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Forty-six (95.8%) of 48 patients had unchanged postoperative brain DWI. In 2 patients (4.2%), a new single asymptomatic hyperintense signal was observed on the side of the operation. Both lesions were small and presumably of embolic origin. They were not related to sonographic embolic signals, plaque ulcerations, or intraoperative shunting. These results suggest that the silent ischemic brain lesions of embolic origin after CEA is low and does not correlate with the occurrence of intraoperative sonographic microemboli. They confirm that CEA is a safe procedure that carries a low risk of postoperative cerebral events. |
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asymptomatic cerebral embolism cerebral ischemia cerebrovascular accident cerebrovascular accident,postoperative cerebrovascular accident,silent embolism,silent endarterectomy,carotid endarterectomy,carotid-complications of microemboli MRI MRI,abnormal MRI,diffusion weighted
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