Internal carotid artery occlusion: its natural history including recanalization and subsequent neurological events

G Morris-Stiff; M Teli; P Y Khan; S O Ogunbiyi; C S Champ; R Hibberd; R Brown; D M Bailey; R K Winter; M H Lewis

doi:10.1177/1538574413500539

Internal carotid artery occlusion: its natural history including recanalization and subsequent neurological events

G Morris-Stiff, M Teli, P Y Khan, S O Ogunbiyi, C S Champ, R Hibberd, R Brown, D M Bailey, R K Winter, M H Lewis

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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.

Iaith wreiddiol	Saesneg
Tudalennau (o-i)	603-7
Nifer y tudalennau	5
Cyfnodolyn	Vascular and endovascular surgery
Cyfrol	47
Rhif cyhoeddi	8
Dynodwyr Gwrthrych Digidol (DOIs)	https://doi.org/10.1177/1538574413500539
Statws	Cyhoeddwyd - Tach 2013

Mynediad at Ddogfen

10.1177/1538574413500539Trwydded: CC BY-NC-ND

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title = "Internal carotid artery occlusion: its natural history including recanalization and subsequent neurological events",

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.",

keywords = "Aged, Carotid Artery, Internal, Carotid Stenosis, Cause of Death, Cerebrovascular Disorders, Chronic Disease, Endarterectomy, Carotid, Female, Humans, Male, Middle Aged, Predictive Value of Tests, Recurrence, Risk Factors, Time Factors, Treatment Outcome, Ultrasonography, Doppler, Color",

author = "G Morris-Stiff and M Teli and Khan, {P Y} and Ogunbiyi, {S O} and Champ, {C S} and R Hibberd and R Brown and Bailey, {D M} and Winter, {R K} and Lewis, {M H}",

year = "2013",

month = nov,

doi = "10.1177/1538574413500539",

language = "English",

volume = "47",

pages = "603--7",

journal = "Vascular and endovascular surgery",

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Internal carotid artery occlusion : its natural history including recanalization and subsequent neurological events. / 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.

Yn: Vascular and endovascular surgery, Cyfrol 47, Rhif 8, 11.2013, t. 603-7.

Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid

TY - JOUR

T1 - Internal carotid artery occlusion

T2 - its natural history including recanalization and subsequent neurological events

AU - Morris-Stiff, G

AU - Teli, M

AU - Khan, P Y

AU - Ogunbiyi, S O

AU - Champ, C S

AU - Hibberd, R

AU - Brown, R

AU - Bailey, D M

AU - Winter, R K

AU - Lewis, M H

PY - 2013/11

Y1 - 2013/11

N2 - 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.

AB - 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.

KW - Aged

KW - Carotid Artery, Internal

KW - Carotid Stenosis

KW - Cause of Death

KW - Cerebrovascular Disorders

KW - Chronic Disease

KW - Endarterectomy, Carotid

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Predictive Value of Tests

KW - Recurrence

KW - Risk Factors

KW - Time Factors

KW - Treatment Outcome

KW - Ultrasonography, Doppler, Color

U2 - 10.1177/1538574413500539

DO - 10.1177/1538574413500539

M3 - Article

C2 - 24129794

VL - 47

SP - 603

EP - 607

JO - Vascular and endovascular surgery

JF - Vascular and endovascular surgery

SN - 1538-5744

IS - 8

ER -

Internal carotid artery occlusion: its natural history including recanalization and subsequent neurological events

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