECTION DEVICES

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Stroke after carotid stenting and endarterectomy in the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST).

BACKGROUND Stroke occurs more commonly after carotid artery stenting than after carotid endarterectomy. Details regarding stroke type, severity, and characteristics have not been reported previously. We describe the strokes that have occurred in the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST). METHODS AND RESULTS CREST is a randomized, open-allocation, controlled tr...

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Stroke prevention: carotid stenting versus carotid endarterectomy

Revascularization of the extracranial carotid arteries is a commonly performed surgical procedure to prevent stroke. Open surgery (i.e., carotid endarterectomy [CEA]) is a well-established stroke prevention procedure but is being 'challenged' by a less invasive percutaneous procedure (i.e., carotid artery stent [CAS] placement). Clinical trials comparing CAS and CEA for average-surgical-risk pa...

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Images in Cardiovascular Medicine Embolic Stroke after Carotid Stenting Microscopic Computed Tomography Analysis of En Bloc Surgical Specimen Demonstrating Ulceration

The precise sequence of events leading to carotid plaque vulnerability is as yet unknown, and the majority of ischemic strokes seem to result from atherosclerotic plaque rupture or thrombus propagation at the carotid bifurcation.1 Traditionally, the surgical approach of carotid endarterectomy is well accepted for the treatment of symptomatic and severe asymptomatic carotid stenosis.2,3 More rec...

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ژورنال

عنوان ژورنال: Circulation

سال: 2010

ISSN: 0009-7322,1524-4539

DOI: 10.1161/cir.0b013e3181dabbac