Determinants of success in treating acute ischemic cerebral and ocular ischemia through carotid revascularization. An observational study of a case series
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100253 |
Resumo: | ABSTRACT Objective: stroke etiology is ischemia in 85%, and in circa 25% of these, the source is the extracranial carotid. Recurrence is frequent and usually more severe. Carotid revascularization prevents new ischemic strokes. The sooner the treatment is undertaken, complete recovery chances are greater with less recurrences. But, historically, intervention in the acute setting was catastrophic. Objective: Identify determinants of success when carotid revascularization after a recent cerebral ischemic event is performed. Materials and Methods: A cohort of 50 subjects underwent carotid revascularization after ischemic symptoms, within a period of 71 months. The currently diagnostic tools were used, and the symptoms stratified by the Rankin scale. The extension of the cerebral lesion and the source location the source of the event was analyzed. Results: indications were based on the Rankin Scale (R0: 35.4%; R1: 45.8%; R2:18.8% and R3: zero), on the location of the source and the absence of ischemic areas greater than 15mm. An early surgical approach was adopted in all patients. Extreme care was applied to control arterial pressure. At discharge, no additional deficits were observed. Conclusions: carotid revascularization after ischemic events can be achieved without additional morbidity and no recurrences, using the most appropriate therapy in the shortest time, in patients with Rankin Scale up to 2, absence of intracranial hemorrhage and single or multiple ischemic intracerebral areas, with 15mm or less in their greater dimension. |
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Revista do Colégio Brasileiro de Cirurgiões |
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Determinants of success in treating acute ischemic cerebral and ocular ischemia through carotid revascularization. An observational study of a case seriesCarotid StenosisIschemic StrokeEndarterectomy, CarotidCarotid Artery DiseasesIschemic Attack, TransientABSTRACT Objective: stroke etiology is ischemia in 85%, and in circa 25% of these, the source is the extracranial carotid. Recurrence is frequent and usually more severe. Carotid revascularization prevents new ischemic strokes. The sooner the treatment is undertaken, complete recovery chances are greater with less recurrences. But, historically, intervention in the acute setting was catastrophic. Objective: Identify determinants of success when carotid revascularization after a recent cerebral ischemic event is performed. Materials and Methods: A cohort of 50 subjects underwent carotid revascularization after ischemic symptoms, within a period of 71 months. The currently diagnostic tools were used, and the symptoms stratified by the Rankin scale. The extension of the cerebral lesion and the source location the source of the event was analyzed. Results: indications were based on the Rankin Scale (R0: 35.4%; R1: 45.8%; R2:18.8% and R3: zero), on the location of the source and the absence of ischemic areas greater than 15mm. An early surgical approach was adopted in all patients. Extreme care was applied to control arterial pressure. At discharge, no additional deficits were observed. Conclusions: carotid revascularization after ischemic events can be achieved without additional morbidity and no recurrences, using the most appropriate therapy in the shortest time, in patients with Rankin Scale up to 2, absence of intracranial hemorrhage and single or multiple ischemic intracerebral areas, with 15mm or less in their greater dimension.Colégio Brasileiro de Cirurgiões2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100253Revista do Colégio Brasileiro de Cirurgiões v.49 2022reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20223400-eninfo:eu-repo/semantics/openAccessRISTOW,ARNO VONSANTOS,MARCOSVESCOVI,ALBERTOMASSIÈRE,BERNARDODEMIER,BRUNOSARTORI,PEDRONIEMEYER FILHO,PAULOeng2022-11-23T00:00:00Zoai:scielo:S0100-69912022000100253Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2022-11-23T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Determinants of success in treating acute ischemic cerebral and ocular ischemia through carotid revascularization. An observational study of a case series |
title |
Determinants of success in treating acute ischemic cerebral and ocular ischemia through carotid revascularization. An observational study of a case series |
spellingShingle |
Determinants of success in treating acute ischemic cerebral and ocular ischemia through carotid revascularization. An observational study of a case series RISTOW,ARNO VON Carotid Stenosis Ischemic Stroke Endarterectomy, Carotid Carotid Artery Diseases Ischemic Attack, Transient |
title_short |
Determinants of success in treating acute ischemic cerebral and ocular ischemia through carotid revascularization. An observational study of a case series |
title_full |
Determinants of success in treating acute ischemic cerebral and ocular ischemia through carotid revascularization. An observational study of a case series |
title_fullStr |
Determinants of success in treating acute ischemic cerebral and ocular ischemia through carotid revascularization. An observational study of a case series |
title_full_unstemmed |
Determinants of success in treating acute ischemic cerebral and ocular ischemia through carotid revascularization. An observational study of a case series |
title_sort |
Determinants of success in treating acute ischemic cerebral and ocular ischemia through carotid revascularization. An observational study of a case series |
author |
RISTOW,ARNO VON |
author_facet |
RISTOW,ARNO VON SANTOS,MARCOS VESCOVI,ALBERTO MASSIÈRE,BERNARDO DEMIER,BRUNO SARTORI,PEDRO NIEMEYER FILHO,PAULO |
author_role |
author |
author2 |
SANTOS,MARCOS VESCOVI,ALBERTO MASSIÈRE,BERNARDO DEMIER,BRUNO SARTORI,PEDRO NIEMEYER FILHO,PAULO |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
RISTOW,ARNO VON SANTOS,MARCOS VESCOVI,ALBERTO MASSIÈRE,BERNARDO DEMIER,BRUNO SARTORI,PEDRO NIEMEYER FILHO,PAULO |
dc.subject.por.fl_str_mv |
Carotid Stenosis Ischemic Stroke Endarterectomy, Carotid Carotid Artery Diseases Ischemic Attack, Transient |
topic |
Carotid Stenosis Ischemic Stroke Endarterectomy, Carotid Carotid Artery Diseases Ischemic Attack, Transient |
description |
ABSTRACT Objective: stroke etiology is ischemia in 85%, and in circa 25% of these, the source is the extracranial carotid. Recurrence is frequent and usually more severe. Carotid revascularization prevents new ischemic strokes. The sooner the treatment is undertaken, complete recovery chances are greater with less recurrences. But, historically, intervention in the acute setting was catastrophic. Objective: Identify determinants of success when carotid revascularization after a recent cerebral ischemic event is performed. Materials and Methods: A cohort of 50 subjects underwent carotid revascularization after ischemic symptoms, within a period of 71 months. The currently diagnostic tools were used, and the symptoms stratified by the Rankin scale. The extension of the cerebral lesion and the source location the source of the event was analyzed. Results: indications were based on the Rankin Scale (R0: 35.4%; R1: 45.8%; R2:18.8% and R3: zero), on the location of the source and the absence of ischemic areas greater than 15mm. An early surgical approach was adopted in all patients. Extreme care was applied to control arterial pressure. At discharge, no additional deficits were observed. Conclusions: carotid revascularization after ischemic events can be achieved without additional morbidity and no recurrences, using the most appropriate therapy in the shortest time, in patients with Rankin Scale up to 2, absence of intracranial hemorrhage and single or multiple ischemic intracerebral areas, with 15mm or less in their greater dimension. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100253 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100253 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-6991e-20223400-en |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.49 2022 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
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1754209215506808832 |