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Title: High intensity transient signals in patients with carotid stenosis may persist after carotid endarterectomy.
Authors: Kimura, Kazumi;Stork, Jacinda L;Levi, Christopher R;Abbott, Anne L;Donnan, Geoffrey A;Chambers, Brian R
Affiliation: National Stroke Research Institute, Austin & Repatriation Medical Centre, Melbourne, Australia.
Issue Date: 23-Dec-2003
Citation: Cerebrovascular Diseases (basel, Switzerland) 2003; 17(2-3): 123-7
Abstract: This study was undertaken to elucidate the natural history of high intensity transient signals (HITS) after carotid endarterectomy (CEA) and to determine whether this differs between patients with and without HITS detected preoperatively.A 30-min transcranial Doppler (TCD) recording was performed to detect HITS in 141 patients at 0-1 h, 2-3 h, 4-6 h and 24-36 h following CEA. 104 of these patients also had 30-min TCD monitoring within 48 h prior to CEA.In the preoperative HITS-negative group, the proportion with postoperative HITS fell from 53% at 0-1 h to 17% at 24-36 h. In the preoperative HITS-positive group, the proportion with postoperative HITS remained steady (43% at 0-1 h, 52% at 24-36 h). During the 24-36 h postoperative epoch, 11 of 21 (52%) of the preoperative HITS-positive group had at least one HITS compared to 11 of 66 (17%) of the preoperative HITS-negative group (p = 0.001). In a multiple logistic regression analysis, preoperative HITS was the only factor associated with persistent postoperative HITS.The proportion of cases with postoperative HITS diminished in the 24-36 h after CEA except for preoperative HITS-positive patients. About half of our patients undergoing CEA with preoperative HITS might have another embolic source.
Internal ID Number: 14707411
DOI: 10.1159/000075780
Type: Journal Article
Subjects: Aged
Endarterectomy, Carotid
Logistic Models
Middle Aged
Postoperative Complications
Ultrasonography, Doppler, Transcranial
Appears in Collections:Journal articles

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