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The Impact of Full Collapse on the Risk of Ischaemic Stroke in Patients with Carotid Near Occlusion
Carotid near occlusion (CNO) is a severe carotid stenosis associated with a reduction in the calibre of the extracranial internal carotid artery distal to the stenosis.1 The risk of ipsilateral stroke in patients with CNO is a controversial issue. While a post hoc analysis of the North American Symptomatic Carotid Endarterectomy Trial (NASCET) and the European Carotid Surgery Trial (ECST) reported a lower risk of ipsilateral stroke for medically treated patients with CNO compared with patients with severe (70 –99%) carotid stenosis2, more recent studies have shown that the CNO recurrence rate may be higher.
Source: European Journal of Vascular and Endovascular Surgery - April 20, 2023 Category: Surgery Authors: Andr és García-Pastor, Ana Iglesias-Mohedano, Antonio Gil-Núñez Tags: Editorial Source Type: research

Does bariatric surgery change the risk of acute ischemic stroke in patients with a history of transient ischemic attack? A nationwide analysis
CONCLUSIONS: After analyzing nationwide information, we conclude bariatric surgery helps decrease risk of AIS in patients with a history of TIA. However, this comparison is limited by the nature of the database; further studies are needed to better understand these results.PMID:36581552 | DOI:10.1016/j.soard.2022.11.013
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - December 29, 2022 Category: Surgery Authors: Roberto J Valera Cristina Botero-Fonnegra Vicente J Cogollo Mauricio Sarmiento-Cobos Lisandro Montorfano Carlos Rivera Liang Hong Emanuele Lo Menzo Samuel Szomstein Raul J Rosenthal Source Type: research

Does Bariatric Surgery Change the Risk of Acute Ischemic Stroke in Patients with History of Transient Ischemic Attack? A Nationwide Analysis
Academic Hospital, United States.
Source: Surgery for Obesity and Related Diseases - November 22, 2022 Category: Surgery Authors: Roberto J. Valera, Cristina Botero-Fonnegra, Vicente J. Cogollo, Mauricio Sarmiento-Cobos, Lisandro Montorfano, Carlos Rivera, Liang Hong, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: Original articles Source Type: research

Embolic protection devices for carotid artery stenting: A network meta-analysis
CONCLUSIONS: PB deployment during CAS is superior to DF and DB in preventing distal embolization phenomena. However, no statistically significant difference in TIA and stroke rate was found among any of the analyzed EPD groups. Further research is warranted to investigate the association of embolic phenomena on imaging after CAS with clinically significant neurologic deficits.PMID:36394946 | DOI:10.1177/17085381221140616
Source: Vascular - November 17, 2022 Category: Surgery Authors: Stefanos Giannopoulos Marios Sagris Spyridon Giannopoulos Andreas Tzoumas Damianos G Kokkinidis Pavlos Texakalidis George Koutsias Panagiotis Volteas Li Jing Rafael D Malgor Source Type: research

Predicting Transcarotid Artery Revascularization adverse outcomes by Imaging Characteristics
Approximately 20-30% of ischemic strokes are caused by internal carotid artery stenosis. Stroke is the leading cause of disability and the second leading cause of death in the United States. Second generation Trans Carotid Arterial Revascularization (TCAR) stenting, using the ENROUTE flow reversal technology to prevent embolic stroke during the stenting process, has demonstrated stroke and death outcomes equivalent to CEA with reduced cranial nerve injury. However, at present, it is not known whether imaging characteristics obtained pre-operatively can predict outcomes of TCAR procedures.
Source: Annals of Vascular Surgery - June 14, 2022 Category: Surgery Authors: Elizabeth Blears, Sefali Patel, Mark Doyle, Nicholas Lombardi, Satish Muluk Tags: Clinical Research Source Type: research

Predictors of change in cardiovascular disease risk and events following gastric bypass: a 7-year prospective multicenter study
CONCLUSION: This study identified multiple presurgery factors that characterize patients who may have more cardiovascular benefit from RYGB, and patients who might require additional support to improve their cardiovascular health.PMID:33582036 | DOI:10.1016/j.soard.2020.12.013
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - February 14, 2021 Category: Surgery Authors: Amanda S Hinerman Samar R El Khoudary Abdus S Wahed Anita P Courcoulas Emma J M Barinas-Mitchell Wendy C King Source Type: research

Reply
I am pleased Ross Naylor is of the opinion that I have built a convincing case with respect to the implications of increasing stenosis severity in asymptomatic patients with carotid stenosis. Furthermore, it is difficult to refute the statement that carotid interventions are not undertaken to prevent transient ischemic attack (TIA). Virtually all natural history studies (Asymptomatic Carotid Stenosis and Risk of Stroke [ACSRS], North American Symptomatic Carotid Endarterectomy Trial [NASCET]) including ours (see Conrad, reference 3) have indicated that the index neurologic event in previously asymptomatic patients is as li...
Source: Journal of Vascular Surgery - July 20, 2018 Category: Surgery Authors: Richard P. Cambria Tags: Letter to the Editor Source Type: research

The effects of centralisation of vascular surgical services in the Bath, Bristol and Weston area on the carotid endarterectomy pathway.
Conclusion Centralisation has not significantly impacted the overall efficiency of the carotid endarterectomy pathway. This study highlights areas where improvement across the vascular network is required. This includes addressing the 35% patients that are not currently meeting the 14-day target and standardising the provision of care to outlying communities. Further follow-up is required to assess the longer term effects of centralisation. PMID: 28682128 [PubMed - as supplied by publisher]
Source: Annals of the Royal College of Surgeons of England - July 6, 2017 Category: Surgery Authors: Partridge E, Brooks M, Curd C, Davis V, Oates C, McGeeney D Tags: Ann R Coll Surg Engl Source Type: research