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    Carotid Near-Occlusion: A Comprehensive Review, Part 2—Prognosis and Treatment, Pathophysiology, Confusions, and Areas for Improvement | American Journal of Neuroradiology  
    



















    































    
  
  




    
    

  

      


    

      

  
  
  

    

  

    

  

                
    

      

  

    

  
      
  
  

    


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Review ArticleEXTRACRANIAL VASCULAR

  
      
Open Access

  
      
Carotid Near-Occlusion: A Comprehensive Review, Part 2—Prognosis and Treatment, Pathophysiology, Confusions, and Areas for Improvement
  
    	
E. Johansson and A.J. Fox

  
    	
American Journal of Neuroradiology February 2016,  37 (2) 200-204; DOI: https://doi.org/10.3174/ajnr.A4429 

  
  
  



  


  
  



			

		

	
	
 	
	  
  

		
		

			

			  

  
      
  
  

    
  


  
  



  
      
  
  

    

  

    

  
      
  
  

    
References
  1. 1.↵
    1. 

    2. Fox  AJ, 
    3. Eliasziw  M, 
    4. Rothwell  PM, et al
    . Identification, prognosis, and management of patients with carotid artery near occlusion. AJNR Am J Neuroradiol 2005;26:2086–94 pmid:16155163
    Abstract/FREE Full Text
  2. 2.↵
    1. 

    2. Johansson  E, 
    3. Fox  AJ
    . Carotid near-occlusion: a comprehensive review, part 1—definition, terminology and diagnosis carotid near-occlusion. AJNR Am J Neuroradiol 2016;37:2–10 doi:10.3174/ajnr.A4432 pmid:26316571
    Abstract/FREE Full Text
  3. 3.↵
    1. 

    2. Johansson  E, 
    3. Öhman  K, 
    4. Wester  P
    . Symptomatic carotid near-occlusion with full collapse might cause a very high risk of stroke. J Intern Med 2015;277:615–23 doi:10.1111/joim.12318 pmid:25297638
    CrossRefPubMed
  4. 4.↵
    1. 

    2. Rothwell  PM, 
    3. Eliasziw  M, 
    4. Gutnikov  SA, et al
    ; Carotid Endarterectomy Trialists' Collaboration. Analysis of pooled data from the randomised controlled trials of endarterectomy for symptomatic carotid stenosis. Lancet 2003;361:107–16 doi:10.1016/S0140-6736(03)12228-3 pmid:12531577
    CrossRefPubMedWeb of Science
  5. 5.↵
    1. 

    2. Koutsoumpelis  A, 
    3. Kouvelos  G, 
    4. Peroulis  M, et al
    . Surgical and endovascular intervention on internal carotid artery near occlusion. Int Angiol 2015;34:172–81 pmid:25284622
    PubMed
  6. 6.↵
    1. 

    2. Ringelstein  EB, 
    3. Berg-Dammer  E, 
    4. Zeumer  H
    . The so-called atheromatous pseudoocclusion of internal carotid artery: a diagnostic and therapeutical challenge. Neuroradiology 1983;25:147–55 doi:10.1007/BF00455734 pmid:6888715
    CrossRefPubMed
  7. 7.↵
    1. 

    2. O'Leary  DH, 
    3. Mattle  H, 
    4. Potter  JE
    . Atheromatous pseudo-occlusion of the internal carotid artery. Stroke 1989;20:1168–73 doi:10.1161/01.STR.20.9.1168 pmid:2772977
    Abstract/FREE Full Text
  8. 8.↵
    1. 

    2. Halliday  A, 
    3. Mansfield  A, 
    4. Marro  J, et al
    ; MRC Asymptomatic Carotid Surgery Trial (ACST) Collaborative Group. Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms: randomised controlled trial. Lancet 2004;363:1491–502 doi:10.1016/S0140-6736(04)16146-1 pmid:15135594
    CrossRefPubMedWeb of Science
  9. 9.↵
    1. 

    2. Archie  JP
    . Carotid endarterectomy when the distal internal carotid artery is small or poorly visualized. J Vasc Surg 1994;19:23–30; discussion 30–31 doi:10.1016/S0741-5214(94)70117-2 pmid:8301735
    CrossRefPubMedWeb of Science
  10. 10.↵
    1. 

    2. El-Saden  SM, 
    3. Grant  EG, 
    4. Hathout  GM, et al
    . Imaging of the internal carotid artery: the dilemma of total versus near total occlusion. Radiology 2001;221:301–08 doi:10.1148/radiol.2212001606 pmid:11687668
    CrossRefPubMedWeb of Science
  11. 11.↵
    1. 

    2. Mansour  MA, 
    3. Mattos  MA, 
    4. Hood  DB, et al
    . Detection of total occlusion, string sign, and preocclusive stenosis of the internal carotid artery by color-flow duplex scanning. Am J Surg 1995;170:154–58 doi:10.1016/S0002-9610(99)80276-1 pmid:7631921
    CrossRefPubMedWeb of Science
  12. 12.↵
    1. 

    2. Hetzel  A, 
    3. Eckenweber  B, 
    4. Trummer  B, et al
    . Colour-coded duplex sonography of preocclusive carotid stenoses. Eur J Ultrasound 1998;8:183–91 doi:10.1016/S0929-8266(98)00074-3 pmid:9971900
    CrossRefPubMed
  13. 13.↵
    1. 

    2. Henderson  R, 
    3. Eliasziw  M, 
    4. Fox  AJ, et al
    ; North American Symptomatic Carotid Endarterectomy Trial (NASCET) Group. Angiographically defined collateral circulation and risk of stroke in patients with severe carotid artery stenosis. Stroke 2000;31:128–32 doi:10.1161/01.STR.31.1.128 pmid:10625727
    Abstract/FREE Full Text
  14. 14.↵
    1. 

    2. Morgenstern  LB, 
    3. Fox  AJ, 
    4. Sharpe  BL, et al
    ; North American Symptomatic Carotid Endarterectomy Trial (NASCET) Group. The risks and benefits of carotid endarterectomy in patients with near occlusion of the carotid artery. Neurology 1997;48:911–15 doi:10.1212/WNL.48.4.911 pmid:9109876
    CrossRefPubMed
  15. 15.↵
    1. 

    2. Oka  F, 
    3. Ishihara  H, 
    4. Kato  S, et al
    . Cerebral hemodynamic benefits after carotid artery stenting in patients with near occlusion. J Vasc Surg 2013;58:1512–17 doi:10.1016/j.jvs.2013.05.103 pmid:23891492
    CrossRefPubMed
  16. 16.↵
    1. 

    2. Terada  T, 
    3. Tsuura  M, 
    4. Matsumoto  H, et al
    . Endovascular treatment for pseudo-occlusion of the internal carotid artery. Neurosurgery 2006;59:301–09; discussion 301–09 doi:10.1227/01.NEU.0000222650.09509.DE pmid:16883170
    CrossRefPubMedWeb of Science
  17. 17.↵
    1. 

    2. González  A, 
    3. Gil-Peralta  A, 
    4. Mayol  A, et al
    . Internal carotid artery stenting in patients with near occlusion: 30-day and long-term outcome. AJNR Am J Neuroradiol 2011;32:252–58 doi:10.3174/ajnr.A2285 pmid:21051515
    Abstract/FREE Full Text
  18. 18.↵
    1. 

    2. Choi  BS, 
    3. Park  JW, 
    4. Shin  JE, et al
    . Outcome evaluation of carotid stenting in high-risk patients with symptomatic carotid near occlusion. Interv Neuroradiol 2010;16:309–16 pmid:20977866
    Abstract/FREE Full Text
  19. 19.↵
    1. 

    2. Greiner  C, 
    3. Wassmann  H, 
    4. Palkovic  S, et al
    . Revascularization procedures in internal carotid artery pseudo-occlusion. Acta Neurochir (Wien) 2004;146:237–43; discussion 243 doi:10.1007/s00701-004-0216-5 pmid:15015045
    CrossRefPubMedWeb of Science
  20. 20.↵
    1. 

    2. Szabo  K, 
    3. Kern  R, 
    4. Gass  A, et al
    . Acute stroke patterns in patients with internal carotid artery disease: a diffusion-weighted magnetic resonance imaging study. Stroke 2001;32:1323–29 doi:10.1161/01.STR.32.6.1323 pmid:11387494
    Abstract/FREE Full Text
  21. 21.↵
    1. 

    2. Hirata  Y, 
    3. Sakata  N, 
    4. Inoue  T, et al
    . Histopathological features with angiographic correlates of internal carotid artery pseudo-occlusion: impact of plaque compositions—clinical article. J Neurosurg 2011;115:350–58 doi:10.3171/2011.3.JNS101434 pmid:21548749
    CrossRefPubMed
  22. 22.↵
    1. 

    2. Spencer  MP, 
    3. Reid  JM
    . Quantitation of carotid stenosis with continuous-wave (C-W) Doppler ultrasound. Stroke 1979;10:326–30 doi:10.1161/01.STR.10.3.326 pmid:462521
    Abstract/FREE Full Text
  23. 23.↵
    1. 

    2. Hoksbergen  AW, 
    3. Legemate  DA, 
    4. Ubbink  DT, et al
    . Collateral variations in circle of Willis in atherosclerotic population assessed by means of transcranial color-coded duplex ultrasonography. Stroke 2000;31:1656–60 doi:10.1161/01.STR.31.7.1656 pmid:10884469
    Abstract/FREE Full Text
  24. 24.↵
    1. 

    2. Bartlett  ES, 
    3. Walters  TD, 
    4. Symons  SP, et al
    . Diagnosing carotid stenosis near-occlusion by using CT angiography. AJNR Am J Neuroradiol 2006;27:632–37 pmid:16552007
    Abstract/FREE Full Text
  25. 25.↵
    1. 

    2. Chen  CJ, 
    3. Lee  TH, 
    4. Hsu  HL, et al
    . Multi-slice CT angiography in diagnosing total versus near occlusions of the internal carotid artery: comparison with catheter angiography. Stroke 2004;35:83–85 pmid:14684778
    Abstract/FREE Full Text
  26. 26.↵
    1. 

    2. Okahara  M, 
    3. Kiyosue  H, 
    4. Mori  H, et al
    . Anatomic variations of the cerebral arteries and their embryology: a pictorial review. Eur Radiol 2002;12:2548–61 doi:10.1007/s00330-001-1286-x pmid:12271398
    CrossRefPubMedWeb of Science
  27. 27.↵
    1. 

    2. Ito  S, 
    3. Miyazaki  H, 
    4. Iino  N, et al
    . Unilateral agenesis and hypoplasia of the internal carotid artery: a report of three cases. Neuroradiology 2005;47:311–15 doi:10.1007/s00234-003-1090-1 pmid:15868172
    CrossRefPubMed
  28. 28.↵
    1. 

    2. Fox  AJ, 
    3. Viñuela  F, 
    4. Pelz  DM, et al
    . Use of detachable balloons for proximal artery occlusion in the treatment of unclippable cerebral aneurysms. J Neurosurg 1987;66:40–46 doi:10.3171/jns.1987.66.1.0040 pmid:3783258
    CrossRefPubMedWeb of Science
  29. 29.↵
    European Stroke Organisation (ESO) Executive Committee, ESO Writing Committee. Guidelines for management of ischaemic stroke and transient ischaemic attack 2008. Cerebrovasc Dis 2008;25:457–507 doi:10.1159/000131083 pmid:18477843
    CrossRefPubMedWeb of Science
  30. 30.↵
    1. 

    2. Furie  KL, 
    3. Kasner  SE, 
    4. Adams  RJ, et al
    ; American Heart Association Stroke Council, Council on Cardiovascular Nursing, Council on Clinical Cardiology, and Interdisciplinary Council on Quality of Care and Outcomes Research. Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2011;42:227–76 doi:10.1161/STR.0b013e3181f7d043 pmid:20966421
    Abstract/FREE Full Text
  31. 31.↵
    1. 

    2. Gross  K, 
    3. Wang  H
    . The string sign. J Vasc Nurs 2000;18:72 doi:10.1016/S1062-0303(00)90033-5 pmid:11249289
    CrossRefPubMed
  32. 32.↵
    1. 

    2. Pappas  JN
    . The angiographic string sign. Radiology 2002;222:237–38 doi:10.1148/radiol.2221000366 pmid:11756731
    CrossRefPubMedWeb of Science
  33. 33.↵
    1. 

    2. Giannoukas  AD, 
    3. Labropoulos  N, 
    4. Smith  FC, et al
    . Management of the near total internal carotid artery occlusion. Eur J Vasc Endovasc Surg 2005;29:250–55 doi:10.1016/j.ejvs.2004.12.002 pmid:15694797
    CrossRefPubMed
  34. 34.↵
    1. 

    2. Yadav  JS
    . Functional occlusions of the carotid artery (string signs): to treat or not to treat? JACC Cardiovasc Interv 2010;3:305–06 doi:10.1016/j.jcin.2010.01.005 pmid:20298989
    CrossRefPubMed
  35. 35.↵
    1. 

    2. Bazan  HA
    . Carotid string sign is not necessarily a functional occlusion: admit, anticoagulate, and revascularize urgently. Catheter Cardiovasc Interv 2010;75:1110 doi:10.1002/ccd.22623 pmid:20517975
    CrossRefPubMed
  36. 36.↵
    1. Daroff  RB, 
    2. Fenichel  GM, 
    3. Jankovic  J, et al.
    1. 

    2. Biller  J, 
    3. Love  BB, 
    4. Schneck  MJ
    . Vascular diseases of the nervous system: ischemic cerebrovascular disease. In: Daroff  RB, Fenichel  GM, Jankovic  J, et al., eds. Bradley's Neurology in Clinical Practice. 6th ed. Philadelphia: Elsevier; 2012:1046
  37. 37.↵
    1. 

    2. Fox  AJ
    . How to measure carotid stenosis. Radiology 1993;186:316–18 doi:10.1148/radiology.186.2.8421726 pmid:8421726
    CrossRefPubMedWeb of Science
  38. 38.↵
    1. 

    2. Fox  AJ, 
    3. Symons  SP, 
    4. Aviv  RI, et al
    . Falsely claiming use of NASCET percentage stenosis method. Radiology 2009;253:574–75; author reply 575 doi:10.1148/radiol.2532090821 pmid:19864535
    CrossRefPubMed
  39. 39.↵
    1. 

    2. Son  S, 
    3. Choi  DS, 
    4. Kim  SK, et al
    . Carotid artery stenting in patients with near occlusion: a single-center experience and comparison with recent studies. Clin Neurol Neurosurg 2013;115:1976–81 doi:10.1016/j.clineuro.2013.06.001 pmid:23820331
    CrossRefPubMed
  40. 40.↵
    1. 

    2. Sakamoto  S, 
    3. Kiura  Y, 
    4. Kajihara  Y, et al
    . Carotid artery stenting using the proximal or dual protection method for near occlusion of the cervical internal carotid artery. Neurosurg Rev 2013;36:551–57; discussion 557–58 doi:10.1007/s10143-013-0481-y pmid:23793616
    CrossRefPubMed
  41. 41.↵
    1. 

    2. Nikas  DN, 
    3. Ghany  MA, 
    4. Stabile  E, et al
    . Carotid artery stenting with proximal cerebral protection for patients with angiographic appearance of string sign. JACC Cardiovasc Interv 2010;3:298–304 doi:10.1016/j.jcin.2009.11.018 pmid:20298988
    CrossRefPubMed
  42. 42.↵
    1. 

    2. Radak  DJ, 
    3. Tanaskovic  S, 
    4. Ilijevski  NS, et al
    . Eversion carotid endarterectomy versus best medical treatment in symptomatic patients with near total internal carotid occlusion: a prospective nonrandomized trial. Ann Vasc Surg 2010;24:185–89 doi:10.1016/j.avsg.2009.07.010 pmid:19900781
    CrossRefPubMed
  43. 43.↵
    1. 

    2. Ferguson  GG
    . Comment on “Revascularization procedures in ICA pseudo-occlusion.” Acta Neurochir (Wien) 2004;146:243
  44. 44.↵
    1. 

    2. Kniemeyer  HW, 
    3. Aulich  A, 
    4. Schlachetzki  F, et al
    . Pseudo- and segmental occlusion of the internal carotid artery: a new classification, surgical treatment and results. Eur J Vasc Endovasc Surg 1996;12:310–20 doi:10.1016/S1078-5884(96)80250-4 pmid:8896474
    CrossRefPubMedWeb of Science
  45. 45.↵
    1. 

    2. Ascher  E, 
    3. Markevich  N, 
    4. Hingorani  A, et al
    . Pseudo-occlusions of the internal carotid artery: a rationale for treatment on the basis of a modified duplex scan protocol. J Vasc Surg 2002;35:340–45 doi:10.1067/mva.2002.120379 pmid:11854733
    CrossRefPubMedWeb of Science
  46. 46.↵
    1. 

    2. Macpherson  P
    . Pseudo-occlusion of the internal carotid artery. Br J Radiol 1978;51:5–10 doi:10.1259/0007-1285-51-601-5 pmid:620119
    Abstract/FREE Full Text
  47. 47.↵
    1. 

    2. Regina  G, 
    3. Testini  M, 
    4. Fullone  M, et al
    . Pseudo-occlusion of the internal carotid artery: report of 15 cases and review of the literature. Int Angiol 1997;16:147–50 pmid:9257677
    PubMed
  48. 48.↵
    1. 

    2. Sitzer  M, 
    3. Fürst  G, 
    4. Fischer  H, et al
    . Between-method correlation in quantifying internal carotid stenosis. Stroke 1993;24:1513–18 doi:10.1161/01.STR.24.10.1513 pmid:8378955
    Abstract/FREE Full Text
  49. 49.↵
    1. 

    2. Ammar  AD, 
    3. Turrentine  MW, 
    4. Farha  SJ
    . The importance of arteriographic interpretation in occlusion or pseudo-occlusion of the carotid artery. Surg Gyn Obst 1988;167:119–23 pmid:3041633
    PubMed
  50. 50.↵
    1. 

    2. Mehigan  JT, 
    3. Olcott  C  4th.
    . The carotid “string” sign: differential diagnosis and management. Am J Surg 1980;140:137–43 doi:10.1016/0002-9610(80)90430-4 pmid:7396077
    CrossRefPubMedWeb of Science
  51. 51.↵
    1. 

    2. Marquering  HA, 
    3. Nederkoorn  PJ, 
    4. Beenen  LF, et al
    . Carotid pseudo-occlusion on CTA in patients with acute ischemic stroke: a concerning observation. Clin Neurol Neurosurg 2013;115:1591–94 doi:10.1016/j.clineuro.2013.02.008 pmid:23453709
    CrossRefPubMed
  52. 52.↵
    1. 

    2. Ojemann  RG, 
    3. Fisher  CM, 
    4. Rich  JC
    . Spontaneous dissecting aneurysm of the internal carotid artery. Stroke 1972;3:434–40 doi:10.1161/01.STR.3.4.434 pmid:5048783
    Abstract/FREE Full Text
  53. 53.↵
    1. 

    2. Ehrenfeld  WK, 
    3. Wylie  EJ
    . Spontaneous dissection of the internal carotid artery. Arch Surg 1976;111:1294–1301 doi:10.1001/archsurg.1976.01360290128019 pmid:985078
    CrossRefPubMedWeb of Science
  54. 54.↵
    1. 

    2. Berman  SS, 
    3. Devine  JJ, 
    4. Erdoes  LS, et al
    . Distinguishing carotid artery pseudo-occlusion with color-flow Doppler. Stroke 1995;26:434–38 doi:10.1161/01.STR.26.3.434 pmid:7886721
    Abstract/FREE Full Text
  55. 55.↵
    1. 

    2. Dix  JE, 
    3. McNulty  BJ, 
    4. Kallmes  DF
    . Frequency and significance of a small distal ICA in carotid artery stenosis. AJNR Am J Neuroradiol 1998;19:1215–18 pmid:9726455
    Abstract
  56. 56.↵
    1. 

    2. Ruiz-Salmerón  RJ, 
    3. Gamero  MA, 
    4. Carrascosa  C, et al
    . Carotid artery stenting: clinical and procedural implications for near-occlusion stenosis. Neurologia 2013;28:535–42 doi:10.1016/j.nrl.2013.01.001 pmid:23465685
    CrossRefPubMed
  57. 57.↵
    1. 

    2. Fujimoto  S, 
    3. Toyoda  K, 
    4. Kishikawa  K, et al
    . Accuracy of conventional plus transoral carotid ultrasonography in distinguishing pseudo-occlusion from total occlusion of the internal carotid artery. Cerebrovasc Dis 2006;22:170–76 doi:10.1159/000093451 pmid:16710083
    CrossRefPubMedWeb of Science
  58. 58.↵
    1. 

    2. Ibrahim  M, 
    3. Branson  HM, 
    4. Buncic  JR, et al
    . A case of Horner syndrome with intermittent mydriasis in a patient with hypoplasia of the internal carotid artery. AJNR Am J Neuroradiol 2006;27:1318–20 pmid:16775289
    Abstract/FREE Full Text
  


  
  



  




  


  
  



  
      
  
  

    
  


  
  



  
      
  
  

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Carotid Near-Occlusion: A Comprehensive Review, Part 2—Prognosis and Treatment, Pathophysiology, Confusions, and Areas for Improvement
  
    	
E. Johansson, A.J. Fox

  
    	
 American Journal of Neuroradiology Feb 2016, 37 (2) 200-204; DOI: 10.3174/ajnr.A4429 

  
  
  



  


  
  



  
      
  
  

    

  
    
  
  
    
  
  
    
  


  


  
  



  
      
  
  

    
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