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• W2185036385 abstract "Carotid artery disease is a major cause of ischemic stroke. Many stenoses are inaccessible surgically and many patients are considered high risk to undergo carotid endarterectomy (CEA). Carotid artery stenting (CS) is an evolving technique for the treatment of carotid artery disease and is the leading alternative to CEA. Diffusion weighted MRI (DWI) offers the possibility of making even small and therefore asymptomatic distal embolic lesions visible. We prospectively examined 14 patients who underwent CEA and 12 patients who underwent CS from September 2004 to August 2005. DWI was performed on the day before as well as the day after the intervention. Distal embolic lesions were detected at DWI in one patient of CEA group and in one of CS group, which revealed no statistical difference. No post procedural complication was observed. We observed no significant difference regarding post-interventional DWI-lesions. Therefore CEA as well CS are suitable methods for treatment of carotid artery stenosis and DWI studies should serve as an additional surrogate endpoint of further studies to enable an objective comparison of both methods. (Anatol J Clin Investig 2009:3(1):4-9). Ozet Karotid arter hastaligi iskemik inmenin onemli bir sebebidir. Bircok darlik cerrahi mudahale s i n i r i disindadir ve yine bircok hasta icin carotid endarterektomi (CEA) ameliyati yuksek risklidir. Carotid arter stentlemesi (CS) carotid arter darliginin tedavisinde gelismeler gosteren bir tekniktir ve CEA icin guclu bir alternatiftir. Difuzyon agirlikli manyetik rezonans goruntuleme (DWI) kucuk bile olsalar distal embolik lezyonalrin goruntulenmesi ne olanak tanimaktadir. Eylul 2004 ila A gustos 2005 arasi prospektif olarak CEA olan 14 ve CS yap ilan 12 hasta incelenmistir. Bu hastalara islemden bir gun once ve bir gun sonra DWI yapilmistir. CEA grubunda bir hastada ve CS grubunda bir hastada DWI ile distal embolik lezyon gozlenmistir ki bu istatistiksel bir fark teskil etmemektedir. Islem sonrasi komplikasyon gozlenmemistir. Islem sonrasi DWI lezyonlari bakimindan bir fark gozlenmemistir. Hem CEA hem CS carotid arter darliklari icin uygun tedavi yontemleridir ve DWI calismalari her iki yontemin objektif karsilastirilmasi icin iyi bir son nokta olarak ortaya cikmaktadir. (Anatol J Clin Investig 2009:3(1):4-9)." @default.
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• W2185036385 date "2009-01-01" @default.
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• W2185036385 title "DIFFUSION-WEIGHTED MAGNETIC RESONANCE IMAGING: COMPARISON OF OUTCOME IN CAROTID ARTERY STENOSIS TREATMENT WITH DIFFERENT APPROACHES DİFÜZYON AĞIRLIKLI MANYETİK REZONANS GÖRÜNTÜLEME: FARKLI YÖNTEMLERLE YAPILAN KAROTİD ARTER DARLIKLARININ TEDAVİSİNDEKİ SONUÇLARIN KARŞILAŞTIRILMASI" @default.
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