{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:52:04Z","timestamp":1786125124112,"version":"build-2736575974"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Stroke-in-evolution (SIE) is a major outcome determinant in patients with acute ischemic stroke. The benefit of surgery for treatment of carotid artery-related SIE remains controversial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To retrospectively evaluate the use of carotid artery stenting (CAS) as a possible alternative treatment in patients with carotid-related SIE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Ten patients with carotid-related SIE were treated with CAS from May 2005 to December 2014. The mean initial National Institutes of Health Stroke Scale (NIHSS) score was 5.4 \u00b1 4.4. Two patients had total occlusion of the internal carotid artery, and 8 had severe stenosis. The mean interval from symptom onset to clinical deterioration was 2.9 \u00b1 2.9 d. The mean NIHSS score after deterioration was 14.3 \u00b1 4.5. In the hemodynamic assessment using perfusion imaging, the ipsilateral cerebral hemodynamics was impaired in 7 of 8 patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>All patients underwent urgent CAS in the acute phase of SIE. Seven patients underwent CAS using flow reversal with or without distal protection. No procedure-related complications occurred in any patients, although 1 patient developed aspiration pneumonia. The mean NIHSS score 7 d after CAS was 4.8 \u00b1 2.3. Six patients (60%) had a modified Rankin scale score of 0 to 2 at discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Urgent CAS for carotid-related SIE with hemodynamic impairment appears to be an effective method for achieving good clinical outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ons\/opx073","type":"journal-article","created":{"date-parts":[[2017,4,5]],"date-time":"2017-04-05T23:10:39Z","timestamp":1491433839000},"page":"9-15","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Urgent Carotid Artery Stenting for Carotid-Related Stroke-in-Evolution"],"prefix":"10.1227","volume":"14","author":[{"given":"Nobuhiro","family":"Nakagawa","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Kindai University Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norihito","family":"Fukawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kindai University Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyoshi","family":"Tsuji","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kindai University Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Nakano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kindai University Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saori","family":"Murakami","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kindai University Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiro","family":"Nagatsuka","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kindai University Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amami","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kindai University Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,1]]},"reference":[{"issue":"9352","key":"bib1-20240910","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/S0140-6736(03)12228-3","article-title":"Analysis of pooled data from the randomised controlled trials of endarterectomy for symptomatic carotid stenosis","volume":"361","author":"Rothwell","year":"2003","journal-title":"Lancet"},{"issue":"9","key":"bib2-20240910","doi-asserted-by":"crossref","first-page":"2290","DOI":"10.1161\/01.STR.0000087785.01407.CC","article-title":"Systematic review of the risks of carotid endarterectomy in relation to the clinical indication for and timing of surgery","volume":"34","author":"Bond","year":"2003","journal-title":"Stroke"},{"issue":"9413","key":"bib3-20240910","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1016\/S0140-6736(04)15785-1","article-title":"Carotid Endarterectomy Trialists Collaboration. 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