ArticleJournal of neurology2020
Symptomatic carotid near-occlusion causes a high risk of recurrent ipsilateral ischemic stroke.
Article in Journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Carotid near-occlusion diagnostics and its consequences: A systematic review.European stroke journal · 2026Pooled it
- Risk of early stroke recurrence and procedural stroke or death in carotid near occlusion patients scheduled for carotid endarterectomy.Journal of neurology · 2026Article
- Short-term risk of recurrent stroke in symptomatic carotid near-occlusion: pooled analysis of three cohort studies.European stroke journal · 2026Article
- Duplex ultrasound in severe carotid stenosis: diagnostic performance for differentiating near-occlusion subtypes from conventional high-grade stenosis.Neuroradiology · 2026Article
- Sex differences in patients with symptomatic carotid stenosis included in three observational cohorts.European stroke journal · 2026Observational
- Carotid near-occlusion diagnostics and its consequences: A systematic review.European stroke journal · 2025Review
- Carotid Stump Syndrome: A Case That Highlights the Necessity of Digital Subtraction Angiography for the Prompt Management of the Syndrome.Diagnostics (Basel, Switzerland) · 2025Article
- The pitfalls and challenges in the diagnosis and treatment of patients with carotid near-occlusion: a narrative review.Quantitative imaging in medicine and surgery · 2024Review
- Diagnostic separation of conventional ⩾50% carotid stenosis and near-occlusion with phase-contrast MRI.European stroke journal · 2024Article
- Dilation of proximal internal carotid artery collapse due to severe distal stenosis after angioplasty for distal stenosis: A case report.Surgical neurology international · 2023Article
- Prevalence and Incidence of Carotid-Fetal-Posterior Syndrome.Cerebrovascular diseases (Basel, Switzerland) · 2023Article
- Symptomatic and asymptomatic carotid near-occlusions have very similar angiographic appearance on CT-angiography.Neuroradiology · 2022Article
- Clinical value of microemboli combined with cerebrospinal fluid inflammatory factor level monitoring in predicting recurrent stroke of middle cerebral artery stenosis.American journal of translational research · 2022Article
- Carotid Endarterectomy for the Treatment of Carotid Near-Occlusion With Recurrent Symptoms.Frontiers in neurology · 2022Article
- Defining carotid near-occlusion with full collapse: a pooled analysis.Neuroradiology · 2022Article
- Effect of Risk-Focused Diversified Safety Management Mode in Patients with Major Artery Stent Implantation.Emergency medicine international · 2022Article
- The periprocedural and 30-day outcomes of carotid stenting in patients with carotid artery near-occlusion.Scientific reports · 2021Article
- Mapping Cerebrovascular Reactivity Impairment in Patients With Symptomatic Unilateral Carotid Artery Disease.Journal of the American Heart Association · 2021Observational
- Near-occlusion is difficult to diagnose with common carotid ultrasound methods.Neuroradiology · 2021Article
- Ultrasonographic and hemodynamic characteristics of patients with symptomatic carotid near-occlusion: results from a multicenter registry study.Neuroradiology · 2021Article
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the risk of recurrent ipsilateral ischemic stroke in patients with symptomatic near-occlusion with and without full collapse.
methodsIncluded were consecutive patients eligible for revascularization, grouped into symptomatic conventional ≥ 50% carotid stenosis (n = 266), near-occlusion without full collapse (n = 57) and near-occlusion with full collapse (n = 42). The risk of preoperative recurrent ipsilateral ischemic stroke was analyzed, or, for cases not revascularized within 90 days, 90-day risk was analyzed.
resultsThe risk of a preoperative recurrent ipsilateral ischemic stroke or ipsilateral retinal artery occlusion was 15% (95% CI 9-20%) for conventional ≥ 50% stenosis, 22% (95% CI 6-38%) among near-occlusion without full collapse and 30% (95% CI 16-44%) among near-occlusion with full collapse (p = 0.01, log rank test). In multivariate analysis, near-occlusion with full collapse had a higher risk of recurrent ipsilateral ischemic stroke (adjusted HR 2.6, 95% CI 1.3-5.3) and near-occlusion without full collapse tended to have a higher risk (adjusted HR 2.0, 95% CI 0.9-4.5) than conventional ≥ 50% stenosis. Only 24% of near-occlusion with full collapse underwent revascularization, common causes for abstaining were misdiagnosis as occlusion (31%), deemed surgically unfeasible (21%) and low perceived benefit (10%).
conclusionsSymptomatic carotid near-occlusion has a high short-term risk of recurrent ipsilateral ischemic stroke, especially near-occlusion with full collapse.
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