Neurointerventional management of carotid webs associated with recurrent and acute cerebral ischemic syndromes

Carotid Webs and Recurrent Ischemic Strokes in the Era of CT Angiography.

BACKGROUND AND PURPOSE Carotid webs may cause recurrent ischemic stroke. We describe the prevalence, demographics, clinical presentation, imaging features, histopathology, and stroke risk associated with this under-recognized lesion. MATERIALS AND METHODS A carotid web was defined on CTA as a thin intraluminal filling defect along the posterior wall of the carotid bulb just beyond the carotid...

Acute Myocardial Ischemic Syndromes

Acute Ischemic Syndromes

Coronary artery disease has a heterogeneous range of clinical presentations that varies from asymptomatic patients with multivessel disease to patients with one-vessel disease with acute myocardial infarction (AMI) and even sudden death. Other patients have stable angina that has evolved over many years, even decades, without progressing to unstable angina or myocardial infarction (MI). Even mo...

Microembolic signal predicts recurrent cerebral ischemic events in acute stroke patients with middle cerebral artery stenosis.

BACKGROUND AND PURPOSE Cerebral embolism is a common cause of stroke. Microembolic signals (MES) detected by transcranial Doppler represent ongoing embolisms, but the lack of reliable data about its clinical relevance hinders its widespread use in clinical practice. METHODS We prospectively monitored 114 consecutive acute ischemic stroke patients with middle cerebral artery (MCA) stenosis for...

Inflammatory and hemostatic biomarkers associated with early recurrent ischemic lesions in acute ischemic stroke.

BACKGROUND AND PURPOSE Early recurrent ischemic lesions (ERILs) on diffusion-weighted imaging after acute ischemic stroke have been suggested as a potential marker of early recurrent stroke. We hypothesized that biomarkers of inflammation or coagulation may be associated with the pathogenesis of ERILs and sought to investigate whether these biomarkers provide prognostic information on the risk ...