Carotid endarterectomy based on duplex scanning without preoperative arteriography.

Abstract:

:Between July 1985 and September 1987, 25 patients underwent 26 carotid endarterectomies based on an abnormal duplex scan (B-mode ultrasonography and pulsed-Doppler sound spectral analysis) indicative of severe stenosis or ulceration. Arteriography was not performed because of severe unstable angina requiring coronary artery bypass grafting (23 patients) or patient preference (two). Twelve patients were symptomatic, and 13 were asymptomatic but had severe (greater than or equal to 75%) bilateral or unilateral carotid artery stenosis. Operative and pathological analyses confirmed the duplex-scan findings in all 25 cases. All 25 patients survived the operation. One patient had a transient ipsilateral neurological deficit, and one had a permanent contralateral neurological deficit. Five patients died of ventricular arrhythmias within 30 days of operation. Duplex scanning is an accurate method for determining the presence of clinically and hemodynamically significant carotid arterial occlusive disease. Duplex scanning also serves as an alternative method for evaluating patients for whom carotid arteriography may be associated with significant risk.

journal_name

Circulation

journal_title

Circulation

authors

Marshall WG Jr,Kouchoukos NT,Murphy SF,Pelate C

subject

Has Abstract

pub_date

1988-09-01 00:00:00

pages

I1-5

issue

3 Pt 2

eissn

0009-7322

issn

1524-4539

journal_volume

78

pub_type

杂志文章
  • Hirulog in the treatment of unstable angina. Results of the Thrombin Inhibition in Myocardial Ischemia (TIMI) 7 trial.

    abstract:BACKGROUND:Direct thrombin inhibitors are a new class of drugs that may offer a more effective and potentially simpler alternative to heparin. Hirulog is a synthetic peptide based on the leech-derived compound hirudin and, like hirudin, is a highly specific, direct inhibitor of free and clot-bound thrombin. METHODS AN...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.92.4.727

    authors: Fuchs J,Cannon CP

    更新日期:1995-08-15 00:00:00

  • The durability of porcine xenograft valves and conduits in children.

    abstract::One hundred four patients younger than 20 years of age underwent intracardiac xenograft valve replacement (n = 41) or extracardiac conduit implantation (n = 63). Long-term follow-up averaged 4.5 and 4.3 years, respectively, and cumulative follow-up totaled 344 patient-years (pt-yr). Thirty patients were followed more ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Miller DC,Stinson EB,Oyer PE,Billingham ME,Pitlick PT,Reitz BA,Jamieson SW,Baumgartner WA,Shumway NE

    更新日期:1982-08-01 00:00:00

  • Comparison of ascending aorta versus femoral artery cannulation for acute aortic dissection type A.

    abstract:BACKGROUND:The site of cannulation for repair of ascending aortic dissection remains controversial. We present our experience with ascending aortic cannulation for acute aortic dissection type A. METHODS AND RESULTS:From January 1988 to September 2007, we operated on 242 patients for acute aortic dissection type A. Me...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.844480

    authors: Kamiya H,Kallenbach K,Halmer D,Ozsöz M,Ilg K,Lichtenberg A,Karck M

    更新日期:2009-09-15 00:00:00

  • Left ventricular concentric remodeling rather than left ventricular hypertrophy is related to the insulin resistance syndrome in elderly men.

    abstract:BACKGROUND:Associations between left ventricular (LV) geometry and the insulin resistance syndrome have been found, mostly in small studies of middle-aged hypertensives. The purpose of this study was to elucidate these associations through the use of a large sample of elderly men. METHODS AND RESULTS:We investigated 4...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.22.2595

    authors: Sundström J,Lind L,Nyström N,Zethelius B,Andrén B,Hales CN,Lithell HO

    更新日期:2000-06-06 00:00:00

  • Noninvasive measurement of myocardial activity concentrations and perfusion defect sizes in rats with a new small-animal positron emission tomograph.

    abstract:BACKGROUND:We explored the feasibility of measuring regional tracer activity concentrations and flow defects in myocardium of rats with a high spatial resolution small-animal PET system (microPET). METHODS AND RESULTS:Myocardial images were obtained after intravenous (18)F-fluorodeoxyglucose (18FDG) in 11 normal rats ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000020221.28996.78

    authors: Kudo T,Fukuchi K,Annala AJ,Chatziioannou AF,Allada V,Dahlbom M,Tai YC,Inubushi M,Huang SC,Cherry SR,Phelps ME,Schelbert HR

    更新日期:2002-07-02 00:00:00

  • Cardiac memory in canine atrium : identification and implications.

    abstract:BACKGROUND:Memory is a diverse biological phenomenon whose importance in the ventricle has been demonstrated. We hypothesized its occurrence in the atrium, contributing to the modulation of cardiac rhythm. METHODS AND RESULTS:We analyzed P and Ta waves in conscious chronically instrumented dogs with complete heart blo...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.3.455

    authors: Herweg B,Chang F,Chandra P,Danilo P Jr,Rosen MR

    更新日期:2001-01-23 00:00:00

  • Impaired elastic properties of the ascending aorta in newborns before and early after successful coarctation repair: proof of a systemic vascular disease of the prestenotic arteries?

    abstract:BACKGROUND:Despite successful surgical correction, morbidity of patients with coarctation of the aorta is increased. It is well known that these patients have impaired elastic properties of the prestenotic arteries. To find out whether these abnormalities are primarily present or develop later, we studied 17 newborns b...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.529792

    authors: Vogt M,Kühn A,Baumgartner D,Baumgartner C,Busch R,Kostolny M,Hess J

    更新日期:2005-06-21 00:00:00

  • Mildly oxidized LDL induces activation of platelet-derived growth factor beta-receptor pathway.

    abstract:BACKGROUND:Mildly oxidized LDL (moxLDL) is thought to play a role in atherogenesis. MoxLDL induces derivatization of cell proteins and triggers a variety of intracellular signaling. We aimed to investigate whether moxLDL-induced protein derivatization may influence the activity of platelet-derived growth factor recepto...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc4001.097179

    authors: Escargueil-Blanc I,Salvayre R,Vacaresse N,Jürgens G,Darblade B,Arnal JF,Parthasarathy S,Nègre-Salvayre A

    更新日期:2001-10-09 00:00:00

  • Multitargeted effects of statin-enhanced thrombolytic therapy for stroke with recombinant human tissue-type plasminogen activator in the rat.

    abstract:BACKGROUND:Microvascular dysfunction posttreatment of stroke with recombinant human tissue-type plasminogen activator (rht-PA) constrains the therapeutic window to 3 hours. Statins (3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors) promote vascular thrombolysis and reduce the inflammation response. We therefo...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.516757

    authors: Zhang L,Zhang ZG,Ding GL,Jiang Q,Liu X,Meng H,Hozeska A,Zhang C,Li L,Morris D,Zhang RL,Lu M,Chopp M

    更新日期:2005-11-29 00:00:00

  • Iron therapy, advanced oxidation protein products, and carotid artery intima-media thickness in end-stage renal disease.

    abstract:BACKGROUND:Increased common carotid artery intima-media thickness (CCA-IMT) is a marker of early atherosclerosis. Low-grade inflammation is associated with the pathogenesis of atherosclerosis. Low-grade inflammation and increased CCA-IMT are observed in end-stage renal disease (ESRD). Oxidative stress is involved in ur...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000035250.66458.67

    authors: Drüeke T,Witko-Sarsat V,Massy Z,Descamps-Latscha B,Guerin AP,Marchais SJ,Gausson V,London GM

    更新日期:2002-10-22 00:00:00

  • Hemodynamic and radionuclide effects of acute captopril therapy for heart failure: changes in left and right ventricular volumes and function at rest and during exercise.

    abstract::Although the resting hemodynamic effects of captopril in congestive heart failure are known, little information is available about the hemodynamic response to captopril during exercise or about changes in noninvasive measurements of the size and function of both ventricles. In this study, 14 stable New York Heart Asso...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.65.7.1374

    authors: Massie B,Kramer BL,Topic N,Henderson SG

    更新日期:1982-06-01 00:00:00

  • Immediate diagnosis of acute myocardial infarction by two-dimensional echocardiography.

    abstract::To define the role of portable two-dimensional echocardiography (2-D echo) in the immediate diagnosis of acute chest pain syndrome, 80 consecutive patients were studied. Adequate 2-D echo studies were obtained in 65 (81%). Thirty-three patients had clinical evidence of transmural or nontransmural acute myocardial infa...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.65.2.323

    authors: Horowitz RS,Morganroth J,Parrotto C,Chen CC,Soffer J,Pauletto FJ

    更新日期:1982-02-01 00:00:00

  • Endogenous cell seeding. Remnant endothelium after stenting enhances vascular repair.

    abstract:BACKGROUND:Endothelial integrity is essential for maintaining vascular homeostasis, and endothelial denudation results in neointimal thickening. Balloon-expandable endovascular stents provide a luminal scaffolding within atherosclerotic arteries with minimal direct contact between balloon and endothelium. We wondered w...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.94.11.2909

    authors: Rogers C,Parikh S,Seifert P,Edelman ER

    更新日期:1996-12-01 00:00:00

  • Research related to medical treatment of cardiovascular disease.

    abstract::Medical treatment of heart disease has improved significantly in the past 30 years. The spectacular change in the natural history of rheumatic heart disease is apparent from a 1948 article that reported that 42% of children with rheumatic heart disease died of rheumatic infection or bacterial endocarditis. Antibiotics...

    journal_title:Circulation

    pub_type: 临床试验,历史文章,杂志文章

    doi:10.1161/01.cir.60.7.1609

    authors: Ross RS

    更新日期:1979-12-01 00:00:00

  • Esophageal Injury and Atrioesophageal Fistula Caused by Ablation for Atrial Fibrillation.

    abstract::Esophageal perforation is a dreaded complication of atrial fibrillation ablation that occurs in 0.1% to 0.25% of atrial fibrillation ablation procedures. Delayed diagnosis is associated with the development of atrial-esophageal fistula (AEF) and increased mortality. The relationship between the esophagus and the left ...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.117.025827

    authors: Kapur S,Barbhaiya C,Deneke T,Michaud GF

    更新日期:2017-09-26 00:00:00

  • Risk of assessing mortality risk in elective cardiac operations: age, creatinine, ejection fraction, and the law of parsimony.

    abstract:BACKGROUND:Several mortality risk scores exist in cardiac surgery. All include a considerable number of independent risk factors. In elective cardiac surgery patients, the operative mortality is low, the number of events recorded per year is limited, and the risk model may be overfitted. The present study aims to devel...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.842393

    authors: Ranucci M,Castelvecchio S,Menicanti L,Frigiola A,Pelissero G

    更新日期:2009-06-23 00:00:00

  • Effect of inhaled iloprost plus oral sildenafil in patients with primary pulmonary hypertension.

    abstract:BACKGROUND:The application of iloprost, a stable prostacyclin analogue, by inhalation has been shown to improve hemodynamic variables in patients with primary pulmonary hypertension. However, repetitive inhalations are required due to its short-term effects. One potential approach to prolong and increase the vasorelaxa...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/hc3601.096826

    authors: Wilkens H,Guth A,König J,Forestier N,Cremers B,Hennen B,Böhm M,Sybrecht GW

    更新日期:2001-09-11 00:00:00

  • Chest compression rates during cardiopulmonary resuscitation are suboptimal: a prospective study during in-hospital cardiac arrest.

    abstract:BACKGROUND:Recent data highlight a vital link between well-performed cardiopulmonary resuscitation (CPR) and survival after cardiac arrest; however, the quality of CPR as actually performed by trained healthcare providers is largely unknown. We sought to measure in-hospital chest compression rates and to determine comp...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/01.CIR.0000153811.84257.59

    authors: Abella BS,Sandbo N,Vassilatos P,Alvarado JP,O'Hearn N,Wigder HN,Hoffman P,Tynus K,Vanden Hoek TL,Becker LB

    更新日期:2005-02-01 00:00:00

  • Intramural delivery of recombinant apolipoprotein A-IMilano/phospholipid complex (ETC-216) inhibits in-stent stenosis in porcine coronary arteries.

    abstract:BACKGROUND:We have previously demonstrated vasculoprotective effects after repeated intravenous administration of recombinant apolipoprotein A-IMilano (apoA-Im)/phospholipid complex. In this study, we sought to determine the effects of local recombinant apoA-Im/1-palmitoyl,2-oleoyl phosphatidylcholine complex (ETC-216)...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000074042.19447.B1

    authors: Kaul S,Rukshin V,Santos R,Azarbal B,Bisgaier CL,Johansson J,Tsang VT,Chyu KY,Cercek B,Mirocha J,Shah PK

    更新日期:2003-05-27 00:00:00

  • Site-dependent intra-atrial conduction delay. Relationship to initiation of atrial fibrillation.

    abstract:BACKGROUND:Atrial dysrhythmia patients have exaggerated intra-atrial conduction delays and prolonged relative refractoriness in response to atrial premature depolarizations (APDs). Furthermore, atrial fibrillation (AF) is more readily inducible by APDs from the high right atrium (HRA) than the coronary sinus (CS). In t...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.94.3.384

    authors: Papageorgiou P,Monahan K,Boyle NG,Seifert MJ,Beswick P,Zebede J,Epstein LM,Josephson ME

    更新日期:1996-08-01 00:00:00

  • Role of coronary collaterals in off-pump and on-pump coronary bypass surgery.

    abstract:BACKGROUND:Collaterals limit infarct size, preserve viability, and reduce mortality in patients with acute myocardial infarction. In patients with stable coronary disease, collaterals are associated with less angina and ischemia during angioplasty and fewer ischemic events during follow-up. The role of collaterals has ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.CIR.0000143105.42988.FD

    authors: Nathoe HM,Buskens E,Jansen EW,Suyker WJ,Stella PR,Lahpor JR,van Boven WJ,van Dijk D,Diephuis JC,Borst C,Moons KG,Grobbee DE,de Jaegere PP

    更新日期:2004-09-28 00:00:00

  • Short stature and risk for mortality and cardiovascular disease events. The Framingham Heart Study.

    abstract:BACKGROUND:Several studies have observed an inverse association between height and risk for coronary disease, but it is unclear whether other traditional coronary disease risk factors may have confounded this association. We examined the original Framingham Heart Study cohort to determine whether short stature is assoc...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.90.5.2241

    authors: Kannam JP,Levy D,Larson M,Wilson PW

    更新日期:1994-11-01 00:00:00

  • East asian variant of aldehyde dehydrogenase 2 is associated with coronary spastic angina: possible roles of reactive aldehydes and implications of alcohol flushing syndrome.

    abstract:BACKGROUND:Coronary spastic angina (CSA) is a common disease among East Asians, including Japanese. The prevalence of alcohol flushing syndrome associated with deficient activity of the variant aldehyde dehydrogenase 2 (ALDH2*2) genotype is prevalent among East Asians. We examined whether CSA is associated with the ALD...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.114.013120

    authors: Mizuno Y,Harada E,Morita S,Kinoshita K,Hayashida M,Shono M,Morikawa Y,Murohara T,Nakayama M,Yoshimura M,Yasue H

    更新日期:2015-05-12 00:00:00

  • Slow breathing increases arterial baroreflex sensitivity in patients with chronic heart failure.

    abstract:BACKGROUND:It is well established that a depressed baroreflex sensitivity may adversely influence the prognosis in patients with chronic heart failure (CHF) and in those with previous myocardial infarction. METHODS AND RESULTS:We tested whether a slow breathing rate (6 breaths/min) could modify the baroreflex sensitiv...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/hc0202.103311

    authors: Bernardi L,Porta C,Spicuzza L,Bellwon J,Spadacini G,Frey AW,Yeung LY,Sanderson JE,Pedretti R,Tramarin R

    更新日期:2002-01-15 00:00:00

  • Targeting lymphatic vessel activation and CCL21 production by vascular endothelial growth factor receptor-3 inhibition has novel immunomodulatory and antiarteriosclerotic effects in cardiac allografts.

    abstract:BACKGROUND:Lymphatic network and chemokine-mediated signals are essential for leukocyte traffic during the proximal steps of alloimmune response. We aimed to determine the role of lymphatic vessels and their principal growth signaling pathway, vascular endothelial growth factor (VEGF)-C/D/VEGFR-3, during acute and chro...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.109.910703

    authors: Nykänen AI,Sandelin H,Krebs R,Keränen MA,Tuuminen R,Kärpänen T,Wu Y,Pytowski B,Koskinen PK,Ylä-Herttuala S,Alitalo K,Lemström KB

    更新日期:2010-03-30 00:00:00

  • Effects of vagal stimulation on cesium-induced early afterdepolarizations and ventricular arrhythmias in rabbits.

    abstract:BACKGROUND:Previous evidence has shown that increased sympathetic tone enhances the cesium chloride (Cs)-induced early afterdepolarizations (EADs) and ventricular tachycardias (VTs). METHODS AND RESULTS:We assessed the effects of vagal stimulation on Cs-induced EADs and ventricular arrhythmias in the rabbit heart. Mon...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.86.6.1987

    authors: Takahashi N,Ito M,Ishida S,Fujino T,Saikawa T,Arita M

    更新日期:1992-12-01 00:00:00

  • Hemodynamic effects of intravenous phentolamine in low output cardiac failu;e. Dose-response relationships.

    abstract::Nineteen patients with chronic low output cardiac failure were studied before, during and after infusion of phentolamine in doses of 10, 20, 30 and 40 microgram/kg/min. Significant reduction of left- and right-sided pressures and increases in cardiac index and heart rate (HR) were present within 15 minutes of starting...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.58.1.157

    authors: Stern MA,Gohlke HK,Loeb HS,Croke RP,Gunnar RM

    更新日期:1978-07-01 00:00:00

  • Assessment of the treatment effect of enoxaparin for unstable angina/non-Q-wave myocardial infarction. TIMI 11B-ESSENCE meta-analysis.

    abstract:BACKGROUND:Two phase III trials of enoxaparin for unstable angina/non-Q-wave myocardial infarction have shown it to be superior to unfractionated heparin for preventing a composite of death and cardiac ischemic events. A prospectively planned meta-analysis was performed to provide a more precise estimate of the effects...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,meta分析,多中心研究

    doi:10.1161/01.cir.100.15.1602

    authors: Antman EM,Cohen M,Radley D,McCabe C,Rush J,Premmereur J,Braunwald E

    更新日期:1999-10-12 00:00:00

  • Role of genetic analyses in cardiology: part I: mendelian diseases: cardiac channelopathies.

    abstract::Genetic analysis can be performed to identify the molecular substrate of inherited arrhythmogenic diseases; however, the role of this information in helping the management of patients is still debated. Here, we support the view that the practical value of genetic analysis is different in the various inherited conditio...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.105.563205

    authors: Priori SG,Napolitano C

    更新日期:2006-02-28 00:00:00

  • Brief antecedent ischemia enhances recombinant tissue plasminogen activator-induced coronary thrombolysis by adenosine-mediated mechanism.

    abstract:BACKGROUND:Clinical studies have implicated preinfarct angina (brief antecedent ischemia/reperfusion [I/R]) as a predictor of more rapid thrombolysis and lower rates of reocclusion. However, the effects of antecedent ischemia on the efficacy of thrombolysis have not been rigorously assessed. Using a canine model of cor...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.1.88

    authors: Przyklenk K,Whittaker P

    更新日期:2000-07-04 00:00:00