Severe carotid stenosis or occlusion may cause insufficient blood flow and lead to distal artery wall collapse and extensive lumen contraction. Whether this 'adaptive narrowing' can restitute after carotid recanalization is unclear. We report a patient with global ischemia due to occlusions of bilateral carotid and right vertebral arteries. The occluded left carotid was recanalized successfully...

Carotid artery disease most commonly manifests as atherosclerotic carotid disease, which can lead to an ischemic stroke. Our aim was present the epidemiological aspects of and demonstrate association risk factors with disease. For that purpose, we prospectively followed 1031 patients at University Clinic for Cardiology in Skopje, who were examined stenosis its correlation such hypertension, smo...

Methods: Analysis of claims from the Centers for Medicare & Medicaid Services from January 1, 2003, through December 31, 2006. Patients were 65 years or older and had undergone carotid endarterectomy or carotid stenting. The main outcome measures were annual ageadjusted rates of carotid endarterectomy and carotid stenting, factors associated with the use of carotid revascularization, and mortal...

Endarterectomy for High-Risk Patients To the Editor: I have read with interest the article by Fox et al1 with regard to carotid angioplasty and stenting. I feel that the article might be a further contribution toward evaluating this procedure. Despite the limited experience on 42 cases of symptomatic carotid stenosis, the article is important particularly because it shows the long-term results ...

72. European Carotid Surgery Trialists’ Collaborative Group. MRC European carotid surgery trial: interim results for symptomatic patients with severe carotid stenosis and with mild carotid stenosis. Lancet 1991; 337: 1235–1243 73. Ferguson GG, Eliasziw M, Barr HWK et al. The North American symptomatic carotid endarterectomy trial: surgical result in 1415 patients. Stroke 1999; 30: 1751–1758 74....

BACKGROUND AND PURPOSE Carotid revascularization procedures can be complicated by stroke. Additional disability adds to the already high costs of the procedure. To weigh the cost and benefit, we estimated the cost-utility of carotid angioplasty and stenting compared with carotid endarterectomy among patients with symptomatic carotid stenosis, with special emphasis on scenario analyses that woul...