Cerebral hyperperfusion syndrome after carotid endarterectomy: Predictive factors and hemodynamic changes Enrico Ascher, MD, Natalia Markevich, MD, RVT,

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Cerebral hyperperfusion syndrome after carotid endarterectomy: Predictive factors and hemodynamic changes Enrico Ascher, MD, Natalia Markevich, MD, RVT, Richard W. Schutzer, MD, Sreedhar Kallakuri, MD, Theresa Jacob, PhD, Anil P. Hingorani, MD Journal of Vascular Surgery Volume 37, Issue 4, Pages 769-777 (April 2003) DOI: 10.1067/mva.2003.231 Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Correlation between severity of ipsilateral ICA stenosis and postendarterectomy mean internal carotid artery flow volume (MICAVF) in all 455 cases (R = −0.15 at 0.01 level). Journal of Vascular Surgery 2003 37, 769-777DOI: (10.1067/mva.2003.231) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 Correlation between ipsilateral mean internal carotid artery flow volume (MICAVF) and severity of contralateral ICA disease (426 cases). (R = 0.04; not significant). Journal of Vascular Surgery 2003 37, 769-777DOI: (10.1067/mva.2003.231) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 Correlation between severity of ipsilateral ICA stenosis and intraoperative mean internal carotid artery flow volume (MICAVF) in presence of contralateral ICA occlusion (29 cases) (R = −0.44 at 0.05 level). Journal of Vascular Surgery 2003 37, 769-777DOI: (10.1067/mva.2003.231) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 Magnetic resonance image of brain of a patient with post-CEA seizures. Arrow, increased signal intensity in right frontal cortex, consistent with reperfusion injury. Journal of Vascular Surgery 2003 37, 769-777DOI: (10.1067/mva.2003.231) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions