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Acute Carotid Occlusion

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Carotid Artery Disease

Abstract

Acute and subacute carotid occlusion represents a challenging clinical scenario. Treatment paradigms are shifting towards being more aggressive with revascularization. In patients with a symptomatic occlusion and a favorable infarct burden, revascularization should be considered. Multiple imaging modalities, including DUS, CTA, MRI, perfusion imaging, and traditional catheter angiography should be used to draw a comprehensive picture of the patient’s intracranial perfusion and reserve at the time of presentation. Questions regarding the superiority of open versus endovascular treatment, angioplasty and stenting versus angioplasty alone, and proximal-to-distal versus distal-to-proximal treatment order have yet to be answered.

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Correspondence to Stephen J. Monteith .

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Schmitt, P.J., Loh, Y., Monteith, S.J. (2020). Acute Carotid Occlusion. In: Park, M., Kalani, M., de Havenon, A., McNally, J. (eds) Carotid Artery Disease. Springer, Cham. https://doi.org/10.1007/978-3-030-41138-1_9

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  • DOI: https://doi.org/10.1007/978-3-030-41138-1_9

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  • Online ISBN: 978-3-030-41138-1

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