{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T20:40:16Z","timestamp":1778791216148,"version":"3.51.4"},"reference-count":32,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2015,11,1]],"date-time":"2015-11-01T00:00:00Z","timestamp":1446336000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","annalsofvascularsurgery.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Annals of Vascular Surgery"],"published-print":{"date-parts":[[2015,11]]},"DOI":"10.1016\/j.avsg.2015.05.015","type":"journal-article","created":{"date-parts":[[2015,7,11]],"date-time":"2015-07-11T04:03:31Z","timestamp":1436587411000},"page":"1664-1672","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":25,"title":["Management of Patients with Internal Carotid Artery Near-total Occlusion: An Updated Meta-analysis"],"prefix":"10.1016","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9875-4614","authenticated-orcid":false,"given":"Spyridon N.","family":"Mylonas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Constantine N.","family":"Antonopoulos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantinos G.","family":"Moulakakis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John D.","family":"Kakisis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christos D.","family":"Liapis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.avsg.2015.05.015_bib1","doi-asserted-by":"crossref","first-page":"832","DOI":"10.1016\/j.jvs.2011.07.004","article-title":"Updated Society for Vascular Surgery guidelines for management of extracranial carotid disease: executive summary","volume":"54","author":"Ricotta","year":"2011","journal-title":"J Vasc Surg"},{"issue":"4 Suppl","key":"10.1016\/j.avsg.2015.05.015_bib2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ejvs.2008.11.006","article-title":"ESVS guidelines. Invasive treatment for carotid stenosis: indications, techniques","volume":"37","author":"Liapis","year":"2009","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"10 Suppl","key":"10.1016\/j.avsg.2015.05.015_bib3","doi-asserted-by":"crossref","first-page":"S31","DOI":"10.1161\/STROKEAHA.110.595330","article-title":"The Carotid Revascularization Endarterectomy versus Stenting Trial (CREST): stenting versus carotid endarterectomy for carotid disease","volume":"41","author":"Mantese","year":"2010","journal-title":"Stroke"},{"key":"10.1016\/j.avsg.2015.05.015_bib4","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/S0140-6736(14)61184-3","article-title":"Long-term outcomes after stenting versus endarterectomy for treatment of symptomatic carotid stenosis: the International Carotid Stenting Study (ICSS) randomised trial","volume":"385","author":"Bonati","year":"2015","journal-title":"Lancet"},{"key":"10.1016\/j.avsg.2015.05.015_bib5","first-page":"2086","article-title":"Identification, prognosis, and management of patients with carotid artery near occlusion","volume":"26","author":"Fox","year":"2005","journal-title":"Am J Neuroradiol"},{"key":"10.1016\/j.avsg.2015.05.015_bib6","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.avsg.2009.07.010","article-title":"Eversion carotid endarterectomy versus best medical treatment in symptomatic patients with near total internal carotid occlusion: a prospective nonrandomized trial","volume":"24","author":"Radak","year":"2010","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.avsg.2015.05.015_bib7","doi-asserted-by":"crossref","first-page":"1168","DOI":"10.1161\/01.STR.20.9.1168","article-title":"Atheromatous pseudo-occlusion of the internal carotid artery","volume":"20","author":"O'Leary","year":"1989","journal-title":"Stroke"},{"key":"10.1016\/j.avsg.2015.05.015_bib8","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1159\/000324385","article-title":"Outcomes associated with carotid pseudo-occlusion","volume":"31","author":"Ogata","year":"2011","journal-title":"Cerebrovasc Dis"},{"key":"10.1016\/j.avsg.2015.05.015_bib9","doi-asserted-by":"crossref","first-page":"2008","DOI":"10.1001\/jama.283.15.2008","article-title":"Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis of Observational Studies in Epidemiology (MOOSE) group","volume":"283","author":"Stroup","year":"2000","journal-title":"JAMA"},{"key":"10.1016\/j.avsg.2015.05.015_bib10","series-title":"Kendall's Advanced Theory of Statistics","author":"Stuart","year":"1994"},{"key":"10.1016\/j.avsg.2015.05.015_bib11","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/0197-2456(86)90046-2","article-title":"Meta-analysis in clinical trials","volume":"7","author":"DerSimonian","year":"1986","journal-title":"Control Clin Trials"},{"key":"10.1016\/j.avsg.2015.05.015_bib12","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1136\/bmj.315.7109.629","article-title":"Bias in meta-analysis detected by a simple, graphical test","volume":"13","author":"Egger","year":"1997","journal-title":"BMJ"},{"key":"10.1016\/j.avsg.2015.05.015_bib13","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1067\/mva.2002.120379","article-title":"Pseudo-occlusions of the internal carotid artery: a rationale for treatment on the basis of a modified carotid duplex scan protocol","volume":"35","author":"Ascher","year":"2002","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.avsg.2015.05.015_bib14","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1177\/1538574409331696","article-title":"Carotid artery pseudo-occlusion: does end-diastolic velocity suggest need for treatment?","volume":"43","author":"Bowman","year":"2009","journal-title":"Vasc Endovascular Surg"},{"key":"10.1016\/j.avsg.2015.05.015_bib15","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/S0741-5214(94)70117-2","article-title":"Carotid endarterectomy when the distal internal carotid artery is small or poorly visualized","volume":"19","author":"Archie","year":"1994","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.avsg.2015.05.015_bib16","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1016\/0741-5214(94)90274-7","article-title":"Critical carotid artery stenosis: diagnosis, timing of surgery, and outcome","volume":"20","author":"Berman","year":"1994","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.avsg.2015.05.015_bib17","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1161\/01.STR.21.3.476","article-title":"Implications of the angiographic string sign in carotid atherosclerosis","volume":"21","author":"Fredericks","year":"1990","journal-title":"Stroke"},{"key":"10.1016\/j.avsg.2015.05.015_bib18","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1007\/s00701-004-0216-5","article-title":"Revascularization procedures in internal carotid artery pseudo-occlusion","volume":"146","author":"Greiner","year":"2004","journal-title":"Acta Neurochir (Wien)"},{"key":"10.1016\/j.avsg.2015.05.015_bib19","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1016\/S1078-5884(96)80250-4","article-title":"Pseudo- and segmental occlusion of the internal carotid artery: a new classification, surgical treatment and results","volume":"12","author":"Kniemeyer","year":"1996","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.avsg.2015.05.015_bib20","first-page":"15","article-title":"Internal carotid pseudo-occlusion: early and late results","volume":"38","author":"Pulli","year":"1997","journal-title":"J Cardiovasc Surg"},{"key":"10.1016\/j.avsg.2015.05.015_bib21","first-page":"147","article-title":"Pseudo-occlusion of the internal carotid artery: report of 15 cases and review of the literature","volume":"16","author":"Regina","year":"1997","journal-title":"Int Angiol"},{"key":"10.1016\/j.avsg.2015.05.015_bib22","doi-asserted-by":"crossref","first-page":"1104","DOI":"10.1002\/ccd.22433","article-title":"Feasibility of carotid artery stenting in patients with angiographic string sign","volume":"75","author":"Barker","year":"2010","journal-title":"Catheter Cardiovasc Interv"},{"key":"10.1016\/j.avsg.2015.05.015_bib23","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1177\/159101991001600314","article-title":"Outcome evaluation of carotid stenting in high-risk patients with symptomatic carotid near occlusion","volume":"16","author":"Choi","year":"2010","journal-title":"Interv Neuroradiol"},{"key":"10.1016\/j.avsg.2015.05.015_bib24","doi-asserted-by":"crossref","first-page":"252","DOI":"10.3174\/ajnr.A2285","article-title":"Internal carotid artery stenting in patients with near occlusion: 30-day and long-term outcome","volume":"32","author":"Gonz\u00e1lez Garcia","year":"2011","journal-title":"Am J Neuroradiol"},{"key":"10.1016\/j.avsg.2015.05.015_bib25","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1016\/j.jcin.2009.11.018","article-title":"Carotid artery stenting with proximal cerebral protection for patients with angiographic appearance of string sign","volume":"3","author":"Nikas","year":"2010","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.avsg.2015.05.015_bib26","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/j.nrl.2013.01.001","article-title":"Carotid artery stenting: clinical and procedural implications for near-occlusion stenosis","volume":"28","author":"Ruiz-Salmer\u00f3n","year":"2013","journal-title":"Neurologia"},{"key":"10.1016\/j.avsg.2015.05.015_bib27","doi-asserted-by":"crossref","first-page":"1976","DOI":"10.1016\/j.clineuro.2013.06.001","article-title":"Carotid artery stenting in patients with near occlusion: a single-center experience and comparison with recent studies","volume":"115","author":"Son","year":"2013","journal-title":"Clin Neurol Neurosurg"},{"key":"10.1016\/j.avsg.2015.05.015_bib28","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1002\/ccd.23144","article-title":"Mid-term outcomes of carotid artery stenting in patients with angiographic string sign","volume":"79","author":"Spacek","year":"2011","journal-title":"Catheter Cardiovasc Interv"},{"key":"10.1016\/j.avsg.2015.05.015_bib29","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1227\/01.NEU.0000222650.09509.DE","article-title":"Endovascular treatment for pseudo-occlusion of the internal carotid artery","volume":"59","author":"Terada","year":"2006","journal-title":"Neurosurgery"},{"key":"10.1016\/j.avsg.2015.05.015_bib30","unstructured":"Razuk A, Caffaro R, Karakahanian W, et\u00a0al. Carotid String Sign: Is There a Role for Carotid Stenting? Paper presented at: 38th Annual Symposium of Society for Clinical Vascular Surgery 2010; Scottsdale, Arizona, USA."},{"key":"10.1016\/j.avsg.2015.05.015_bib31","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1007\/s10143-013-0481-y","article-title":"Carotid artery stenting using the proximal or dual protection method for near occlusion of the cervical internal carotid artery","volume":"36","author":"Sakamoto","year":"2013","journal-title":"Neurosurg Rev"},{"key":"10.1016\/j.avsg.2015.05.015_bib32","doi-asserted-by":"crossref","first-page":"1512","DOI":"10.1016\/j.jvs.2013.05.103","article-title":"Cerebral hemodynamic benefits after carotid artery stenting in patients with near occlusion","volume":"58","author":"Oka","year":"2013","journal-title":"J Vasc Surg"}],"container-title":["Annals of Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S089050961500566X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S089050961500566X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2024,6,9]],"date-time":"2024-06-09T23:01:45Z","timestamp":1717974105000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S089050961500566X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11]]},"references-count":32,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2015,11]]}},"alternative-id":["S089050961500566X"],"URL":"https:\/\/doi.org\/10.1016\/j.avsg.2015.05.015","relation":{},"ISSN":["0890-5096"],"issn-type":[{"value":"0890-5096","type":"print"}],"subject":[],"published":{"date-parts":[[2015,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Management of Patients with Internal Carotid Artery Near-total Occlusion: An Updated Meta-analysis","name":"articletitle","label":"Article Title"},{"value":"Annals of Vascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.avsg.2015.05.015","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2015 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}