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Comment & Response |

Hemodynamics in Symptomatic Atherosclerotic Vertebrobasilar Occlusive Disease

Brian P. Walcott, MD1; Omar Choudhri, MD1; Michael T. Lawton, MD1
[+] Author Affiliations
1Department of Neurological Surgery, University of California–San Francisco
JAMA Neurol. 2016;73(6):759. doi:10.1001/jamaneurol.2016.0524.
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To the Editor Amin-Hanjani el al1 identified an important distinction in the natural history of atherosclerotic vertebrobasilar occlusive disease by separating the diagnosis of stenosis/occlusion with hemodynamic insufficiency. Could this be used to stratify patients more likely to benefit from intervention? Cautious optimism exists in the shadow of previous attempts to justify interventions based on hemodynamic compromise, like the Carotid Occlusion Surgery Study.2


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June 1, 2016
Fady T. Charbel, MD; Sepideh Amin-Hanjani, MD
1Department of Neurosurgery, University of Illinois at Chicago
JAMA Neurol. 2016;73(6):759-760. doi:10.1001/jamaneurol.2016.0527.
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