External carotid artery to internal carotid artery transposition to augment flow for a superficial temporal artery to middle cerebral artery bypass associated with severe external carotid artery stenosis

ConclusionThis case is the first report of an ECA to internal carotid artery transposition as an option in the management of ECA stenosis in preparation for an STA-MCA bypass for the purpose of flow augmentation.
Source: Acta Neurochirurgica - Category: Neurosurgery Source Type: research

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Conclusions: Individuals without a previous contralateral endarterectomy and/or history of diabetes are at lower risk of hemodynamic instability. The addition of computed tomography angiographic variables does not improve this prediction. Future prospective, randomized work is required to improve our ability to identify and treat individuals at high risk of instability during carotid angioplasty and stenting.
Source: Journal of Neurosurgical Anesthesiology - Category: Anesthesiology Tags: Clinical Investigations Source Type: research
Transcarotid artery revascularization (TCAR) has been shown to have increasingly promising outcomes compared with transfemoral carotid artery stenting and carotid artery endarterectomy. At present, the standard practice is to obtain two two-dimensional angiographic views separated by 90 ° to evaluate stent deployment. Suboptimal stent deployment, poor stent apposition, or residual vessel stenosis are potential factors that can poorly affect the outcome. Postdilatation angioplasty can often correct these issues; however, it can be associated with a greater risk of embolic events.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: IP: Interactive Poster Session Source Type: research
CONCLUSIONS: This study demonstrates successful use of an augmented reality tele-proctoring platform to guide a neuro-endovascular fellow through complex neuro-interventional procedures from a remote setting.PMID:34346826 | DOI:10.1177/15910199211035304
Source: Interventional Neuroradiology - Category: Radiology Authors: Source Type: research
CONCLUSION: Long-term hemodynamic adaptations post-pipeline embolization device demonstrate decreased wall shear stress and decreased mean and diastolic flow velocities in the distal middle cerebral artery, which suggest decreasing velocity of blood flow with endothelialization of the device. Furthermore, follow-up NOVA is a useful tool for detecting potential flow-related complications such as in-stent stenosis.PMID:34346801 | DOI:10.1177/15910199211034668
Source: Interventional Neuroradiology - Category: Radiology Authors: Source Type: research
Tandem carotid artery stenoses, one at the carotid bifurcation and one more proximal in the common carotid artery or innominate artery, are rare. I suspect that their incidence may increase with the ubiquitous availability of computed tomography angiography. Treatment of these lesions with a hybrid approach with stent placement or angioplasty of the proximal lesion and open endarterectomy of the carotid bifurcation was first reported in 1996.1 A prior meta-analysis showed excellent results.2 More recent reports have urged caution because the stroke and death rate were almost reaching unacceptable levels.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Invited commentary Source Type: research
We report a rare case of a patient with TA initially presenting with AIS treated with bridging therapy with full recovery of neurological function. Bridging therapy should be taken into consideration for AIS in patients with TA. Further study is needed in this regard.
Source: Frontiers in Immunology - Category: Allergy & Immunology Source Type: research
Resumo Fundamento: A incid ência de reestenose da artéria coronária após o implante de um stent não farmacológico é mais baixa que na angioplastia com balão; no entanto, ainda apresenta altas taxas. Objetivo: O objetivo deste estudo foi identificar novos indicadores de risco para reestenose de stent usando ultrassono grafia das carótidas que, em conjunto com indicadores já existentes, ajudariam na escolha do stent. Métodos: Realizamos um estudo prospectivo transversal incluindo 121 pacientes consecutivos com doença arterial coronariana que f...
Source: Arquivos Brasileiros de Cardiologia - Category: Cardiology Source Type: research
Resumo Fundamento: A incid ência de reestenose da artéria coronária após o implante de um stent não farmacológico é mais baixa que na angioplastia com balão; no entanto, ainda apresenta altas taxas. Objetivo: O objetivo deste estudo foi identificar novos indicadores de risco para reestenose de stent usando ultrassono grafia das carótidas que, em conjunto com indicadores já existentes, ajudariam na escolha do stent. Métodos: Realizamos um estudo prospectivo transversal incluindo 121 pacientes consecutivos com doença arterial coronariana que f...
Source: Arquivos Brasileiros de Cardiologia - Category: Cardiology Source Type: research
ConclusionCerebral diagnostic angiography has become more available and frequent because of the rising in endovascular tools to treat stroke patients. Considering this new variation and others is important to discard pathology.
Source: Surgical and Radiologic Anatomy - Category: Anatomy Source Type: research
CONCLUSION: In follow-up of long-term breast cancer survivors with node irradiation, myocardial infarction is treated even if radiotherapy is forgotten, while recognition and diagnosis of chronic arm ischemia due to subclavian artery stenosis needs to be improved for appropriate therapeutic management. PMID: 33515666 [PubMed - as supplied by publisher]
Source: Radiotherapy and Oncology : journal of the European Society for Therapeutic Radiology and Oncology - Category: Radiology Authors: Tags: Radiother Oncol Source Type: research
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