The risk of cerebral embolism after carotid artery stenting (CAS) in patients with carotid intraplaque hemorrhage (IPH) is still controversial. This study further investigated the relationship between IPH and new ipsilateral ischemic lesions (NIIL) after CAS, and performed a volumetric MRI analysis of IPH for predicting the risk of NIIL following CAS. We confirm that carotid IPH is associated with the incidence of NIIL following CAS. Quantification of IPH volume with MRI can be useful for predicting the risk of NIIL after CAS.
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