Determinants of success in treating acute ischemic cerebral and ocular ischemia through carotid revascularization. An observational study of a case series

Detalhes bibliográficos
Autor(a) principal: RISTOW,ARNO VON
Data de Publicação: 2022
Outros Autores: SANTOS,MARCOS, VESCOVI,ALBERTO, MASSIÈRE,BERNARDO, DEMIER,BRUNO, SARTORI,PEDRO, NIEMEYER FILHO,PAULO
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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spelling 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
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/0100-6991e-20223400-en
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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)
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