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ReplyLETTER

Reply:

O. Petr, W. Brinjikji, M.H. Murad, B. Glodny and G. Lanzino
American Journal of Neuroradiology November 2017, 38 (11) E98; DOI: https://doi.org/10.3174/ajnr.A5435
O. Petr
aDepartment of Neurologic Surgery Mayo Clinic Rochester, Minnesota
bDepartment of Neurosurgery Medical University Innsbruck Innsbruck, Austria
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W. Brinjikji
cDepartment of Radiology Mayo Clinic Rochester, Minnesota
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M.H. Murad
dDivision of Preventive Medicine Mayo Clinic Rochester, Minnesota
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B. Glodny
eDepartment of Radiology Medical University Innsbruck Innsbruck, Austria
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G. Lanzino
fDepartments of Neurologic Surgery and Radiology Mayo Clinic Rochester, Minnesota
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We would like to thank Drs Pelz and Lownie for their interest in our article.1 The literature search for this study was designed to include all studies published through January 2015, before the publication of their article titled “Plaque Morphology (the PLAC Scale) on CT Angiography: Predicting Long-Term Anatomical Success of Primary Carotid Stenting.”2 We have read with interest their article and believe it is a valuable read for those involved in carotid stent placement procedures. In their article, the authors reported that stent placement, without angioplasty, of soft plaques (ie, those with no or minimal calcification) can result in good long-term anatomic outcomes. On the other hand, carotid plaques that are heavily calcified require angioplasty and stent placement or carotid endartectomy for good anatomic results. We thank the authors for their valuable contribution to the literature and look forward to seeing more of their work.

References

  1. 1.↵
    1. Petr O,
    2. Brinjikji W,
    3. Murad MH, et al
    . Selective-versus-standard poststent dilation for carotid artery disease: a systematic review and meta-analysis. AJNR Am J Neuroradiol 2017;38:999–1005 doi:10.3174/ajnr.A5103 pmid:28302610
    Abstract/FREE Full Text
  2. 2.↵
    1. Pelz DM,
    2. Lownie SP,
    3. Lee DH,
    4. Boulton M
    . Plaque morphology (the PLAC Scale) on CT angiography: predicting long-term anatomical success of primary carotid stenting. J Neurosurg 2015;123:856–61 doi:10.3171/2014.9.JNS14811 pmid:25816084
    CrossRefPubMed
  • © 2017 by American Journal of Neuroradiology
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American Journal of Neuroradiology: 38 (11)
American Journal of Neuroradiology
Vol. 38, Issue 11
1 Nov 2017
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O. Petr, W. Brinjikji, M.H. Murad, B. Glodny, G. Lanzino
American Journal of Neuroradiology Nov 2017, 38 (11) E98; DOI: 10.3174/ajnr.A5435

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Reply:
O. Petr, W. Brinjikji, M.H. Murad, B. Glodny, G. Lanzino
American Journal of Neuroradiology Nov 2017, 38 (11) E98; DOI: 10.3174/ajnr.A5435
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