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Phase-velocity mapping (b) was performed during hand-grasp exercise to determine if there was significant vertebral steal syndrome. This demonstrated caudal flow in the left vertebral artery during systole, with cranial flow in the right vessels and left An atlas of contrast-enhanced angiography 36 carotid artery. 16 Surface-rendered three-dimensional contrast-enhanced MRA in the left lateral view acquired in a patient with aortic coarctation repaired 20 years earlier using Dacron patch, and presented with hemoptesis (a) The initial study showed a false aneurysm caused by rupture of the distal sutures of the Dacron patch (arrow); (b) following resection of the false aneurysm and insertion of a Dacron tube (arrow) REFERENCES 1.

Am J Cardiol 1995; 75:455–9 11. Gorelick PB. The status of alcohol as a risk factor for stroke [Review]. Stroke 1989; 20:1607–10 12. Camargo CA Jr. Moderate alcohol consumption and stroke: the epidemiologic evidence [Review]. Stroke 1989; 20:1611–26 13. Palomaki H, Kaste M. Regular light-to-moderate intake of alcohol and the risk of ischemic stroke: is there a beneficial effect? Stroke 1993; 24:1828–32 14. Antiplatelet Trialists’ Collaboration. Collaborative overview of randomised trials of antiplatelet therapy, I: prevention of death; myocardial infarction, and stroke by prolonged antiplatelet therapy in various categories of patients.

The European Carotid Surgery Trialists Collaborative Group was a multicenter trial of carotid endarterectomy for patients who, after a carotid territory non-disabling ischemic stroke, transient ischemic attack or retinal infarct, were found to have a stenosis in the relevant (ipsilateral) carotid artery27. The study included 2295 patients. 4%). Surgical intervention can therefore be recommended if there is a carotid artery stenosis of greater than 60% and if the patient (and surgeon) has a low surgical risk, and possibly for patients with a stenosis of more than 75% if the surgical risk is moderate.

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