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Symptomatic Carotid Artery Occlusion, A Reappraisal of Hemodynamic Factors
Stroke 28:2084-2093, Klijn,C.J.M.,et al, 1997
See this aricle in Pubmed

Article Abstract
On the basis of 20 followup studies in patients with transient ischemic attacks or minor ischemic stroke associated with an occluded carotid artery,the annual risk of stroke was 5.5%(95%confident interval[CI],5.0%to 6.0%),and that of ipsilateral stroke(distinguished in 11 of the 20 studies)was 2.1%(95%CI,1.6%to 2.8%).Patients with a compromised cerebral blood flow as measured by positron emission tomography,single-photon emission CT,transcranial Doppler,or stable xenon CT(six studies)have an even higher annual risk of stroke(all strokes:12.5%;95%CI,8.9%to 17.5%; ipsilateral stroke:9.5%;95%CI,6.4%to 14.0%).Because a compromised cerebral blood flow may be an important causal factor in patients with symptomatic carotid artery occlusion,medical and surgical options for treatment are reviewed in this light.
 
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carotid artery disease
carotid artery occlusion,neck
carotid artery stenosis,contralateral occlusion with
carotid artery stump
cerebral blood flow
cerebral embolism
cerebral ischemia
cerebrovascular accident
embolism
endarterectomy,carotid
endarterectomy,carotid-contralateral carotid occlusion-stenosis
internal carotid artery
review article
risk factors
superficial temporal-middle cerebral artery anastomosis
transient ischemic attack
transient ischemic attack,recurrent
treatment of neurologic disorder

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