Atherosclerotic Plaque Vulnerability as an Explanation for the Increased Risk of Stroke in Elderly Undergoing Carotid Artery Stenting
Author(s) -
Guus W. van Lammeren,
B.L. Reichmann,
Frans L. Moll,
Michiel L. Bots,
Dominique P.V. de Kleijn,
JeanPaul P.M. de Vries,
Gerard Pasterkamp,
Gert J. de Borst
Publication year - 2011
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.110.607382
Subject(s) - medicine , stroke (engine) , cardiology , carotid arteries , vulnerability (computing) , carotid stenting , carotid endarterectomy , mechanical engineering , engineering , computer security , computer science
Recent randomized trials showed an increased periprocedural risk for stroke with increasing age in patients undergoing carotid artery stenting. Manipulation of atherosclerotic plaques during carotid artery stenting can result in plaque rupture with subsequent superimposed thrombus formation, embolization, and cerebrovascular events. We hypothesized that atherosclerotic plaques become more unstable with increasing age and thereby might provide insight into the age-related increased risk of cerebrovascular events during carotid artery stenting.
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