{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T10:41:15Z","timestamp":1743158475457,"version":"3.40.3"},"reference-count":0,"publisher":"Ideggyogyaszati Szemle Journal","issue":"3-4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ideggy\u00f3gy\u00e1szati szemle"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:p>Background and purpose \u2013 Carotid revascularization through carotid endarterectomy (CEA) and carotid artery stenting (CAS)\nare well established secondary preventive\nmeasures after ischemic stroke in unilateral\ncarotid artery stenosis, but in the presence\nof contralateral carotid occlusion (CCO) the\nevidence regarding the optimal management\nof the stenotic carotid is not as clear even\nthough the risk of ischemic stroke is high.\nThe purpose of our review is to summarize\nrecent findings and suggest its future implications.\nMethods \u2013 We conducted a systematic\nliterature review using PubMed and ScienceDirect databases supplemented with studies\nfound from Google Scholar.\nResults \u2013 Recent guidelines recommend\nCAS over CEA in patients with CCO, but in\ncontrast some studies favor CEA over CAS after analysis of the complications and clinical\noutcome.\nDiscussion \u2013 The decision between CEA and\nCAS depends upon a variety of factors such\nas neurological status, surgical risk factors,\nmedical comorbidities, age, and imaging\nfindings (presence of silent infarcts, plaque\ncharacteristics and the state of collateral\ncirculation). Due to the contradictory observations the authors suggest further multicenter studies to establish the optimal management of patients with carotid stenosis\nand CCO and also summarize their personal\nopinion.<\/jats:p>","DOI":"10.18071\/isz.77.0100","type":"journal-article","created":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T10:06:50Z","timestamp":1743156410000},"page":"100-106","source":"Crossref","is-referenced-by-count":0,"title":["Difficult clinical decisions regarding carotid artery revascularization in patients with contralateral carotid occlusion"],"prefix":"10.18071","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7293-7851","authenticated-orcid":false,"given":"Robin Roy","family":"Mathews","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7000-5948","authenticated-orcid":false,"given":"L\u00e1szl\u00f3","family":"Ol\u00e1h","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3273-8555","authenticated-orcid":false,"given":"L\u00e1szl\u00f3","family":"Csiba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7411","published-online":{"date-parts":[[2025]]},"container-title":["Ideggy\u00f3gy\u00e1szati szemle"],"original-title":[],"link":[{"URL":"https:\/\/elitmed.hu\/en\/publications\/clinical-neuroscience\/difficult-clinical-decisions-regarding-carotid-artery-revascularization-in-patients-with-contralateral-carotid-occlusion\/pdf-open","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T10:06:53Z","timestamp":1743156413000},"score":1,"resource":{"primary":{"URL":"https:\/\/elitmed.hu\/en\/publications\/clinical-neuroscience\/difficult-clinical-decisions-regarding-carotid-artery-revascularization-in-patients-with-contralateral-carotid-occlusion"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":0,"journal-issue":{"issue":"3-4","published-online":{"date-parts":[[2025]]},"published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.18071\/isz.77.0100","relation":{},"ISSN":["0019-1442","2498-6208"],"issn-type":[{"value":"0019-1442","type":"print"},{"value":"2498-6208","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]}}}