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- Title
Internal Carotid Artery Occlusion: Its Natural History Including Recanalization and Subsequent Neurological Events.
- Authors
Morris-Stiff, G.; Teli, M.; Khan, P. Y.; Ogunbiyi, S. O.; Champ, C. S.; Hibberd, R.; Brown, R.; Bailey, D. M.; Winter, R. K.; Lewis, M. H.
- Abstract
Objective: To determine the incidence of recanalization of the occluded internal carotid artery (ICA) and establish its natural history. Methods: Patients with duplex-confirmed ICA occlusions were identified, and a subgroup offered repeat scanning. The antemortem condition and cause of death of patients who died were recorded. Results: Of 153 patients identified, 77 underwent follow-up at a median of 35 months (interquartile range [IQR]: 14-61).In all, 8 (10.3%) demonstrated recanalization at a median of 53 months (IQR: 35-114). Of 8, 7 underwent carotid endarterectomy with histopathological confirmation of recanalization. Of the 153 patients, 45 (29%) had further neurological events, and 38 (25%) were within the territory of the occluded ICA. In all, 76 patients died, and of the 53 with a confirmed cause of death, 12 (23%) were attributed to a cerebrovascular accident corresponding to the territory of the occluded artery. Conclusion: Recanalization of ICA occlusion is common and leads to significant neurological events. Duplex ultrasound follow-up appears mandatory.
- Subjects
CEREBROVASCULAR disease diagnosis; ISCHEMIA diagnosis; CAROTID artery diseases; REOPERATION; DESCRIPTIVE statistics; DISEASE complications
- Publication
Vascular & Endovascular Surgery, 2013, Vol 47, Issue 8, p603
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574413500539