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Titolo:
Doppler microembolic signals predict ischemic recurrences in symptomatic carotid stenosis
Autore:
Censori, B; Partziguian, T; Casto, L; Camerlingo, M; Mamoli, A;
Indirizzi:
Osped Riuniti Bergamo, I-24100 Bergamo, Italy Osped Riuniti Bergamo Bergamo Italy I-24100 gamo, I-24100 Bergamo, Italy
Titolo Testata:
ACTA NEUROLOGICA SCANDINAVICA
fascicolo: 5, volume: 101, anno: 2000,
pagine: 327 - 331
SICI:
0001-6314(200005)101:5<327:DMSPIR>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
CEREBRAL MICROEMBOLISM; TRANSCRANIAL DOPPLER; ARTERY STENOSIS; EMBOLIC SIGNALS; ENDARTERECTOMY; STROKE; RISK; ULTRASONOGRAPHY; VALVES;
Keywords:
cerebral embolism; carotid stenosis; carotid endarterectomy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Censori, B Osped Riuniti Bergamo, Largo Barozzi 1, I-24100 Bergamo, Italy Osped Riuniti Bergamo Largo Barozzi 1 Bergamo Italy I-24100 ly
Citazione:
B. Censori et al., "Doppler microembolic signals predict ischemic recurrences in symptomatic carotid stenosis", ACT NEUR SC, 101(5), 2000, pp. 327-331

Abstract

Objective - To assess if Doppler microembolic signals (MES) associated with greater than or equal to 60% symptomatic extracranial carotid stenosis may predict ischemic recurrences before endarterectomy or angioplasty. Methods - All patients with greater than or equal to 60% carotid stenosis with symptoms in the preceding 2 months were prospectively considered. MES were identified using current criteria. All patients were followed-up until endarterectomy or angioplasty. Results - We studied 50 patients, at a median of 7days from their last symptom. Twenty patients showed MES (40.0%); median embolus rate was 4/h. During a median follow-up of 19 days 7 patients had recurrences (transient monocular blindness = 2; TIAs = 4; stroke = 1); 6 of them had shown MES. The association between recurrences and MES was significant (P = 0.012). Conclusions - MES may identify patients with symptomatic carotid stenosis who are likely to suffer an ischemic recurrence before endarterectomy. This information may affect medical treatment and referral to the vascular surgeon.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/03/20 alle ore 03:52:33