{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T14:01:27Z","timestamp":1792245687286,"version":"4.4.0"},"reference-count":39,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,11,13]],"date-time":"2014-11-13T00:00:00Z","timestamp":1415836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Swedish Heart and Lung Foundation"},{"name":"Swedish Stroke Foundation"},{"name":"Northern Swedish Stroke Fund"},{"name":"County of V\u00e4sterbotten and the Medical Faculty of Ume\u00e5 University"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Intern Med"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The risk of early stroke recurrence amongst patients with symptomatic carotid near\u2010occlusion with and without full collapse is unknown. Therefore, the aim of this study was to analyse the 90\u2010day risk of recurrent ipsilateral ischaemic stroke in patients with symptomatic carotid near\u2010occlusion both with and without full collapse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study was a secondary analysis of the Additional Neurological <jats:styled-content style=\"fixed-case\">SY<\/jats:styled-content>mptoms before Surgery of the Carotid Arteries: a Prospective study (<jats:styled-content style=\"fixed-case\">ANSYSCAP<\/jats:styled-content>). We prospectively analysed 230 consecutive patients with symptomatic 50\u201399% carotid stenosis or near\u2010occlusion. Based on the combination of several imaging modalities, 205 (89%) patients were classified as having 50\u201399% carotid stenosis, and 10 (4%) and 15 (7%) as having near\u2010occlusion with and without full collapse, respectively. The 90\u2010day risk of recurrent ipsilateral ischaemic stroke was compared between these three groups. Only events that occurred before carotid endarterectomy were analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 90\u2010day risk of recurrent stroke was 18% [95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 12\u201325%; <jats:italic>n<\/jats:italic>\u00a0=\u00a029] for patients with 50\u201399% carotid stenosis, 0% for patients with near\u2010occlusion without full collapse and 43% (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 25\u201389%; <jats:italic>n<\/jats:italic>\u00a0=\u00a04) for patients with near\u2010occlusion with full collapse (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.035, log\u2010rank test). The increased risk of recurrent ipsilateral ischaemic stroke for patients with symptomatic near\u2010occlusion with full collapse remained significant after multivariable adjustment for age, sex and type of presenting event.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with symptomatic carotid near\u2010occlusion with full collapse might have a very high risk of stroke recurrence. Carotid endarterectomy could be considered for these patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/joim.12318","type":"journal-article","created":{"date-parts":[[2014,10,8]],"date-time":"2014-10-08T16:08:57Z","timestamp":1412784537000},"page":"615-623","source":"Crossref","is-referenced-by-count":47,"title":["Symptomatic carotid near\u2010occlusion with full collapse might cause a very high risk of stroke"],"prefix":"10.1111","volume":"277","author":[{"given":"E.","family":"Johansson","sequence":"first","affiliation":[{"name":"Department of Pharmacology and Clinical Neuroscience and Department of Public Health and Clinical Medicine Ume\u00e5 University Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"\u00d6hman","sequence":"additional","affiliation":[{"name":"Department of Radiation Sciences Ume\u00e5 University Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Wester","sequence":"additional","affiliation":[{"name":"Department of Public Health and Clinical Medicine Ume\u00e5 University Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,11,13]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"2086","article-title":"Identification, prognosis, and management of patients with carotid artery near\u2010occlusion","volume":"26","author":"Fox AJ","year":"2008","journal-title":"AJNR"},{"key":"e_1_2_8_3_1","first-page":"632","article-title":"Diagnosing carotid stenosis near\u2010occlusion by using CT angiography","volume":"27","author":"Bartlett ES","year":"2006","journal-title":"AJNR"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2532090821"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00455734"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.48.4.911"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.20.9.1168"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.21.3.476"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000147040.20446.f6"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-4949.2012.00790.x"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1078-5884(96)80252-8"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0929-8266(98)00074-3"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2212001606"},{"key":"e_1_2_8_14_1","unstructured":"RinglebPA BousserMG FordGet\u00a0al. for the The European Stroke Organization (ESO) Executive Committee and the ESO Writing Committee.Guidelines for Management of Ischaemic Stroke and Transient Ischaemic Attack 2008. 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