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Predictors of acute and persisting ischemic brain lesions in patients randomized to carotid stenting or endarterectomy. We investigated predictors for acute and persisting periprocedural ischemic brain lesions among patients with symptomatic carotid stenosis randomized to stenting or endarterectomy in the International Carotid Stenting Study. We assessed acute lesions on diffusion-weighted imaging 1 to 3 days after treatment in stenting and endarterectomy patients and lesions persisting on fluid-attenuated inversion recovery after 1 month in 86 and 75 patients, respectively. Stenting patients had more acute relative risk, 8. The rate of conversion from acute to persisting lesions was lower in the stenting group relative risk, Chubby escort Erkrath. Stenting caused more acute and persisting ischemic brain lesions than endarterectomy.

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Therefore, it is important to classify high risk patients and consider underlying disability and life expectancy of very elderly patients before deciding whether to undergo a carotid intervention.

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