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Identification of Patients at Risk for Periprocedural Neurological Deficits Associated with Carotid Angioplasty and Stenting
Stroke 31:376-382, Qureshi,A.I.,et al, 2000
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Article Abstract
A total of 111 patients (mean age 68.2 +/= 9.1 years) who underwent CAS for asymptomatic (n=54) or symptomatic (n=57) stenoses were included in this study. A total of 14 periprocedural neurological deficits (13%) were observed either durin g (n-$) or after (n=10) the procedure. Three identified variables were independently associated with periprocedural neurological deficits: symptomatic lesion (OR 8.3, 95% CI 1.6 to 42.6), length of stenotic segment >/=11.2 mm (OR 5.2, 95% CI 1.2 to 22.5) , and absence of hypercholesterolemia (OR 5.4, 95% CI 1.4 to 20.9). Other variables, including age and degree of stenosis (defined by NASCET criteria), were not associated with periprocedural neurological deficits. A combination of clinical and angiogra phic variables can be used to identify patients at risk for periprocedural neurological deficits after CAS. Such identification may help in selection of patients who may benefit from novel pharmacological and mechanical preventive approaches.
 
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carotid artery stenosis
iatrogenic neurologic disorders
risk factors
stent,carotid artery,complications
transluminal angioplasty,carotid artery
transluminal angioplasty,carotid artery-complications of

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