Both carotid tortuosity and complex configuration of the aortic arch were associated with an increase in cerebral ischemia with CAS, but not with CEA.

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Authors maintain that using distal embolic protection has been handed down as a directive despite lack of adequate evidence of benefit or efficacy.…

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Significant stenosis or occlusion in the internal carotid artery (ICA) can delay time to reperfusion among patients with acute ischemic stroke, according to a new analysis of data from the Interventional Management of Stroke (IMS) III trial. In their paper published online February 3, 2017, ahead of print in the Journal of Neurosurgery.…

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Even those who can undergo stenting or endarterectomy are at higher risk compared with other patients who’ve had a recent TIA or minor stroke, according to a new case-control study.…

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Microembolization may play a larger role than previously recognized in the mechanism of injury among symptomatic patients with carotid occlusion or at least 50% stenosis, according to a small study published online January 11, 2017, ahead of print in Stroke. These findings suggest it is worth investigating use of aggressive antithrombotic, antiplatelet, or other medical therapy for such patients.…

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