Abstract:
:Five patients studied by the authors and 28 mentioned in the literature indicate that recurrent stenosis occurs in no less than 0.6% of patients after carotid endarterectomy. The pathology of the recurrent stenosis was stated in only 10 cases indicating atherosclerotic disease in various stages of development in 7 and a fibrous intimal hyperplasia in 3. Correlation between risk factors for the development of atherosclerosis and the pathology of the recurrent disease was poor. Six patients developed recurrent disease despite postoperative prophylactic oral anticoagulation. Surgical technique appeared to have contributed to re-stenosis in 8 patients (1) by failure to remove the distal tongue of plaque or (2) narrowing of the lumen by the arteriotomy suture or (3) damage by a vascular clamp. In 18 symptomatic patients, 44% had symptoms by 3 years, 67% by 5 years, and 83% by 7 years after operation. The 8 patients with possible errors in surgical technique did not develop symptoms earlier than the other patients. Seventeen symptomatic patients had surgical correction of the re-stenosis (endarterectomy 9, vein patch 6, arterial homograft 1, not detailed 1). The incidence of recurrent stenosis after carotid endarterectomy is low and usually the operation provides a patent artery for life.
journal_name
Strokejournal_title
Strokeauthors
French BN,Rewcastle NBdoi
10.1161/01.str.8.5.597subject
Has Abstractpub_date
1977-09-01 00:00:00pages
597-605issue
5eissn
0039-2499issn
1524-4628journal_volume
8pub_type
杂志文章相关文献
STROKE文献大全abstract:BACKGROUND AND PURPOSE:To evaluate the periprocedural outcome after carotid artery stenting with embolic brain protection (EBP+) versus without embolic brain protection (EBP-). METHODS:We retrospectively reviewed data from a prospective nonrandomized database of 357 patients who underwent carotid artery stenting in th...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.110.607820
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Different distributions of cerebral microbleeds (CMBs) are associated with distinct pathological mechanisms. Lobar CMBs are thought to be related to cerebral amyloid angiopathy, whereas deep or infratentorial CMBs are related to hypertensive vasculopathy. The present study aimed to evaluate the e...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.116.014166
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Subarachnoid hemorrhage caused by cerebral aneurysm rupture remains a life-threatening emergency despite advances in treatment. However, the mechanisms underlying aneurysm initiation, progression, and rupture remain unclear. We developed a method to induce experimental cerebral aneurysms in rats,...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.STR.0000204028.39783.d9
更新日期:2006-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:There is little reported of the safety and efficacy of high-dose intravenous recombinant tissue plasminogen activator (alteplase) in combination with heparin anticoagulation in patients presenting with acute ischemic stroke. METHODS:Thirty-two patients with severe hemispheric stroke syndrome cau...
journal_title:Stroke
pub_type: 临床试验,杂志文章
doi:10.1161/01.str.23.5.646
更新日期:1992-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Controlled multicenter studies have demonstrated the efficacy of systemic recombinant tissue-type plasminogen activator (rtPA) treatment in selected cases of acute ischemic stroke. The feasibility of this therapeutic option in clinical practice was assessed in a community-based approach. METHODS...
journal_title:Stroke
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1161/01.str.29.8.1544
更新日期:1998-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The *2 allele of the aldehyde dehydrogenase 2 gene (ALDH2) is the most common variant in Asian populations. The variant resulting in enzyme dysfunction was highly related to coronary artery disease. Recently, genome-wide association studies also discovered that the 12q24 locus near ALDH2 gene was...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.116.013204
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Information about the long-term prognosis of young adults with ischemic stroke is limited. Therefore, we performed a follow-up assessment of 296 patients with ischemic stroke who are enrolled in the Iowa Registry of Stroke in Young Adults. We studied young adults (age, 15 to 45 years) who were re...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.25.7.1360
更新日期:1994-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The effect of flow diverter (FD) on hemodynamic changes observed in aneurysms is inevitably affected by the actual structural configuration of deployed FD. We studied the resultant hemodynamic changes after implantation of FDs using computational fluid dynamic simulations based on micro-computed ...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.113.001202
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The watershed cortical areas are the first to be deprived of sufficient blood flow in the event of cerebral hypoperfusion and will be the sites of watershed microinfarcts. Cerebral hypoperfusion is associated with Alzheimer disease (AD), but information regarding the occurrence of watershed corti...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.0000024523.82311.77
更新日期:2002-08-01 00:00:00
abstract:OBJECTIVES:This systematic review summarizes the effectiveness of mirror therapy for improving motor function, activities of daily living, pain, and visuospatial neglect in patients after stroke. METHODS:We searched the Cochrane Stroke Group’s Trials Register (June 2011), the Cochrane Central Register of Controlled Tr...
journal_title:Stroke
pub_type: 杂志文章,评审
doi:10.1161/strokeaha.112.673087
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Urinary incontinence (UI) is a common and distressing problem after stroke. Although there is evidence of new, effective UI poststroke rehabilitation intervention, it is unknown whether occupational therapists (OTs)' and physical therapists (PTs)' actual practices reflect best practices. We sough...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.107.486035
更新日期:2007-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Despite a high incidence of poststroke dementia, there is no specific treatment for this condition. Because the evaluation of poststroke cognitive deficits in animal models of stroke is exceedingly challenging, the preclinical evaluation of candidate drugs is limited. We aimed to explore the impa...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.113.001907
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The aim of this study was to investigate by means of transcranial Doppler (TCD) ultrasonography how many spontaneous reperfusions of the middle cerebral artery (MCA) occurred during the first week after onset of acute ischemic stroke in the carotid territory. METHODS:TCD examination, computed to...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.26.3.430
更新日期:1995-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Thrombolysis for acute ischemic stroke in patients aged > 80 years is not approved in some countries due to limited trial data in the very elderly. We compared outcomes between thrombolysed and nonthrombolysed (control) patients from neuroprotection trials to assess any influence of age on respon...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.110.586206
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The purpose was to investigate the occurrence of self-reported falls in people with stroke at 3, 6, and 12 months and 6 years post stroke and predictors for falls during 6 years. METHODS:A prospective study involving 121 people with stroke. Data were obtained through structured interviews and as...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.115.010496
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Cerebral infarction in sickle cell disease is associated with arterial narrowing or occlusions of intracranial arteries. Primary stroke prevention would be feasible if a noninvasive screening test could be developed to detect intracranial disease in patients before symptoms develop. METHODS:To d...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.23.8.1073
更新日期:1992-08-01 00:00:00
abstract::Cerebral blood flow and clinical parameters were studied in 30 stroke patients at 15th, 30th, 60th, 90th days after the cerebral insult (Xenon 133 inhalation method). The clinical improvement was not accompanied by a progressive normalization of the CBF at rest. No relationship was found between the clinical data and ...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.14.1.77
更新日期:1983-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The independent contribution of insulin resistance to atherosclerosis is still under debate. We compared associations of 2 different indices of insulin resistance, the Homeostasis Model Assessment (HOMA) index and kITT from a short insulin tolerance test with carotid atherosclerosis. METHODS:A t...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.107.502799
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:We have investigated the pathophysiological mechanisms of dysphagia in Wallenberg's syndrome (WS) that are due to lateral medullary infarction (LMI). METHODS:Twenty patients with WS were evaluated by means of clinical and electrophysiological methods that measured the oropharyngeal phase of volu...
journal_title:Stroke
pub_type: 临床试验,杂志文章
doi:10.1161/hs0901.094278
更新日期:2001-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Hyperglycemia enhances the deleterious effect of global cerebral ischemia. One possible explanation is that increased anaerobic glycolysis leads to exaggeration of intracellular acidosis and increased postischemic edema. To examine the importance of this edema on postischemic cerebral perfusion d...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.27.8.1405
更新日期:1996-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Cerebral venous thrombosis (CVT) may be a manifestation of underlying autoimmune disease. Antibodies against annexin A2 (anti-A2Ab) coincide with antiphospholipid syndrome, in which antiphospholipid antibodies (aPLA) are associated with thrombosis in any vascular bed. Annexin A2, a profibrinolyti...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.110.592121
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Desaturation during swallowing may help to identify aspiration in stroke patients. This study investigated pulse oximetry, bedside swallowing assessment (BSA), and videofluoroscopy as tests for detecting aspiration after stroke. METHODS:Swallowing was assessed in 189 stroke patients (mean+/-SD a...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.STR.0000248758.32627.3b
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Atherosclerosis is a complex subclinical cardiovascular disorder with a substantial genetic component. This study sought to identify genetic loci influencing carotid plaque in 2 independent samples. METHODS:B-mode ultrasound was performed to determine the presence and area of carotid plaque. Var...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.110.596981
更新日期:2010-12-01 00:00:00
abstract::As part of a prospective study of the neurologic and neuropsychological complications of coronary artery bypass graft surgery, 312 patients were compared with a control group of 50 patients undergoing major surgery for peripheral vascular disease. The purpose of comparing the 2 groups was to determine to what extent n...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.18.4.700
更新日期:1987-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Although insulin resistance and hyperinsulinemia play a crucial role in the pathogenesis of atherosclerosis, little is known about their roles in ischemic stroke. The purpose of this study was to clarify whether insulin resistance and hyperinsulinemia are causative factors in the pathogenesis of ...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.27.1.37
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Functional neuroimaging studies have demonstrated right inferior frontal gyrus (IFG) activation in poststroke aphasia. It remains unclear whether this activation is essential for language performance. We tested this hypothesis in a positron emission tomography (PET) activation study during a sema...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.STR.0000174487.81126.ef
更新日期:2005-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:We examined sex-specific relationships of smoking with risk of total stroke and stroke subtypes in Asian populations because of the limited data available. METHODS:A total of 19,782 men and 21,500 women aged 40 to 59 years who were free of prior diagnosis of stroke, coronary heart disease, or ca...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.STR.0000128794.30660.e8
更新日期:2004-06-01 00:00:00
abstract::Background and Purpose- The purpose of this study was to conduct a meta-analysis of CVOTs (cardiovascular outcome trials) to evaluate the effect of glucagon-like peptide-1 receptor agonists therapy in reducing the risk of stroke in patients with type 2 diabetes mellitus. Methods- PubMed and other electronic sources we...
journal_title:Stroke
pub_type: 临床试验,杂志文章
doi:10.1161/STROKEAHA.119.027557
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:There are few studies analyzing stroke in women, taking into account the vascular risk factors, cause of stroke, clinical picture, and outcome. The purpose of this study was to analyze possible sex differences in patients suffering first-ever acute stroke. METHODS:From December 1995 to January 2...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.STR.0000078562.82918.F6
更新日期:2003-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The purpose of this study was to assess the dose-response relationship between vigorous physical activity (running distance, km/d) and the participant-reported physician-diagnosed stroke. METHODS:Age-adjusted survival analysis of 29 279 men and 12 123 women followed prospectively for 7.7 years. ...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.108.535427
更新日期:2009-05-01 00:00:00