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Carotid Near-Occlusion: A Comprehensive Review, Part 2—Prognosis and Treatment, Pathophysiology, Confusions, and Areas for Improvement

E. Johansson and A.J. Fox
American Journal of Neuroradiology September 2015, DOI: https://doi.org/10.3174/ajnr.A4429
E. Johansson
From the Department of Pharmacology and Clinical Neuroscience (E.J.), Umeå University, Umeå, Sweden; and Department of Neuroradiology (A.J.F.), Sunnybrook and Women's College Heath Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
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A.J. Fox
From the Department of Pharmacology and Clinical Neuroscience (E.J.), Umeå University, Umeå, Sweden; and Department of Neuroradiology (A.J.F.), Sunnybrook and Women's College Heath Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
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Abstract

SUMMARY: In Part 1 of this review, the definition, terminology, and diagnosis of carotid near-occlusion were presented. Carotid near-occlusions (all types) showed a lower risk of stroke than other severe stenoses. However, emerging evidence suggests that the near-occlusion prognosis with full collapse (higher risk) differs from that without full collapse (lower risk). This systematic review presents what is known about carotid near-occlusion. In this second part, the foci are prognosis and treatment, pathophysiology, the current confusion about near-occlusion, and areas in need of future improvement.

Abbreviations

ARR
absolute risk reduction
CCA
common carotid artery
ECA
external carotid artery
PCA
posterior cerebral artery
ECST
European Carotid Surgery Trial
  • © 2016 American Society of Neuroradiology

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E. Johansson, A.J. Fox
Carotid Near-Occlusion: A Comprehensive Review, Part 2—Prognosis and Treatment, Pathophysiology, Confusions, and Areas for Improvement
American Journal of Neuroradiology Sep 2015, DOI: 10.3174/ajnr.A4429

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Carotid Near-Occlusion: A Comprehensive Review, Part 2—Prognosis and Treatment, Pathophysiology, Confusions, and Areas for Improvement
E. Johansson, A.J. Fox
American Journal of Neuroradiology Sep 2015, DOI: 10.3174/ajnr.A4429
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