Journal article

Source of microembolic signals in patients with high-grade carotid stenosis

JL Stork, K Kimura, CR Levi, BR Chambers, AL Abbott, GA Donnan

Stroke | LIPPINCOTT WILLIAMS & WILKINS | Published : 2002


BACKGROUND AND PURPOSE: In patients with both symptomatic and asymptomatic carotid artery stenoses, the relationship between carotid plaque characteristics and transcranial Doppler (TCD)-detected microembolic signals (MES) is unclear. The purpose of this study was to examine the relationship between macroscopically described plaque characteristics and MES in patients undergoing carotid endarterectomy. METHODS: Sequential patients scheduled for carotid endarterectomy underwent preoperative 30-minute TCD monitoring of the ipsilateral middle cerebral artery to detect MES. TCD signal analysis, by researchers who were blinded to patient information, was performed offline. Clinical variables of pa..

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