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Specialty: Surgery
Condition: Ischemic Stroke
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Total 872 results found since Jan 2013.
Multivariable Analysis of Pre-operative Brain Atrophy as a Predictor of Long Term Mortality After Carotid Endarterectomy
Brain atrophy is associated with an increased mortality rate in elderly trauma patients and in patients treated with mechanical thrombectomy for acute ischaemic stroke. In the setting of ischaemic stroke, the association between brain atrophy and death is stronger than that of sarcopenia. It has previously been shown that lower masseter area, as a marker of sarcopenia, is linked to lower survival after carotid endarterectomy (CEA). The aim of this study was to investigate whether brain atrophy is also associated with long term mortality in patients undergoing CEA.
Source: European Journal of Vascular and Endovascular Surgery - October 6, 2022 Category: Surgery Authors: Iisa Lauksio, Linda Wallenius, Iisa Lindstr öm, Jussi M. Kärkkäinen, Niina Khan, Jussi Hernesniemi, Sara Protto, Niku K.J. Oksala Source Type: research
Modifiable risk factors for occurrence of ipsilateral ischemic events after carotid endarterectomy beyond perioperative period
The purpose of this study was to quantify the effects of several modifiable variables on the occurrence of stroke after the initial perioperative period for patients who had undergone carotid endarterectomy (CEA).
Source: Journal of Vascular Surgery - September 28, 2022 Category: Surgery Authors: Matthew Blecha, Matthew DeJong, Janice Nam, Ashley Penton Source Type: research
The Marsden Morbidity Index: the derivation and validation of a simple risk index scoring system using cardiopulmonary exercise testing variables to predict morbidity in high-risk patients having major cancer surgery
ConclusionOur study showed that of the CPET variables, AT, VO2 max, and AT VE/VCO2 were shown to be associated with postoperative surgical morbidity following major abdominal oncological surgery. When combined with a number of preoperative comorbidities commonly associated with increased risk of postoperative morbidity, we created a useful institutional scoring system for predicting which patients will experience adverse events. However, this system needs further validation in other centres performing oncological surgery.
Source: Perioperative Medicine - September 22, 2022 Category: Surgery Source Type: research
Treatment Of An Extracranial Carotid Artery Aneurysm With Flow Diverter Stents And Coil Embolization
Extracranial carotid artery aneurysms (ECAAs) are uncommon. Although the true incidence and natural history of ECAAs are largely unknown, case series report a high risk of transient ischemic attack, stroke, or rupture if left untreated. Open surgical repair and endovascular therapy are both reasonable options depending on the size and location of the aneurysm.
Source: Journal of Vascular Surgery - September 20, 2022 Category: Surgery Authors: Brian Wheatley Source Type: research
Simultaneous acute cardio-cerebral infarction associated with isolated left ventricle non-compaction cardiomyopathy
CONCLUSION: To the best of the author's knowledge, this is the first reported case of cardiocerebral infraction (CCI) in the setting of non-compaction left ventricle. Early and precise diagnosis is critical to the successful management of these conditions.PMID:36045823 | PMC:PMC9422203 | DOI:10.1016/j.amsu.2022.104172
Source: Hand Surgery - September 1, 2022 Category: Surgery Authors: Ishak Ahmed Abdi Mesut Karata ş Ahmed Elmi Abdi Mohamed Sheikh Hassan Mohamed Farah Yusuf Mohamud Source Type: research
Risk of bleeding complications per different perioperative antithrombotic regimes during carotid endarterectomy: a national registry analysis
CONCLUSION: The effectiveness and safety of DAPT did not differ from single antiplatelet therapy (SAPT) in patients undergoing CEA and needs further evaluation in prospective studies. Considering additional data from the literature and guideline recommendations DAPT should be started immediately after stroke until 30 days after CEA followed by SAPT, due to possible reduction in the risk of recurrency.PMID:36031046 | DOI:10.1016/j.ejvs.2022.08.020
Source: PubMed: Eur J Vasc Endovasc ... - August 28, 2022 Category: Surgery Authors: Simone Ja Donners Joost M Mekke Eline S van Hattum Raechel J Toorop Gert J de Borst Dutch Audit for Carotid Interventions (DACI) Collaborators Source Type: research
Risk of Bleeding Complications With Different Peri-Operative Antithrombotic Regimens During Carotid Endarterectomy: a National Registry Analysis
Antithrombotic therapy is one of the cornerstones of the prevention of (recurrent) ocular or cerebral ischaemic events in patients with carotid artery stenosis. Randomised controlled trials on antithrombotic therapy for patients with minor ischaemic stroke and transient ischaemic attack (TIA) have recommended dual antiplatelet therapy (DAPT) in the three weeks following the index event. However, these trials excluded patients undergoing carotid revascularisation. To date, the optimal antithrombotic therapy during the peri-operative period of carotid endarterectomy (CEA) remains unclear.
Source: European Journal of Vascular and Endovascular Surgery - August 28, 2022 Category: Surgery Authors: Simone J.A. Donners, Joost M. Mekke, Eline S. van Hattum, Raechel J. Toorop, Gert J. de Borst, Dutch Audit for Carotid Interventions (DACI) Collaborators Source Type: research
Editor's Choice – Risk of Bleeding Complications With Different Peri-Operative Antithrombotic Regimens During Carotid Endarterectomy: a National Registry Analysis
Antithrombotic therapy is one of the cornerstones of the prevention of (recurrent) ocular or cerebral ischaemic events in patients with carotid artery stenosis. Randomised controlled trials on antithrombotic therapy for patients with minor ischaemic stroke and transient ischaemic attack (TIA) have recommended dual antiplatelet therapy (DAPT) in the three weeks following the index event. However, these trials excluded patients undergoing carotid revascularisation. To date, the optimal antithrombotic therapy during the peri-operative period of carotid endarterectomy (CEA) remains unclear.
Source: European Journal of Vascular and Endovascular Surgery - August 28, 2022 Category: Surgery Authors: Simone J.A. Donners, Joost M. Mekke, Eline S. van Hattum, Raechel J. Toorop, Gert J. de Borst, Dutch Audit for Carotid Interventions (DACI) Collaborators Source Type: research
Outcomes of upper access with surgical exposure of the axillary artery in fenestrated and branched endovascular aneurysm repair
CONCLUSIONS: Upper access with surgical exposure of the axillary artery is a safe method for antegrade catheterization of fenestrations and branches in complex endovascular aneurysm repair.PMID:35963515 | DOI:10.1016/j.ejvs.2022.07.052
Source: PubMed: Eur J Vasc Endovasc ... - August 13, 2022 Category: Surgery Authors: Pablo Marques de Marino Maike Hagen Athanasios Katsargyris Balazs Botos Eric L Verhoeven Source Type: research
Cardiac Thrombogenicity in Stroke: Mechanisms and Evaluation
At the European Society for Vascular Surgery 36th Annual Meeting, a session on Heart, stroke and the vascular surgeon addresses the importance of identifying cardiac thrombogenicity in the evaluation of ischemic stroke risk.
Source: European Journal of Vascular and Endovascular Surgery - August 1, 2022 Category: Surgery Authors: Magnus B äck, Wolfram Doehner Tags: Editorial Source Type: research
TEVAR with Supra-Aortic Trunk Revascularization is Associated with Increased Risk of Periprocedural Ischemic Stroke
Ischemic stroke is a devastating complication of thoracic endovascular aortic repair (TEVAR). This risk may be higher in more proximal aneurysms that require arch manipulation. The purpose of this study was to (1) describe 30-day stroke and death rates in patients undergoing TEVAR, (2) compare stroke rates in patients undergoing TEVAR for arch versus descending aneurysm pathology, and (3) identify predictive factors associated with stroke after TEVAR.
Source: Annals of Vascular Surgery - July 11, 2022 Category: Surgery Authors: Ruojia Debbie Li, Matthew C. Chia, Mark K. Eskandari Tags: Clinical Research Source Type: research
Thoracic Endovascular Aortic Repair with Supra-Aortic Trunk Revascularization is Associated with Increased Risk of Periprocedural Ischemic Stroke
Ischemic stroke is a devastating complication of thoracic endovascular aortic repair (TEVAR). This risk may be higher in more proximal aneurysms that require arch manipulation. The purpose of this study is to (1) describe 30-day stroke and death rates in patients undergoing TEVAR, (2) compare stroke rates in patients undergoing TEVAR for arch versus descending aneurysm pathology, and (3) identify predictive factors associated with stroke after TEVAR.
Source: Annals of Vascular Surgery - July 11, 2022 Category: Surgery Authors: Ruojia Debbie Li, Matthew C. Chia, Mark K. Eskandari Tags: Clinical Research Source Type: research
