دورية أكاديمية
A Propensity-Matched Comparison of Ischemic Brain Lesions on Postprocedural MRI in Endovascular versus Open Carotid Artery Reconstruction
| العنوان: | A Propensity-Matched Comparison of Ischemic Brain Lesions on Postprocedural MRI in Endovascular versus Open Carotid Artery Reconstruction |
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| المؤلفون: | Zsuzsanna Mihály, Samuel Booth, Dat Tin Nguyen, Milán Vecsey-Nagy, Miklós Vértes, Zsófia Czinege, Csongor Péter, Péter Sótonyi, Andrea Varga |
| المصدر: | Journal of Cardiovascular Development and Disease, Vol 10, Iss 6, p 257 (2023) |
| بيانات النشر: | MDPI AG, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Diseases of the circulatory (Cardiovascular) system |
| مصطلحات موضوعية: | carotid artery stenosis, carotid artery stenting, carotid artery endarterectomy, ischemic brain lesions, carotid plaque features, ct angiography, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| الوصف: | (1) Study purpose: The aim of our prospective single-center, matched case–control study was to compare the number and volume of acute ischemic brain lesions following carotid endarterectomy (CEA) versus carotid artery stenting (CAS) using a propensity-matched design. (2) Methods: Carotid bifurcation plaques were analyzed by using VascuCAP software on CT angiography (CTA) images. The number and volume of acute and chronic ischemic brain lesions were assessed on MRI scans taken 12–48 h after the procedures. Propensity score-based matching was performed at a 1:1 ratio to compare the ischemic lesions on postinterventional MR. (3) Results: A total of 107 patients (CAS, N = 33; CEA, N = 74) were included in the study. There were significant differences in smoking (p = 0.003), total calcification plaque volume (p = 0.004), and lengths of the lesion (p = 0.045) between the CAS and CEA groups. Propensity score matching resulted in 21 matched pairs of patients. Acute ischemic brain lesions were detected in ten patients (47.6%) of the matched CAS group and in three patients (14.2%) in the matched CEA group (p = 0.02). The volume of acute ischemic brain lesions was significantly larger (p = 0.04) in the CAS group than in the CEA group. New ischemic brain lesions were not associated with neurological symptoms in either group. (4) Conclusions: Procedure-related new acute ischemic brain lesions occurred significantly more frequently in the propensity-matched CAS group. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2308-3425 91705169 |
| Relation: | https://www.mdpi.com/2308-3425/10/6/257; https://doaj.org/toc/2308-3425 |
| DOI: | 10.3390/jcdd10060257 |
| URL الوصول: | https://doaj.org/article/825be46fa6824b5bb73a917051694d35 |
| رقم الأكسشن: | edsdoj.825be46fa6824b5bb73a917051694d35 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 23083425 91705169 |
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| DOI: | 10.3390/jcdd10060257 |