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Patent Without Significant Stenosis In California
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Multi-State
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US-000281
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Significant Stenosis Defined as. 75% or Greater Narrowing. The distribution of patients with no, one-, two- and. three-vessel and LMCA disease when significant.
These organizations suggest that stenoses above 50% should be graded within a range (i.e., 50–69% or 70% to near occlusion) to provide adequate information for clinical decision making.
A grade of patent without stenosis was given to any vessel displaying no or only minor disturbances in color-flow characteristics and no stenoses of ≥50%. A grade of patent with stenosis was assigned to any vessel displaying moderate or severe disturbances in color-flow characteristics and a stenosis of ≥50%.
The clinically important degree of stenosis is considered the percentage of stenosis that corresponds to a substantial increased risk for stroke. The USPSTF recommendations3 consider 60 to 99 percent stenosis to be clinically important.
Significant stenosis was defined as 50%or greater. Lesions in the anterolateral, posterior left ven- tricular and marginal branches of the three major cor- onary arteries were only defined as obstruction of their. associated major vessels if the branches were large.
Surgery is usually advised for carotid narrowing of more than 70%. Surgical treatment decreases the risk for stroke after symptoms such as TIA or minor stroke. Surgical treatment of carotid artery stenosis includes: Carotid endarterectomy (CEA).