{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T01:58:08Z","timestamp":1788141488474,"version":"build-2803163510"},"reference-count":48,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"vor","delay-in-days":730,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jvascsurg.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Vascular Surgery"],"published-print":{"date-parts":[[2021,12]]},"DOI":"10.1016\/j.jvs.2021.05.048","type":"journal-article","created":{"date-parts":[[2021,6,25]],"date-time":"2021-06-25T03:59:11Z","timestamp":1624593551000},"page":"2087-2095","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":19,"title":["Assessing the suitability of the carotid bifurcation for stenting: Anatomic and morphologic considerations"],"prefix":"10.1016","volume":"74","author":[{"given":"Angela A.","family":"Kokkosis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumaira","family":"Macdonald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Jim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasesh","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter A.","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvs.2021.05.048_bib1","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.1161\/01.STR.25.6.1201","article-title":"Internal carotid artery redundancy is significantly associated with dissection","volume":"25","author":"Barbour","year":"1994","journal-title":"Stroke"},{"key":"10.1016\/j.jvs.2021.05.048_bib2","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1159\/000335123","article-title":"Twisted blood vessels: Symptoms, etiology and biomechanical mechanisms","volume":"49","author":"Han","year":"2012","journal-title":"J\u00a0Vasc Res"},{"key":"10.1016\/j.jvs.2021.05.048_bib3","doi-asserted-by":"crossref","first-page":"e903","DOI":"10.1016\/j.wneu.2018.05.127","article-title":"Endovascular stent deployment in the management of lesions related to internal carotid artery redundancy","volume":"116","author":"Li","year":"2018","journal-title":"World Neurosurg"},{"key":"10.1016\/j.jvs.2021.05.048_bib4","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1212\/WNL.15.1.7","article-title":"Tortuosity, coiling, and kinking of the internal carotid artery: I. Etiology and radiographic anatomy","volume":"15","author":"Weibel","year":"1965","journal-title":"Neurology"},{"key":"10.1016\/j.jvs.2021.05.048_bib5","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1007\/BF02016742","article-title":"A\u00a0technique for correction of carotid kinks and coils following endarterectomy","volume":"5","author":"Collins","year":"1991","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.jvs.2021.05.048_bib6","doi-asserted-by":"crossref","first-page":"2021","DOI":"10.1161\/CIRCULATIONAHA.105.595512","article-title":"Realizing the potential of carotid artery stenting: proposed paradigms for patient selection and procedural technique","volume":"113","author":"Roubin","year":"2006","journal-title":"Circulation"},{"key":"10.1016\/j.jvs.2021.05.048_bib7","doi-asserted-by":"crossref","first-page":"3218","DOI":"10.1161\/STROKEAHA.112.673194","article-title":"Risk prediction for adverse events after carotid artery stenting in higher surgical risk patients","volume":"43","author":"Wimmer","year":"2012","journal-title":"Stroke"},{"key":"10.1016\/j.jvs.2021.05.048_bib8","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/j.jamcollsurg.2013.03.016","article-title":"Effects of carotid artery stenting on arterial geometry","volume":"217","author":"Kamenskiy","year":"2013","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.jvs.2021.05.048_bib9","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1007\/s002340100656","article-title":"Stent impact on the geometry of the carotid bifurcation and the course of the internal carotid artery","volume":"44","author":"Berkefeld","year":"2002","journal-title":"Neuroradiology"},{"key":"10.1016\/j.jvs.2021.05.048_bib10","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1148\/radiol.2221000366","article-title":"The angiographic string sign","volume":"222","author":"Pappas","year":"2002","journal-title":"Radiology"},{"key":"10.1016\/j.jvs.2021.05.048_bib11","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.jvs.2021.05.048_bib12","first-page":"174","article-title":"Mid-term outcomes of carotid artery stenting in patients with angiographic string sign","volume":"79","author":"Spacek","year":"2012","journal-title":"Catheter Cardiovasc Interv"},{"key":"10.1016\/j.jvs.2021.05.048_bib13","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1016\/j.jvs.2018.09.053","article-title":"Overview of evidence on risk factors and early management of acute carotid stent thrombosis during the last two decades","volume":"69","author":"Coelho","year":"2019","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2021.05.048_bib14","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/j.jstrokecerebrovasdis.2012.11.019","article-title":"Surgical treatment for carotid stenoses with highly calcified plaques","volume":"23","author":"Katano","year":"2014","journal-title":"J\u00a0Stroke Cerebrovasc Dis"},{"key":"10.1016\/j.jvs.2021.05.048_bib15","doi-asserted-by":"crossref","first-page":"1220","DOI":"10.1016\/j.jvs.2008.01.043","article-title":"Stenting for carotid artery stenosis: fractures, proposed etiology and the need for surveillance","volume":"47","author":"Ling","year":"2008","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2021.05.048_bib16","doi-asserted-by":"crossref","first-page":"1280","DOI":"10.1016\/j.jvs.2010.01.050","article-title":"Clinical relevance and treatment of carotid stent fractures","volume":"51","author":"Sfyroeras","year":"2010","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2021.05.048_bib17","doi-asserted-by":"crossref","first-page":"1397","DOI":"10.1016\/j.jvs.2010.02.009","article-title":"Carotid artery stent fracture identification and clinical relevance","volume":"51","author":"Coppi","year":"2010","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2021.05.048_bib18","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1016\/j.jvs.2011.03.257","article-title":"Prevalence and clinical significance of stent fracture and deformation following carotid artery stenting","volume":"54","author":"Chang","year":"2011","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2021.05.048_bib19","doi-asserted-by":"crossref","first-page":"e514","DOI":"10.1016\/j.wneu.2018.06.068","article-title":"Effects of carotid calcification on restenosis after carotid artery stenting: a follow-up study with computed tomography angiography","volume":"117","author":"Kim","year":"2018","journal-title":"World Neurosurg"},{"key":"10.1016\/j.jvs.2021.05.048_bib20","first-page":"1280","article-title":"Predicting ischemic stroke after carotid artery stenting based on proximal calcification and the jellyfish sign","volume":"128","author":"Ichinose","year":"2018","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.jvs.2021.05.048_bib21","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1161\/STROKEAHA.110.588772","article-title":"Anatomical and technical factors associated with stroke or death during carotid angioplasty and stenting: results from the endarterectomy versus angioplasty in patients with symptomatic severe carotid stenosis (EVA-3S) trial and systematic review","volume":"42","author":"Naggara","year":"2011","journal-title":"Stroke"},{"key":"10.1016\/j.jvs.2021.05.048_bib22","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1161\/STROKEAHA.110.578583","article-title":"Siena carotid artery stenting score: a risk modelling study for individual patients","volume":"41","author":"Setacci","year":"2010","journal-title":"Stroke"},{"key":"10.1016\/j.jvs.2021.05.048_bib23","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.jvs.2007.09.047","article-title":"Angiographic lesion characteristics can predict adverse outcomes after carotid artery stenting","volume":"47","author":"Sayeed","year":"2008","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2021.05.048_bib24","doi-asserted-by":"crossref","first-page":"1227","DOI":"10.1016\/j.jvs.2015.04.460","article-title":"Results of the ROADSTER multicenter trial of transcarotid stenting with dynamic flow reversal. Presented at the Late Breaking Clinical Trials Session at Vascular Interventional Advances (VIVA) 2014, November 4-7, 2014","volume":"62","author":"Kwolek","year":"2015","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2021.05.048_bib25","doi-asserted-by":"crossref","first-page":"2620","DOI":"10.1161\/STROKEAHA.120.030550","article-title":"Early outcomes in the ROADSTER 2 study of transcarotid artery revascularization in patients with significant carotid artery disease","volume":"51","author":"Kashyap","year":"2020","journal-title":"Stroke"},{"key":"10.1016\/j.jvs.2021.05.048_bib26","first-page":"1025","article-title":"The CAPTURE registry: predictors of outcomes in carotid artery stenting with embolic protection for high surgical risk patients in the early post-approval stenting","volume":"70","author":"Gray","year":"2007","journal-title":"Catheter Cardiovasc Interv"},{"key":"10.1016\/j.jvs.2021.05.048_bib27","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1016\/j.jvs.2018.06.221","article-title":"Influence of multiple stents on periprocedural stroke after carotid artery stenting in the Carotid Revascularization Endarterectomy versus Stent Trial (CREST)","volume":"69","author":"Lal","year":"2019","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2021.05.048_bib28","first-page":"27","article-title":"Contemporary carotid imaging: from degree of stenosis to plaque vulnerability","volume":"124","author":"Brinjikiji","year":"2016","journal-title":"J\u00a0Neursurg"},{"key":"10.1016\/j.jvs.2021.05.048_bib29","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1161\/01.CIR.0000138103.91187.E3","article-title":"Carotid plaque echolucency increases the risk of stroke in carotid stenting: the imaging in carotid angioplasty and risk of stroke (ICAROS) study","volume":"110","author":"Biasi","year":"2004","journal-title":"Circulation"},{"key":"10.1016\/j.jvs.2021.05.048_bib30","first-page":"357","article-title":"Postoperative in-stent protrusion is an important predictor of perioperative ischemic complications after carotid artery stenting","volume":"45","author":"Beppu","year":"2018","journal-title":"J\u00a0Neuroradiol"},{"key":"10.1016\/j.jvs.2021.05.048_bib31","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.1016\/j.jstrokecerebrovasdis.2012.07.018","article-title":"Selection of carotid artery stenting or endarterectomy based on magnetic resonance plaque imaging reduced periprocedural adverse events","volume":"22","author":"Yoshimura","year":"2013","journal-title":"J\u00a0Stroke Cerebrovasc Dis"},{"key":"10.1016\/j.jvs.2021.05.048_bib32","first-page":"434","article-title":"The association between expansive arterial remodeling detected by high-resolution MRI in carotid artery stenosis and clinical presentation","volume":"123","author":"Yoshida","year":"2015","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.jvs.2021.05.048_bib33","first-page":"1","article-title":"Expansive carotid artery remodeling: possible marker of vulnerable plaque [e-pub ahead of print]","author":"Yoshida","year":"2019","journal-title":"J Neurosurg"},{"key":"10.1016\/j.jvs.2021.05.048_bib34","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.1016\/j.jvs.2020.01.041","article-title":"Anatomic criteria in the selection of treatment modality for atherosclerotic carotid artery disease","volume":"72","author":"Kumins","year":"2020","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2021.05.048_bib35","doi-asserted-by":"crossref","first-page":"1452","DOI":"10.1016\/j.jvs.2018.11.051","article-title":"Anatomic eligibility for transcarotid artery revascularization and transfemoral carotid artery stenting","volume":"69","author":"Wu","year":"2019","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2021.05.048_bib36","doi-asserted-by":"crossref","first-page":"1698","DOI":"10.1161\/STROKEAHA.109.547117","article-title":"Towards safer carotid artery stenting: a scoring system for anatomic suitability","volume":"40","author":"Macdonald","year":"2009","journal-title":"Stroke"},{"key":"10.1016\/j.jvs.2021.05.048_bib37","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1177\/1538574414551577","article-title":"High-risk anatomic variables and plaque characteristics in carotid artery stenting","volume":"48","author":"Morgan","year":"2014","journal-title":"Vasc Endovascular Surg"},{"key":"10.1016\/j.jvs.2021.05.048_bib38","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1056\/NEJMoa0912321","article-title":"Stenting versus endarterectomy for treatment of carotid-artery stenosis","volume":"363","author":"Brott","year":"2010","journal-title":"N\u00a0Eng J Med"},{"key":"10.1016\/j.jvs.2021.05.048_bib39","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.avsg.2020.04.016","article-title":"Complexity of aortic arch anatomy affects the outcomes of transcarotid artery revascularization versus transfemoral carotid artery stenting","volume":"67","author":"Conway","year":"2020","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.jvs.2021.05.048_bib40","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1177\/1526602817693607","article-title":"Transcarotid artery revascularization with flow reversal: the PROOF study","volume":"24","author":"Alpaslan","year":"2017","journal-title":"J\u00a0Endovasc Ther"},{"key":"10.1016\/j.jvs.2021.05.048_bib41","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/S1474-4422(10)70057-0","article-title":"New ischaemic brain lesions on MRI after stenting or endarterectomy for symptomatic carotid stenosis: a substudy of the International Carotid Stenting Study (ICSS)","volume":"9","author":"Bonati","year":"2010","journal-title":"Lancet Neurol"},{"key":"10.1016\/j.jvs.2021.05.048_bib42","doi-asserted-by":"crossref","first-page":"1719","DOI":"10.1016\/j.jvs.2016.06.104","article-title":"Microembolization is associated with transient cognitive decline in patients undergoing carotid interventions","volume":"64","author":"Hitcher","year":"2016","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2021.05.048_bib43","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1016\/j.jvs.2016.09.057","article-title":"Volume of subclinical embolic infarct correlates to long-term cognitive changes after carotid revascularization","volume":"65","author":"Zhou","year":"2017","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2021.05.048_bib44","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.jvs.2018.11.029","article-title":"In-hospital outcomes of transcarotid artery revascularization and carotid endarterectomy in the Society for Vascular Surgery Vascular Quality Initiative","volume":"71","author":"Schermerhorn","year":"2020","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2021.05.048_bib45","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1056\/NEJMoa1505215","article-title":"Long-term results of stenting versus endarterectomy for carotid-artery stenosis","volume":"374","author":"Brott","year":"2016","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.jvs.2021.05.048_bib46","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1016\/S1474-4422(19)30028-6","article-title":"Long-term outcomes of stenting and endarterectomy for symptomatic carotid stenosis: a preplanned pooled analysis of individual patient data","volume":"18","author":"Brott","year":"2019","journal-title":"Lancet Neurol"},{"key":"10.1016\/j.jvs.2021.05.048_bib47","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.jamcollsurg.2019.09.020","article-title":"Learning curve for surgeons adopting transcarotid artery revascularization based on the Vascular Quality Initiative-Transcarotid Artery Revascularization Surveillance Project","volume":"230","author":"Kashyap","year":"2020","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.jvs.2021.05.048_bib48","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/j.jvs.2016.09.048","article-title":"An update on the role of proximal occlusion devices in carotid artery stenting","volume":"65","author":"Kassavin","year":"2017","journal-title":"J\u00a0Vasc Surg"}],"container-title":["Journal of Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0741521421010004?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0741521421010004?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T20:34:42Z","timestamp":1760042082000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0741521421010004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":48,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["S0741521421010004"],"URL":"https:\/\/doi.org\/10.1016\/j.jvs.2021.05.048","relation":{},"ISSN":["0741-5214"],"issn-type":[{"value":"0741-5214","type":"print"}],"subject":[],"published":{"date-parts":[[2021,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Assessing the suitability of the carotid bifurcation for stenting: Anatomic and morphologic considerations","name":"articletitle","label":"Article Title"},{"value":"Journal of Vascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvs.2021.05.048","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 by the Society for Vascular Surgery. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}