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

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Presentation on theme: "Cerebral hyperperfusion syndrome after carotid endarterectomy: Predictive factors and hemodynamic changes  Enrico Ascher, MD, Natalia Markevich, MD, RVT,"— Presentation transcript:

1 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 (April 2003) DOI: /mva Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

2 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  , DOI: ( /mva ) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

3 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  , DOI: ( /mva ) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

4 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  , DOI: ( /mva ) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

5 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  , DOI: ( /mva ) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions


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