Endarterectomy, Stenting, or Medical Treatment for Symptomatic Carotid Near-Occlusion: Results from CAOS, a Multicenter Registry Study
The treatment of symptomatic carotid near-occlusion is controversial. Our aim was to analyze the results of carotid endarterectomy and carotid artery stent placement in patients with symptomatic carotid near-occlusion and to identify factors related to technical failure, periprocedural complications...
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| Veröffentlicht in: | American journal of neuroradiology : AJNR 2022-09, Vol.43 (9), p.1304-1310 |
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| creator | Garcia-Pastor, A Gil-Núñez, A Ramirez-Moreno, J M González-Nafría, N Tejada, J Moniche, F Portilla-Cuenca, J C Martínez-Sánchez, P Fuentes, B Gamero-García, M A de Leciñana, M A Masjuan, J Verge, D C Aladro, Y Parkhutik, V Lago, A de Arce-Borda, A M Usero-Ruiz, M Delgado-Mederos, R Pampliega, A Ximenez-Carrillo, Á Bártulos-Iglesias, M Castro-Reyes, E |
| description | The treatment of symptomatic carotid near-occlusion is controversial. Our aim was to analyze the results of carotid endarterectomy and carotid artery stent placement in patients with symptomatic carotid near-occlusion and to identify factors related to technical failure, periprocedural complications, and restenosis.
We conducted a multicenter, prospective nonrandomized study. Patients with angiography-confirmed carotid near-occlusion were included. We assessed the revascularization rate and periprocedural stroke or death. Twenty-four-month clinical and carotid imaging follow-up was performed, and rates of carotid restenosis or occlusion, ipsilateral stroke, and mortality were analyzed. Carotid artery stent placement, carotid endarterectomy, and medical treatment were compared.
One hundred forty-one patients were included. Forty-four carotid artery stent placement and 23 carotid endarterectomy procedures were performed within 6 months after the event. Complete revascularization was achieved in 83.6%, 81.8% in the carotid artery stent placement group and 87% with carotid endarterectomy (
= .360). Periprocedural stroke or death occurred in 6% (carotid artery stent placement = 2.3%; carotid endarterectomy = 13%;
= .077) and was not related to revascularization failure. The carotid restenosis or occlusion rate was 8.3% (5% restenosis, 3.3% occlusion); with carotid artery stent placement it was 10.5%; and with carotid endarterectomy it was 4.5% (
= .419). The 24-month cumulative rate of ipsilateral stroke was 4.8% in the carotid artery stent placement group, 17.4% for carotid endarterectomy, and 13.1% for medical treatment (
= .223). Mortality was 12%, 4.5%, and 5.6%, respectively (
= .422). Revascularization failure and restenosis occurred more frequently in patients with full collapse compared with patients without full collapse (33.3% versus 5.6%,
= .009; 21.4% versus 2.9%,
= .032, respectively).
Carotid artery stent placement and carotid endarterectomy are associated with high rates of failure and periprocedural stroke. Carotid near-occlusion with full collapse appears to be associated with an increased risk of technical failure and restenosis. Carotid near-occlusion revascularization does not seem to reduce the risk of stroke at follow-up compared with medical treatment. |
| doi_str_mv | 10.3174/ajnr.A7617 |
| format | Article |
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We conducted a multicenter, prospective nonrandomized study. Patients with angiography-confirmed carotid near-occlusion were included. We assessed the revascularization rate and periprocedural stroke or death. Twenty-four-month clinical and carotid imaging follow-up was performed, and rates of carotid restenosis or occlusion, ipsilateral stroke, and mortality were analyzed. Carotid artery stent placement, carotid endarterectomy, and medical treatment were compared.
One hundred forty-one patients were included. Forty-four carotid artery stent placement and 23 carotid endarterectomy procedures were performed within 6 months after the event. Complete revascularization was achieved in 83.6%, 81.8% in the carotid artery stent placement group and 87% with carotid endarterectomy (
= .360). Periprocedural stroke or death occurred in 6% (carotid artery stent placement = 2.3%; carotid endarterectomy = 13%;
= .077) and was not related to revascularization failure. The carotid restenosis or occlusion rate was 8.3% (5% restenosis, 3.3% occlusion); with carotid artery stent placement it was 10.5%; and with carotid endarterectomy it was 4.5% (
= .419). The 24-month cumulative rate of ipsilateral stroke was 4.8% in the carotid artery stent placement group, 17.4% for carotid endarterectomy, and 13.1% for medical treatment (
= .223). Mortality was 12%, 4.5%, and 5.6%, respectively (
= .422). Revascularization failure and restenosis occurred more frequently in patients with full collapse compared with patients without full collapse (33.3% versus 5.6%,
= .009; 21.4% versus 2.9%,
= .032, respectively).
Carotid artery stent placement and carotid endarterectomy are associated with high rates of failure and periprocedural stroke. Carotid near-occlusion with full collapse appears to be associated with an increased risk of technical failure and restenosis. Carotid near-occlusion revascularization does not seem to reduce the risk of stroke at follow-up compared with medical treatment.</description><identifier>ISSN: 0195-6108</identifier><identifier>EISSN: 1936-959X</identifier><identifier>DOI: 10.3174/ajnr.A7617</identifier><identifier>PMID: 35981762</identifier><language>eng</language><publisher>United States: American Society of Neuroradiology</publisher><subject>Carotid Artery Diseases - complications ; Carotid Stenosis - complications ; Carotid Stenosis - diagnostic imaging ; Carotid Stenosis - surgery ; Editor's Choice ; Endarterectomy, Carotid - adverse effects ; Extracranial Vascular ; Humans ; Prospective Studies ; Registries ; Risk Factors ; Stents - adverse effects ; Stroke - complications ; Treatment Outcome</subject><ispartof>American journal of neuroradiology : AJNR, 2022-09, Vol.43 (9), p.1304-1310</ispartof><rights>2022 by American Journal of Neuroradiology.</rights><rights>2022 by American Journal of Neuroradiology 2022 American Journal of Neuroradiology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c378t-aafaabf1ef74f589d036cc905a65aba8e0511a29b9d44776bd8c1f2710ccb3353</citedby><cites>FETCH-LOGICAL-c378t-aafaabf1ef74f589d036cc905a65aba8e0511a29b9d44776bd8c1f2710ccb3353</cites><orcidid>0000-0002-0363-862X ; 0000-0001-8885-2192 ; 0000-0001-8613-2909 ; 0000-0003-1329-0943 ; 0000-0001-5009-2722 ; 0000-0002-0090-8807 ; 0000-0001-5061-1510 ; 0000-0002-5677-2144 ; 0000-0003-4135-1280 ; 0000-0002-4195-7752 ; 0000-0002-2783-2013 ; 0000-0003-1945-4435 ; 0000-0002-5167-1571 ; 0000-0001-5258-3277 ; 0000-0002-8983-4583 ; 0000-0002-0796-0990 ; 0000-0002-3483-8106 ; 0000-0002-1141-5311 ; 0000-0002-0405-5282 ; 0000-0002-4302-6580 ; 0000-0001-9459-5452 ; 0000-0003-3737-7226 ; 0000-0003-0043-6501</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9451631/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9451631/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35981762$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Garcia-Pastor, A</creatorcontrib><creatorcontrib>Gil-Núñez, A</creatorcontrib><creatorcontrib>Ramirez-Moreno, J M</creatorcontrib><creatorcontrib>González-Nafría, N</creatorcontrib><creatorcontrib>Tejada, J</creatorcontrib><creatorcontrib>Moniche, F</creatorcontrib><creatorcontrib>Portilla-Cuenca, J C</creatorcontrib><creatorcontrib>Martínez-Sánchez, P</creatorcontrib><creatorcontrib>Fuentes, B</creatorcontrib><creatorcontrib>Gamero-García, M A</creatorcontrib><creatorcontrib>de Leciñana, M A</creatorcontrib><creatorcontrib>Masjuan, J</creatorcontrib><creatorcontrib>Verge, D C</creatorcontrib><creatorcontrib>Aladro, Y</creatorcontrib><creatorcontrib>Parkhutik, V</creatorcontrib><creatorcontrib>Lago, A</creatorcontrib><creatorcontrib>de Arce-Borda, A M</creatorcontrib><creatorcontrib>Usero-Ruiz, M</creatorcontrib><creatorcontrib>Delgado-Mederos, R</creatorcontrib><creatorcontrib>Pampliega, A</creatorcontrib><creatorcontrib>Ximenez-Carrillo, Á</creatorcontrib><creatorcontrib>Bártulos-Iglesias, M</creatorcontrib><creatorcontrib>Castro-Reyes, E</creatorcontrib><creatorcontrib>Stroke Project of the Spanish Cerebrovascular Diseases Study Group</creatorcontrib><creatorcontrib>on behalf of the Stroke Project of the Spanish Cerebrovascular Diseases Study Group</creatorcontrib><title>Endarterectomy, Stenting, or Medical Treatment for Symptomatic Carotid Near-Occlusion: Results from CAOS, a Multicenter Registry Study</title><title>American journal of neuroradiology : AJNR</title><addtitle>AJNR Am J Neuroradiol</addtitle><description>The treatment of symptomatic carotid near-occlusion is controversial. Our aim was to analyze the results of carotid endarterectomy and carotid artery stent placement in patients with symptomatic carotid near-occlusion and to identify factors related to technical failure, periprocedural complications, and restenosis.
We conducted a multicenter, prospective nonrandomized study. Patients with angiography-confirmed carotid near-occlusion were included. We assessed the revascularization rate and periprocedural stroke or death. Twenty-four-month clinical and carotid imaging follow-up was performed, and rates of carotid restenosis or occlusion, ipsilateral stroke, and mortality were analyzed. Carotid artery stent placement, carotid endarterectomy, and medical treatment were compared.
One hundred forty-one patients were included. Forty-four carotid artery stent placement and 23 carotid endarterectomy procedures were performed within 6 months after the event. Complete revascularization was achieved in 83.6%, 81.8% in the carotid artery stent placement group and 87% with carotid endarterectomy (
= .360). Periprocedural stroke or death occurred in 6% (carotid artery stent placement = 2.3%; carotid endarterectomy = 13%;
= .077) and was not related to revascularization failure. The carotid restenosis or occlusion rate was 8.3% (5% restenosis, 3.3% occlusion); with carotid artery stent placement it was 10.5%; and with carotid endarterectomy it was 4.5% (
= .419). The 24-month cumulative rate of ipsilateral stroke was 4.8% in the carotid artery stent placement group, 17.4% for carotid endarterectomy, and 13.1% for medical treatment (
= .223). Mortality was 12%, 4.5%, and 5.6%, respectively (
= .422). Revascularization failure and restenosis occurred more frequently in patients with full collapse compared with patients without full collapse (33.3% versus 5.6%,
= .009; 21.4% versus 2.9%,
= .032, respectively).
Carotid artery stent placement and carotid endarterectomy are associated with high rates of failure and periprocedural stroke. Carotid near-occlusion with full collapse appears to be associated with an increased risk of technical failure and restenosis. Carotid near-occlusion revascularization does not seem to reduce the risk of stroke at follow-up compared with medical treatment.</description><subject>Carotid Artery Diseases - complications</subject><subject>Carotid Stenosis - complications</subject><subject>Carotid Stenosis - diagnostic imaging</subject><subject>Carotid Stenosis - surgery</subject><subject>Editor's Choice</subject><subject>Endarterectomy, Carotid - adverse effects</subject><subject>Extracranial Vascular</subject><subject>Humans</subject><subject>Prospective Studies</subject><subject>Registries</subject><subject>Risk Factors</subject><subject>Stents - adverse effects</subject><subject>Stroke - complications</subject><subject>Treatment Outcome</subject><issn>0195-6108</issn><issn>1936-959X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkV9rFDEUxYNY7Fp98QNIHkV2ajKZJBMfhGVptdC64FbwLdzJZNaUmck2yQjzBfq5m7V_0KcL5_4458BB6B0lp4zK6hPcjOF0JQWVL9CCKiYKxdWvl2hBqOKFoKQ-Rq9jvCGEcCXLV-iYcVVTKcoFujsbWwjJBmuSH-Yl3iY7JjfultgHfGVbZ6DH18FCGvIDd1ndzsM-w5CcwWsIPrkWf7cQio0x_RSdHz_jHzZOfYq4C37A69Vmu8SAr7LkTLaxIQM7F1OYc-DUzm_QUQd9tG8f7wn6eX52vf5WXG6-XqxXl4Vhsk4FQAfQdNR2sup4rVrChDGKcBAcGqgt4ZRCqRrVVpWUomlrQ7tSUmJMwxhnJ-jLg-9-agbbHroE6PU-uAHCrD04_f9ndL_1zv_RquJUMJoNPjwaBH872Zj04KKxfQ-j9VPUpSRVLWrBWEY_PqAm-BiD7Z5jKNGH4fRhOP13uAy__7fYM_q0FLsHk0SYMA</recordid><startdate>202209</startdate><enddate>202209</enddate><creator>Garcia-Pastor, A</creator><creator>Gil-Núñez, A</creator><creator>Ramirez-Moreno, J M</creator><creator>González-Nafría, N</creator><creator>Tejada, J</creator><creator>Moniche, F</creator><creator>Portilla-Cuenca, J C</creator><creator>Martínez-Sánchez, P</creator><creator>Fuentes, B</creator><creator>Gamero-García, M A</creator><creator>de Leciñana, M A</creator><creator>Masjuan, J</creator><creator>Verge, D C</creator><creator>Aladro, Y</creator><creator>Parkhutik, V</creator><creator>Lago, A</creator><creator>de Arce-Borda, A M</creator><creator>Usero-Ruiz, M</creator><creator>Delgado-Mederos, R</creator><creator>Pampliega, A</creator><creator>Ximenez-Carrillo, Á</creator><creator>Bártulos-Iglesias, M</creator><creator>Castro-Reyes, E</creator><general>American Society of Neuroradiology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0363-862X</orcidid><orcidid>https://orcid.org/0000-0001-8885-2192</orcidid><orcidid>https://orcid.org/0000-0001-8613-2909</orcidid><orcidid>https://orcid.org/0000-0003-1329-0943</orcidid><orcidid>https://orcid.org/0000-0001-5009-2722</orcidid><orcidid>https://orcid.org/0000-0002-0090-8807</orcidid><orcidid>https://orcid.org/0000-0001-5061-1510</orcidid><orcidid>https://orcid.org/0000-0002-5677-2144</orcidid><orcidid>https://orcid.org/0000-0003-4135-1280</orcidid><orcidid>https://orcid.org/0000-0002-4195-7752</orcidid><orcidid>https://orcid.org/0000-0002-2783-2013</orcidid><orcidid>https://orcid.org/0000-0003-1945-4435</orcidid><orcidid>https://orcid.org/0000-0002-5167-1571</orcidid><orcidid>https://orcid.org/0000-0001-5258-3277</orcidid><orcidid>https://orcid.org/0000-0002-8983-4583</orcidid><orcidid>https://orcid.org/0000-0002-0796-0990</orcidid><orcidid>https://orcid.org/0000-0002-3483-8106</orcidid><orcidid>https://orcid.org/0000-0002-1141-5311</orcidid><orcidid>https://orcid.org/0000-0002-0405-5282</orcidid><orcidid>https://orcid.org/0000-0002-4302-6580</orcidid><orcidid>https://orcid.org/0000-0001-9459-5452</orcidid><orcidid>https://orcid.org/0000-0003-3737-7226</orcidid><orcidid>https://orcid.org/0000-0003-0043-6501</orcidid></search><sort><creationdate>202209</creationdate><title>Endarterectomy, Stenting, or Medical Treatment for Symptomatic Carotid Near-Occlusion: Results from CAOS, a Multicenter Registry Study</title><author>Garcia-Pastor, A ; Gil-Núñez, A ; Ramirez-Moreno, J M ; González-Nafría, N ; Tejada, J ; Moniche, F ; Portilla-Cuenca, J C ; Martínez-Sánchez, P ; Fuentes, B ; Gamero-García, M A ; de Leciñana, M A ; Masjuan, J ; Verge, D C ; Aladro, Y ; Parkhutik, V ; Lago, A ; de Arce-Borda, A M ; Usero-Ruiz, M ; Delgado-Mederos, R ; Pampliega, A ; Ximenez-Carrillo, Á ; Bártulos-Iglesias, M ; Castro-Reyes, E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c378t-aafaabf1ef74f589d036cc905a65aba8e0511a29b9d44776bd8c1f2710ccb3353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Carotid Artery Diseases - complications</topic><topic>Carotid Stenosis - complications</topic><topic>Carotid Stenosis - diagnostic imaging</topic><topic>Carotid Stenosis - surgery</topic><topic>Editor's Choice</topic><topic>Endarterectomy, Carotid - adverse effects</topic><topic>Extracranial Vascular</topic><topic>Humans</topic><topic>Prospective Studies</topic><topic>Registries</topic><topic>Risk Factors</topic><topic>Stents - adverse effects</topic><topic>Stroke - complications</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Garcia-Pastor, A</creatorcontrib><creatorcontrib>Gil-Núñez, A</creatorcontrib><creatorcontrib>Ramirez-Moreno, J M</creatorcontrib><creatorcontrib>González-Nafría, N</creatorcontrib><creatorcontrib>Tejada, J</creatorcontrib><creatorcontrib>Moniche, F</creatorcontrib><creatorcontrib>Portilla-Cuenca, J C</creatorcontrib><creatorcontrib>Martínez-Sánchez, P</creatorcontrib><creatorcontrib>Fuentes, B</creatorcontrib><creatorcontrib>Gamero-García, M A</creatorcontrib><creatorcontrib>de Leciñana, M A</creatorcontrib><creatorcontrib>Masjuan, J</creatorcontrib><creatorcontrib>Verge, D C</creatorcontrib><creatorcontrib>Aladro, Y</creatorcontrib><creatorcontrib>Parkhutik, V</creatorcontrib><creatorcontrib>Lago, A</creatorcontrib><creatorcontrib>de Arce-Borda, A M</creatorcontrib><creatorcontrib>Usero-Ruiz, M</creatorcontrib><creatorcontrib>Delgado-Mederos, R</creatorcontrib><creatorcontrib>Pampliega, A</creatorcontrib><creatorcontrib>Ximenez-Carrillo, Á</creatorcontrib><creatorcontrib>Bártulos-Iglesias, M</creatorcontrib><creatorcontrib>Castro-Reyes, E</creatorcontrib><creatorcontrib>Stroke Project of the Spanish Cerebrovascular Diseases Study Group</creatorcontrib><creatorcontrib>on behalf of the Stroke Project of the Spanish Cerebrovascular Diseases Study Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of neuroradiology : AJNR</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Garcia-Pastor, A</au><au>Gil-Núñez, A</au><au>Ramirez-Moreno, J M</au><au>González-Nafría, N</au><au>Tejada, J</au><au>Moniche, F</au><au>Portilla-Cuenca, J C</au><au>Martínez-Sánchez, P</au><au>Fuentes, B</au><au>Gamero-García, M A</au><au>de Leciñana, M A</au><au>Masjuan, J</au><au>Verge, D C</au><au>Aladro, Y</au><au>Parkhutik, V</au><au>Lago, A</au><au>de Arce-Borda, A M</au><au>Usero-Ruiz, M</au><au>Delgado-Mederos, R</au><au>Pampliega, A</au><au>Ximenez-Carrillo, Á</au><au>Bártulos-Iglesias, M</au><au>Castro-Reyes, E</au><aucorp>Stroke Project of the Spanish Cerebrovascular Diseases Study Group</aucorp><aucorp>on behalf of the Stroke Project of the Spanish Cerebrovascular Diseases Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endarterectomy, Stenting, or Medical Treatment for Symptomatic Carotid Near-Occlusion: Results from CAOS, a Multicenter Registry Study</atitle><jtitle>American journal of neuroradiology : AJNR</jtitle><addtitle>AJNR Am J Neuroradiol</addtitle><date>2022-09</date><risdate>2022</risdate><volume>43</volume><issue>9</issue><spage>1304</spage><epage>1310</epage><pages>1304-1310</pages><issn>0195-6108</issn><eissn>1936-959X</eissn><abstract>The treatment of symptomatic carotid near-occlusion is controversial. Our aim was to analyze the results of carotid endarterectomy and carotid artery stent placement in patients with symptomatic carotid near-occlusion and to identify factors related to technical failure, periprocedural complications, and restenosis.
We conducted a multicenter, prospective nonrandomized study. Patients with angiography-confirmed carotid near-occlusion were included. We assessed the revascularization rate and periprocedural stroke or death. Twenty-four-month clinical and carotid imaging follow-up was performed, and rates of carotid restenosis or occlusion, ipsilateral stroke, and mortality were analyzed. Carotid artery stent placement, carotid endarterectomy, and medical treatment were compared.
One hundred forty-one patients were included. Forty-four carotid artery stent placement and 23 carotid endarterectomy procedures were performed within 6 months after the event. Complete revascularization was achieved in 83.6%, 81.8% in the carotid artery stent placement group and 87% with carotid endarterectomy (
= .360). Periprocedural stroke or death occurred in 6% (carotid artery stent placement = 2.3%; carotid endarterectomy = 13%;
= .077) and was not related to revascularization failure. The carotid restenosis or occlusion rate was 8.3% (5% restenosis, 3.3% occlusion); with carotid artery stent placement it was 10.5%; and with carotid endarterectomy it was 4.5% (
= .419). The 24-month cumulative rate of ipsilateral stroke was 4.8% in the carotid artery stent placement group, 17.4% for carotid endarterectomy, and 13.1% for medical treatment (
= .223). Mortality was 12%, 4.5%, and 5.6%, respectively (
= .422). Revascularization failure and restenosis occurred more frequently in patients with full collapse compared with patients without full collapse (33.3% versus 5.6%,
= .009; 21.4% versus 2.9%,
= .032, respectively).
Carotid artery stent placement and carotid endarterectomy are associated with high rates of failure and periprocedural stroke. Carotid near-occlusion with full collapse appears to be associated with an increased risk of technical failure and restenosis. Carotid near-occlusion revascularization does not seem to reduce the risk of stroke at follow-up compared with medical treatment.</abstract><cop>United States</cop><pub>American Society of Neuroradiology</pub><pmid>35981762</pmid><doi>10.3174/ajnr.A7617</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0363-862X</orcidid><orcidid>https://orcid.org/0000-0001-8885-2192</orcidid><orcidid>https://orcid.org/0000-0001-8613-2909</orcidid><orcidid>https://orcid.org/0000-0003-1329-0943</orcidid><orcidid>https://orcid.org/0000-0001-5009-2722</orcidid><orcidid>https://orcid.org/0000-0002-0090-8807</orcidid><orcidid>https://orcid.org/0000-0001-5061-1510</orcidid><orcidid>https://orcid.org/0000-0002-5677-2144</orcidid><orcidid>https://orcid.org/0000-0003-4135-1280</orcidid><orcidid>https://orcid.org/0000-0002-4195-7752</orcidid><orcidid>https://orcid.org/0000-0002-2783-2013</orcidid><orcidid>https://orcid.org/0000-0003-1945-4435</orcidid><orcidid>https://orcid.org/0000-0002-5167-1571</orcidid><orcidid>https://orcid.org/0000-0001-5258-3277</orcidid><orcidid>https://orcid.org/0000-0002-8983-4583</orcidid><orcidid>https://orcid.org/0000-0002-0796-0990</orcidid><orcidid>https://orcid.org/0000-0002-3483-8106</orcidid><orcidid>https://orcid.org/0000-0002-1141-5311</orcidid><orcidid>https://orcid.org/0000-0002-0405-5282</orcidid><orcidid>https://orcid.org/0000-0002-4302-6580</orcidid><orcidid>https://orcid.org/0000-0001-9459-5452</orcidid><orcidid>https://orcid.org/0000-0003-3737-7226</orcidid><orcidid>https://orcid.org/0000-0003-0043-6501</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0195-6108 |
| ispartof | American journal of neuroradiology : AJNR, 2022-09, Vol.43 (9), p.1304-1310 |
| issn | 0195-6108 1936-959X |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9451631 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Carotid Artery Diseases - complications Carotid Stenosis - complications Carotid Stenosis - diagnostic imaging Carotid Stenosis - surgery Editor's Choice Endarterectomy, Carotid - adverse effects Extracranial Vascular Humans Prospective Studies Registries Risk Factors Stents - adverse effects Stroke - complications Treatment Outcome |
| title | Endarterectomy, Stenting, or Medical Treatment for Symptomatic Carotid Near-Occlusion: Results from CAOS, a Multicenter Registry Study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T18%3A19%3A16IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Endarterectomy,%20Stenting,%20or%20Medical%20Treatment%20for%20Symptomatic%20Carotid%20Near-Occlusion:%20Results%20from%20CAOS,%20a%20Multicenter%20Registry%20Study&rft.jtitle=American%20journal%20of%20neuroradiology%20:%20AJNR&rft.au=Garcia-Pastor,%20A&rft.aucorp=Stroke%20Project%20of%20the%20Spanish%20Cerebrovascular%20Diseases%20Study%20Group&rft.date=2022-09&rft.volume=43&rft.issue=9&rft.spage=1304&rft.epage=1310&rft.pages=1304-1310&rft.issn=0195-6108&rft.eissn=1936-959X&rft_id=info:doi/10.3174/ajnr.A7617&rft_dat=%3Cproquest_pubme%3E2704868633%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2704868633&rft_id=info:pmid/35981762&rfr_iscdi=true |