{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:51:43Z","timestamp":1777942303119,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2001,7,1]],"date-time":"2001-07-01T00:00:00Z","timestamp":993945600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vascular Surgery"],"published-print":{"date-parts":[[2001,7]]},"abstract":"<jats:p>Recent literature advocates carotid endarterectomy on duplex alone. The authors hypothesized that carotid angiography adds information that alters clinical management in a substantial number of patients compared to the use of carotid duplex examination alone. The records of 182 consecutive patients who underwent carotid artery duplex and subsequent carotid\/cerebral angiography for suspected carotid artery stenosis between January 1998 and April 1999 were reviewed retrospectively. Carotid artery duplex examinations were stratified based on stenosis: &lt;39%, 40% to 59%, 60% to 79% (moderate), 80% to 99% (severe), 100%. Carotid stenosis on angiograms was determined by NASCET criteria. New information found at angiography included vertebral, subclavian, or arch atherosclerosis, intracranial pathosis, or a change in duplex stenosis category to a degree of stenosis not requiring surgery. Clinical importance was attributed to angiograms that altered the patients' management plan. Angiography provided additional information in 53% (97\/182) of patients. Vertebral disease was found in 25.1%, subclavian disease in 16.4%, intracranial disease in 15.3%, aortic arch disease in 3.3%. Patient treatment was altered in 30% (55\/182). Angiographic findings downgraded the stenosis to medical therapy in 20.9% (38\/182). The surgical plan was influenced in 5.5% (10\/182). Nine intracranial aneurysms were discovered. Carotid angiography was essential for vascular bypass surgery planning in 3.3% (6\/182). Angioplasty was performed in 2.2% (4\/182). The accurate determination of stenosis is critical in determining optimal treatment of patients with carotid artery stenosis. Routine carotid angiography remains valuable in the clinical treatment of these patients.<\/jats:p>","DOI":"10.1177\/153857440103500402","type":"journal-article","created":{"date-parts":[[2007,6,21]],"date-time":"2007-06-21T23:03:41Z","timestamp":1182467021000},"page":"251-256","source":"Crossref","is-referenced-by-count":11,"title":["Carotid Arteriography Impacts Carotid Stenosis Management"],"prefix":"10.1177","volume":"35","author":[{"given":"Stewart M.","family":"Long","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John A.","family":"Kern","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven M.","family":"Fiser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aditya K.","family":"Kaza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David C.","family":"Cassada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian T.","family":"Miller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey A.","family":"Claridge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irving L.","family":"Kron","sequence":"additional","affiliation":[{"name":"Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Virginia Health System, Charlottesville, VA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Curtis G.","family":"Tribble","sequence":"additional","affiliation":[{"name":"Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Virginia Health System, Charlottesville, VA; PO Box 801359, MR4, Rm 3111, Charlottesville, VA 22908-1359"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2001,7,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199108153250701"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(91)92916-P"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03520420037035"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199811123392002"},{"key":"atypb5","first-page":"411","volume":"36","author":"Cartier R","year":"1993","journal-title":"Can J Surg"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.186.2.8421729"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(97)00174-8"},{"key":"atypb8","first-page":"776","volume":"116","author":"Mattos MA","year":"1994","journal-title":"Surgery"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.11.1429"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.11.1479"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(95)70061-7"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.214.1.r00ja27247"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(96)70262-8"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1007\/BF00593211"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.9.1159"}],"container-title":["Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/153857440103500402","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/153857440103500402","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T06:43:46Z","timestamp":1777704226000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/153857440103500402"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,7]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2001,7]]}},"alternative-id":["10.1177\/153857440103500402"],"URL":"https:\/\/doi.org\/10.1177\/153857440103500402","relation":{},"ISSN":["0042-2835"],"issn-type":[{"value":"0042-2835","type":"print"}],"subject":[],"published":{"date-parts":[[2001,7]]}}}