| Stepwise revascularization by carotid endarterectomy after balloon angioplasty for symptomatic severe carotid artery stenosis. | |
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MedLine Citation:
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PMID: 22664292 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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The authors report a novel stepwise carotid revascularization method to prevent perioperative complication. A 68-year-old man presented with left hemiparesis and dysarthria caused by severe stenosis of the right cervical internal carotid artery. According to the preoperative cerebral blood flow evaluation and plaque characterization, the patient was at risk for postoperative hyperperfusion and ischemic complications after carotid artery stenting. Initially, the patient underwent percutaneous angioplasty using an undersized balloon. Fifteen days later, the patient underwent a carotid endarterectomy. The surgical specimen obtained during the carotid endarterectomy showed the presence of typical vulnerable plaque. Of note was the complete preservation of the thin fibrous cap. The postoperative single-photon emission tomography images showed no signs of hyperperfusion, and the patient developed no neurological symptoms after each of the procedures. |
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Authors:
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Yusuke Egashira; Shinichi Yoshimura; Kiyofumi Yamada; Yukiko Enomoto; Takahiko Asano; Toru Iwama |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of vascular surgery Volume: 26 ISSN: 1615-5947 ISO Abbreviation: Ann Vasc Surg Publication Date: 2012 Jul |
Date Detail:
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Created Date: 2012-06-05 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 731.e9-731.e13 Citation Subset: IM |
Copyright Information:
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Copyright © 2012 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Neurosurgery, Gifu University Graduate School of Medicine, Gifu, Japan. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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