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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2009 December;50(6):761-6

language: English

Urgent CAS for patients in high neurologic risk

Avgerinos E. D. 1, Brountzos E. N. 2, Ptohis N. 2, Giannakopoulos T. 1, Papapetrou A. 1, Liapis C. D. 1

1 Department of Vascular Surgery, Attikon University Hospital, School of Medicine, Athens, Greece
2 Second Department of Radiology, Attikon University Hospital, School of Medicine, Athens, Greece


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Patients with residual carotid stenosis discovered following an acute ischemic insult represent a new subset of patients eligible for early carotid intervention that may decrease the risk of recurrent stroke by new emboli and improve cerebral blood flow. Short-term clinical outcomes of patients undergoing urgent CAS appear favorable, indicating that endovascular management may be a reasonable treatment option, particularly when combined with endovascular interventions for intracranial lesions. Data on indication and complication profiles are still limited. This review focuses on current knowledge, advantages and pitfalls of urgent and/or early (up to 2 weeks) carotid stenting in those presenting with an acute neurologic event or recently symptomatic carotid stenosis.

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liapis@med.uoa.gr