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PubMed · 16144083

My uncle had a stroke, and it scared me. What can I do to decrease the possibility that it might happen to me?

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2002. My uncle had a stroke, and it scared me. What can I do to decrease the possibility that it might happen to me?. https://pubmed.ncbi.nlm.nih.gov/16144083/

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Restenosis after carotid endarterectomy.

Multiple randomised trials over the last decade for both symptomatic and asymptomatic carotid stenosis have proven the efficacy of carotid endarterectomy (CE) in reducing the risk of stroke. The long-term patency of the carotid artery after CE is an important factor in the success of the operation. The incidence of recurrent carotid stenosis (excluding residual lesions) ranges from 1 to 37% with only 0-8% of patients having restenosis-related symptoms (1). Generally, recurrent carotid stenosis is attributed to myointimal hyperplasia during the early postoperative period (within 3 years) or recurrent atherosclerosis thereafter. The management of recurrent carotid stenosis after CE remains a dilemma. It is generally accepted that operation for significant recurrent carotid stenosis is indicated for symptomatic patients, and several authors also recommend CE for >80% asymptomatic recurrent stenosis. Treatment of recurrent carotid stenosis involves repeat endarterectomy with patch angioplasty, although more recently endovascular techniques have been used.

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[Unilateral ocular ischemic syndrome in a diabetic patient].

PURPOSE: To report a case of ocular ischemic syndrome in a diabetic patient. METHODS: The patient's main complaint was an insidious unilateral decrease in visual acuity of the right eye. This diabetic 60-year-old patient presented numerous vascular risk factors. RESULTS: Diagnosis was suspected from the fundus examination and was confirmed on ultrasonic carotid imaging combined with MR angiography showing a significant internal carotid artery stenosis. CONCLUSION: This case should remind clinicians to be cautious when dealing with any asymmetric ophthalmological exam. The diagnosis of ocular ischemic syndrome has to be suspected in case of unilateral retinal ischemia.

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