{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:49:27Z","timestamp":1777884567188,"version":"3.51.4"},"reference-count":43,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2008,2,1]],"date-time":"2008-02-01T00:00:00Z","timestamp":1201824000000},"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"],"published-print":{"date-parts":[[2008,2]]},"abstract":"<jats:p>Ischemic preconditioning (IP) uses transient ischemia to render tissues tolerant to subsequent, prolonged ischemia. This study sought to evaluate factors that contributed to the development of cerebral ischemia during PercuSurge balloon (Medtronic, Santa Rosa, CA) occlusion in patients undergoing carotid angioplasty and stenting (CAS). The PercuSurge occlusion balloon was used in 43 of 165 patients treated with CAS for high-grade stenosis; 20% were symptomatic. Symptoms of cerebral hypoperfusion during temporary occlusion of the internal carotid artery occurred in 10 of 43 patients and included dysarthria, agitation, decreased level of consciousness, and focal hemispheric deficit. The development of neurologic symptoms after initial PercuSurge balloon inflation and occluded internal carotid artery flow was associated with a decrease in the mean Glasgow Coma Scale (GCS) from 15 to 10 (range 9\u201314); the GCS returned to normal after occlusion balloon deflation. The mean time to spontaneous recovery of full neurologic function was 8 minutes (range 4\u201315 minutes). The mean subsequent procedure duration was 11.9 minutes (range 6\u201321 minutes). No recurrence of neurologic symptoms occurred when the occlusion balloon was reinflated. All 10 patients underwent successful CAS without occlusion, dissection, cerebrovascular accident, or death. Ischemic preconditioning can be used to enable CAS with embolic protection in patients who cannot tolerate initial interruption of antegrade cerebral perfusion by PercuSurge occlusion.<\/jats:p>","DOI":"10.2310\/6670.2008.00012","type":"journal-article","created":{"date-parts":[[2011,5,24]],"date-time":"2011-05-24T07:52:25Z","timestamp":1306223545000},"page":"1-9","source":"Crossref","is-referenced-by-count":14,"title":["Ischemic Preconditioning during the Use of the Percusurge Occlusion Balloon for Carotid Angioplasty and Stenting"],"prefix":"10.1177","volume":"16","author":[{"given":"Peter L.","family":"Faries","sequence":"first","affiliation":[{"name":"*Division of Vascular Surgery, Mount Sinai School of Medicine, New York Presbyterian Hospital, Cornell University, Weill Medical School and Columbia University, College of Physicians and Surgeons, New York, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"DeRubertis","sequence":"additional","affiliation":[{"name":"*Division of Vascular Surgery, Mount Sinai School of Medicine, New York Presbyterian Hospital, Cornell University, Weill Medical School and Columbia University, College of Physicians and Surgeons, New York, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Trocciola","sequence":"additional","affiliation":[{"name":"*Division of Vascular Surgery, Mount Sinai School of Medicine, New York Presbyterian Hospital, Cornell University, Weill Medical School and Columbia University, College of Physicians and Surgeons, New York, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Karwowski","sequence":"additional","affiliation":[{"name":"*Division of Vascular Surgery, Mount Sinai School of Medicine, New York Presbyterian Hospital, Cornell University, Weill Medical School and Columbia University, College of Physicians and Surgeons, New York, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. Craig","family":"Kent","sequence":"additional","affiliation":[{"name":"*Division of Vascular Surgery, Mount Sinai School of Medicine, New York Presbyterian Hospital, Cornell University, Weill Medical School and Columbia University, College of Physicians and Surgeons, New York, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rabih A.","family":"Chaer","sequence":"additional","affiliation":[{"name":"*Division of Vascular Surgery, Mount Sinai School of Medicine, New York Presbyterian Hospital, Cornell University, Weill Medical School and Columbia University, College of Physicians and Surgeons, New York, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,2]]},"reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199108153250701"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.273.18.1421"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.95.2.376"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/152660289600300112"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.201.3.8939208"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)04893-5"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.103.4.532"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.10645"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/152660280100800106"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/152660280200900102"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(98)70027-8"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(98)70363-5"},{"key":"e_1_3_1_14_2","first-page":"673","article-title":"Awake patient monitoring to determine the need for shunting during carotid endarterectomy","volume":"114","author":"Benjamin ME","year":"1993","unstructured":"BenjaminMESilvaMBJrWattCAwake patient monitoring to determine the need for shunting during carotid endarterectomySurgery19931146739","journal-title":"Surgery"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s100169910026"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(94)70008-7"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/096721090000800605"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2000.109209"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.129488"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000081000.23561.61"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/096721090201000312"},{"key":"e_1_3_1_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(97)01346-5"},{"key":"e_1_3_1_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(94)91940-2"},{"issue":"6","key":"e_1_3_1_24_2","first-page":"H1470","article-title":"Preconditioning of ischemic myocardium: reperfusion-induced arrhythmias","volume":"253","author":"Shiki K","year":"1987","unstructured":"ShikiKHearseDJPreconditioning of ischemic myocardium: reperfusion-induced arrhythmiasAm J Physiol19872536 Pt 2H14706","journal-title":"Am J Physiol"},{"key":"e_1_3_1_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-003-6861-7"},{"key":"e_1_3_1_26_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.119.4.1061"},{"key":"e_1_3_1_27_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.84.1.341"},{"key":"e_1_3_1_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)00559-7"},{"key":"e_1_3_1_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(97)00104-5"},{"key":"e_1_3_1_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001756-199801260-00026"},{"key":"e_1_3_1_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/0006-8993(91)91596-S"},{"key":"e_1_3_1_32_2","doi-asserted-by":"publisher","DOI":"10.1038\/jcbfm.1994.68"},{"key":"e_1_3_1_33_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004647-199702000-00007"},{"key":"e_1_3_1_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0006-8993(96)00939-0"},{"key":"e_1_3_1_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0163-7258(00)00045-0"},{"key":"e_1_3_1_36_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jcbfm.9600194"},{"key":"e_1_3_1_37_2","doi-asserted-by":"publisher","DOI":"10.1006\/jmcc.2001.1462"},{"key":"e_1_3_1_38_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1681.2005.04154.x"},{"key":"e_1_3_1_39_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000066870.70976.57"},{"key":"e_1_3_1_40_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrn1408"},{"key":"e_1_3_1_41_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2003.015875"},{"key":"e_1_3_1_42_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000115767.17923.6A"},{"key":"e_1_3_1_43_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2005.02.038"},{"key":"e_1_3_1_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(99)00070-8"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.2310\/6670.2008.00012","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.2310\/6670.2008.00012","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.2310\/6670.2008.00012","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T02:29:44Z","timestamp":1777602584000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.2310\/6670.2008.00012"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,2]]},"references-count":43,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2008,2]]}},"alternative-id":["10.2310\/6670.2008.00012"],"URL":"https:\/\/doi.org\/10.2310\/6670.2008.00012","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"value":"1708-5381","type":"print"},{"value":"1708-539X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,2]]}}}