| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Departments of Surgery (Drs. Thiele, Young, and Strandness) and Radiology (Drs. Chikos and Hirsch), Veterans Administration Medical Center and University Hospital, Seattle, WA.
The arteriograms of 109 patients with symptomatic cerebral ischemia were analyzed to determine the distribution of extracranial and intracranial vascular abnormalities. In the 66 patients with transient hemispheric or ocular ischemia, potentially embolic lesions were more common than hemodynamically significant lesions (84% versus 50%). In the 29 patients with fixed neurologic deficits, 25% had occlusion of the internal carotid artery on the appropriate side; ulcerated lesions were again more common in the remaining patent arteries than were hemodynamically significant lesions. The major difference between the transient group and the fixed group was the 29% incidence of intracerebral disease or anomaly in the transient group, with similar lesions in 90% of the group with fixed neurologic deficit.
Symptoms of cerebral ischemia are more likely to be related to ulceration than to hemodynamically significant lesions. The risk of stroke seems greatest when there is also intracerebral siphon disease or anatomic anomaly of the circle of Willis.
Accepted for publication December 17, 1979.
Address correspondence and reprint requests to Dr. Thiele, Chief, Peripheral Vascular Section, VA Medical Center, 4435 Beacon Avenue South, Seattle, WA 98108.
This article has been cited by other articles:
|
|
 |
|
  M. S. Gohel, M. Hamish, I. Harri Jenkins, and A. H. Davies Symptomatic Late Recanalization of an Occluded Internal Carotid Artery: A Case Report and Review of the Literature Vascular and Endovascular Surgery, October 1, 2008; 42(5): 486 - 488. [Abstract] [PDF]
|
|
|
|
 |
|
 C. P. Derdeyn Carotid Stenting for Asymptomatic Carotid Stenosis: Trial It Stroke, February 1, 2007; 38(2): 715 - 720. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. Thanvi and T. Robinson Complete occlusion of extracranial internal carotid artery: clinical features, pathophysiology, diagnosis and management Postgrad. Med. J., February 1, 2007; 83(976): 95 - 99. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P.M. Rothwell, S.C. Howard, and J.D. Spence Relationship Between Blood Pressure and Stroke Risk in Patients With Symptomatic Carotid Occlusive Disease Stroke, November 1, 2003; 34(11): 2583 - 2590. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. H. Lev, J. M. Romero, D. N.F. Goodman, R. Bagga, H. Y. K. Kim, N. A. Clerk, R. H. Ackerman, and R. G. Gonzalez Total Occlusion versus Hairline Residual Lumen of the Internal Carotid Arteries: Accuracy of Single Section Helical CT Angiography AJNR Am. J. Neuroradiol., June 1, 2003; 24(6): 1123 - 1129. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. E. Mead, S. C. Lewis, J. M. Wardlaw, and M. S. Dennis Comparison of Risk Factors in Patients With Transient and Prolonged Eye and Brain Ischemic Syndromes Stroke, October 1, 2002; 33(10): 2383 - 2390. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. M. Romero, M. H. Lev, S.-T. Chan, M. M. Connelly, R. C. Curiel, A. E. Jackson, R. G. Gonzalez, and R. H. Ackerman US of Neurovascular Occlusive Disease: Interpretive Pearls and Pitfalls RadioGraphics, September 1, 2002; 22(5): 1165 - 1176. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. J. Tegos, M. Sohail, M. M. Sabetai, P. Robless, N. Akbar, G. Pare, G. Stansby, and A. N. Nicolaides Echomorphologic and Histopathologic Characteristics of Unstable Carotid Plaques AJNR Am. J. Neuroradiol., November 1, 2000; 21(10): 1937 - 1944. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. A. Mattos, K. J. Hodgson, D. E. Ramsey, and D. S. Sumner Clinical Outcome of Patients Developing Transient Ischemic Attacks Following Carotid Endarterectomy Vascular and Endovascular Surgery, September 1, 2000; 34(5): 471 - 481. [Abstract] [PDF]
|
|
|
|
|
|
P. M. Rothwell, R. Gibson, and C. P. Warlow Interrelation Between Plaque Surface Morphology and Degree of Stenosis on Carotid Angiograms and the Risk of Ischemic Stroke in Patients With Symptomatic Carotid Stenosis Stroke, March 1, 2000; 31(3): 615 - 621. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. M. Rothwell and C. P. Warlow Low Risk of Ischemic Stroke in Patients With Reduced Internal Carotid Artery Lumen Diameter Distal to Severe Symptomatic Carotid Stenosis : Cerebral Protection Due to Low Poststenotic Flow? Stroke, March 1, 2000; 31(3): 622 - 630. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. P. Derdeyn, T. O. Videen, N. R. Simmons, K. D. Yundt, S. M. Fritsch, R. L. Grubb Jr, and W. J. Powers Count-based PET Method for Predicting Ischemic Stroke in Patients with Symptomatic Carotid Arterial Occlusion Radiology, August 1, 1999; 212(2): 499 - 506. [Abstract] [Full Text]
|
|
|
|
|
|
C. P. Derdeyn, A. Shaibani, C. J. Moran, D. T. Cross III, R. L. Grubb Jr, and W. J. Powers Lack of Correlation Between Pattern of Collateralization and Misery Perfusion in Patients With Carotid Occlusion Stroke, May 1, 1999; 30(5): 1025 - 1032. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. L. Grubb Jr, C. P. Derdeyn, S. M. Fritsch, D. A. Carpenter, K. D. Yundt, T. O. Videen, E. L. Spitznagel, and W. J. Powers Importance of Hemodynamic Factors in the Prognosis of Symptomatic Carotid Occlusion JAMA, September 23, 1998; 280(12): 1055 - 1060. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. T.-C. Chow, W.-H. Chow, and J. C.-K. Lee Massive Cerebral Infarction: A Potential Fatal Complication of Plaque Fissuring of Lipid-Rich Atheromas of the Carotid Artery Case Reports Angiology, April 1, 1996; 47(4): 381 - 387. [Abstract] [PDF]
|
|
|
|
 |
|
 M. Langsfeld and E. S. Weinstein Carotid Artery Plaque Morphology: Ultrasonographic Appearance and its Role in the Development of Cerebrovascular Symptoms Perspectives in Vascular Surgery and Endovascular Therapy, January 1, 1991; 4(2): 1 - 15. [PDF]
|
|
|
|
 |
|
 T. Yanagihara, D. W. Klass, D. G. Piepgras, and O. W. Houser Brief Loss of Consciousness in Bilateral Carotid Occlusive Disease Arch Neurol, August 1, 1989; 46(8): 858 - 861. [Abstract] [PDF]
|
|
|
|
 |
|
 T. F. O'Donnell Jr, L. Erdoes, W. C. Mackey, J. McCullough, A. Shepard, P. Heggerick, J. Isner, and A. D. Callow Correlation of B-Mode Ultrasound Imaging and Arteriography With Pathologic Findings at Carotid Endarterectomy Arch Surg, April 1, 1985; 120(4): 443 - 449. [Abstract] [PDF]
|
|
|
|
|
|
D. F. Bandyk, A. W. Levine, L. Pohl, and J. B. Towne Classification of Carotid Bifurcation Disease Using Quantitative Doppler Spectrum Analysis Arch Surg, March 1, 1985; 120(3): 306 - 314. [Abstract] [PDF]
|
|
|
|
|
|
J. Bogousslavsky and F. Regli Vertebrobasilar Transient Ischemic Attacks in Internal Carotid Artery Occlusion or Tight Stenosis Arch Neurol, January 1, 1985; 42(1): 64 - 68. [Abstract] [PDF]
|
|
|
|
|
|
G. O. Roederer, Y. E. Langlois, A. R. W. Chan, P. M. Chikos, B. L. Thiele, and D. E. Strandness Jr Is Siphon Disease Important in Predicting Outcome of Carotid Endarterectomy? Arch Surg, October 1, 1983; 118(10): 1177 - 1181. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
