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Specialty: Surgery
Condition: Ischemic Stroke
Procedure: Carotid Endarterectomy

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Total 256 results found since Jan 2013.

Carotid Endarterectomy Using a Flow-Reversal Technique in the Acute Period: A  Novel Approach That May Reduce Intraoperative Cerebral Events
Lesion manipulation during internal carotid artery (ICA) surgical dissection is the most crucial stage of carotid endarterectomy (CEA); a friable part of the carotid plaque or a thrombus may detach from the arterial wall, leading to cerebral embolism. Proximal protection devices used in carotid artery stenting reverse the blood flow to the brain eliminating, at least after their deployment, the chance of cerebral embolism. Based on the working principle of these devices, we propose a new approach to CEA making use of a flow-reversal technique, and we report its successful application in 2 high-risk patients with a soft and...
Source: Annals of Vascular Surgery - March 30, 2020 Category: Surgery Authors: Vangelis G. Alexiou, Dimitrios Chatzis, Andreas M. Lazaris, Konstantinos Kondylis, Stylianos G. Koutsias Tags: Selected Technique Source Type: research

Carotid Endarterectomy for Ocular Ischemic Syndrome: A Case Report and Review of the Literature
We present a case of ocular ischemic syndrome successfully treated with carotid endarterectomy, and summarize the current literature regarding management of ocular ischemic syndrome.
Source: Annals of Vascular Surgery - March 20, 2020 Category: Surgery Authors: Alexis L. Lauria, Erin E. Koelling, Paul M. Houghtaling, Paul W. White Tags: Case Report Source Type: research

Timing of procedural stroke and death in asymptomatic patients undergoing carotid endarterectomy: individual patient analysis from four RCTs.
CONCLUSION: At least half of the procedural strokes in this study were ischaemic and ipsilateral to the treated artery. Half of all procedural complications occurred on the day of surgery, but one-third after day 3 when many patients had been discharged. PMID: 32162310 [PubMed - as supplied by publisher]
Source: The British Journal of Surgery - March 11, 2020 Category: Surgery Authors: Poorthuis MHF, Bulbulia R, Morris DR, Pan H, Rothwell PM, Algra A, Becquemin JP, Bonati LH, Brott TG, Brown MM, Calvet D, Eckstein HH, Fraedrich G, Gregson J, Greving JP, Hendrikse J, Howard G, Jansen O, Mas JL, Lewis SC, de Borst GJ, Halliday A, Carotid Tags: Br J Surg Source Type: research

Prognostic Role of Pre-Operative Symptom Status in Carotid Endarterectomy: A Systematic Review and Meta-Analysis.
CONCLUSION: Patients undergoing CEA after a stroke have worse peri-operative outcomes in terms of stroke and death. Further research needs to be performed to ascertain the value of this finding in risk stratification systems and to investigate potential aetiological associations between pre-operative symptom status and peri-operative risk following a CEA. PMID: 32081531 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - February 17, 2020 Category: Surgery Authors: Ball S, Ball A, Antoniou GA Tags: Eur J Vasc Endovasc Surg Source Type: research

Lessons Learned Establishing a 24/7 Rapid Access TIA Service
In 2007, the UK Department of Health (DOH) published its National Stroke Strategy, which detailed 20 quality markers for delivering a high quality stroke service, one of which was that patients suffering a transient ischaemic attack (TIA) or minor stroke should be investigated and treated more quickly after symptom onset.1 Interestingly, the National Stroke Strategy also advised that carotid endarterectomy (CEA) should be performed within 48  h of symptom onset, although no evidence was provided to support this threshold.
Source: European Journal of Vascular and Endovascular Surgery - January 23, 2020 Category: Surgery Authors: Ross Naylor, David Eveson Tags: Editorial Source Type: research

Carotid Endarterectomy and Carotid Artery Stenting for Patients With Crescendo Transient Ischemic Attacks: A Systemic Review
Review of English-language articles published from PubMed (MEDLINE) and Google Scholar between January 1, 1985, and January 1, 2019.
Source: Journal of Vascular Surgery - January 22, 2020 Category: Surgery Authors: A. Fereydooni, J. Gorecka, J. Xu Tags: Crescendo transient ischemic attacks should be treated by carotid endarterectomy within two days – but with increased perioperative stroke risk Source Type: research

Can carotid endarterectomy be performed safely within 14 days after intravenous thrombolysis for acute stroke?
Carotid endarterectomy (CEA) represents a standard procedure in case of symptomatic carotid stenosis of 50-99% within 2 weeks from onset of stroke or transient ischemic symptoms (TIA). The optimal time to perform CEA after Intravenous Thrombolysis (IVT) is still unclear. The aim of this study was to analyze the safety of CEA performed within 2 weeks from IVT.
Source: Annals of Vascular Surgery - January 5, 2020 Category: Surgery Authors: Giuseppe Deiana, Antonio Baule, Patrizia Dalla Caneva, Genadi Genadiev Georgiev, Jorge Samuel Cabrera Morales, Antonio Manca, Stefano Camparini Tags: Clinical Research, Basic Science Source Type: research

Can Carotid Endarterectomy be Performed Safely within 14  days after Intravenous Thrombolysis for Acute Stroke?
Carotid endarterectomy (CEA) represents a standard procedure in case of symptomatic carotid stenosis of 50 –99% within 2 weeks from onset of stroke or transient ischemic attack (TIA) symptoms. The optimal time to perform CEA after intravenous thrombolysis (IVT) is still unclear. The aim of this study was to analyze the safety of CEA performed within 2 weeks from IVT.
Source: Annals of Vascular Surgery - January 5, 2020 Category: Surgery Authors: Giuseppe Deiana, Antonio Baule, Patrizia Dalla Caneva, Genadi Genadiev Georgiev, Jorge Samuel Cabrera Morales, Antonio Manca, Stefano Camparini Tags: Clinical Research Source Type: research

Magnetic Resonance Imaging Identified Brain Ischaemia in Symptomatic Patients Undergoing Carotid Endarterectomy Is Related to Histologically Apparent Intraplaque Haemorrhage
Intraplaque haemorrhage (IPH) has been independently associated with a higher risk of future ipsilateral stroke in patients with carotid artery stenosis. Evaluation of plaque characteristics may contribute to risk assessment of recurrent (silent) cerebrovascular events in order to prioritise patients for timing of treatment. It is unknown if patients showing histologically apparent IPH also have increased risk of silent ischaemic brain lesions in the waiting period between index event and revascularisation.
Source: Journal of Vascular Surgery - December 18, 2019 Category: Surgery Authors: M.L. Rots, N. Timmerman, D.P.V. de Kleijn, G. Pasterkamp, M.M. Brown, L.H. Bonati, G.J. de Borst Source Type: research

Carotid Endarterectomy and Carotid Artery Stenting for Patients With Crescendo Transient Ischemic Attacks: A Systemic Review
Review of English-language articles published from PubMed (MEDLINE) and Google Scholar between January 1, 1985, and January 1, 2019.
Source: Journal of Vascular Surgery - December 18, 2019 Category: Surgery Authors: A. Fereydooni, J. Gorecka, J. Xu, J. Schindler, A. Dardik Tags: Crescendo transient ischemic attacks should be treated by carotid endarterectomy within 2 days —but with increased perioperative stroke risk Source Type: research

Results of Carotid Endarteriectomy under Locoregional Anesthesia in acute Ischemic Stroke with Watershed zone Infarction Population
Introduction: Cerebral border zone infarctions (Watershed infarctions) on the early postoperative outcomes of patient undergoing carotid endarterectomy (CEA) were associated, in several studies, with a higher neurological complication rate. The current hypothesis is that hemodynamic phenomenon is involved. CEA performed under locoregional anesthesia enable to instantly reveal any hemodynamic phenomenon.
Source: European Journal of Vascular and Endovascular Surgery - November 30, 2019 Category: Surgery Authors: Nicolas Bouchareine, Maud Esteban-Madder, Hanan Alhazmi, Philippe Tresson, Nellie Dellaschiava, Antoine Millon Source Type: research

Start of Antiplatelet Therapy Increases the Prevalence of Intraplaque Hemorrhage in Patients With Advanced Carotid Artery Lesions: A Longitudinal MR Imaging Study
Introduction: Intraplaque hemorrhage (IPH) is an important feature of plaque vulnerability. Patients with a history of transient ischemic attack or stroke are treated with platelet aggregation inhibitors to prevent secondary myocardial infarction or ischemic stroke. Although antiplatelet medication is effective in reduction of clot formation, it also has adverse effects. It has therefore been hypothesized that platelet aggregation inhibitors could also initiate the onset or progression of IPH. A histopathological study on 154 carotid endarterectomy plaques found that preoperative antiplatelet therapy was associated with an...
Source: European Journal of Vascular and Endovascular Surgery - November 30, 2019 Category: Surgery Authors: Genevi ève Crombag, Madieke Liem, Eline Koornstra, Floris Schreuder, Dianne Nolen-van Dam, Carlo Lucci, Rob van der Geest, Mat Daemen, Anton van der Steen, Jeroen Hendrikse, Werner Mess, Aad van der Lugt, Joachim Wildberger, Robert van Oostenbrugge, Paul Source Type: research

Neurological Complication Rates of Intravenous Thrombolysis Combined With Early Carotid Endarterectomy for Treatment of Hyperacute Ischaemic Stroke
Introduction: Intravenous thrombolysis (IVT) can be combined with carotid endaterectomy either simultanously or in a staged procedure in the treatment of acute cartotis-associated stroke. It was the aim of this single-center retrospective studyto analyse the short-term results of sequential lysis with carotid endarterectomy, as well as long term results.
Source: European Journal of Vascular and Endovascular Surgery - November 30, 2019 Category: Surgery Authors: Ewa Swiecka, Martin Storck, Roland Zippel, Olaf Hinze Source Type: research

Early and Long-term Impact of Postoperative Cerebrovascular Complications After Carotid Endarterectomy
Introduction: The rate of postoperative cerebrovascular complications (PCC), such as stroke and transient ischemic attack (TIA), associated with carotid endarterectomy (CEA) is generally lower than 3% for asymptomatic and 5% for symptomatic patients in the literature; however, few studies analyzed the impact of PCC on long-term outcome of patients submitted to CEA. The aim of the study was to identify predictors of PCC occurrence and to evaluate these patients in terms of survival, recurrences and clinical status at follow-up.
Source: European Journal of Vascular and Endovascular Surgery - November 30, 2019 Category: Surgery Authors: Andrea Vacirca, Gianluca Faggioli, Rodolfo Pini, Mortalla Dieng, Antonino Maria Logiacco, Enrico Gallitto, Chiara Mascoli, Michele Mirelli, Mauro Gargiulo Source Type: research

Early carotid endarterectomy for symptomatic stenosis of internal carotid artery in patients affected by transient ischemic attack or minor to moderate ischemic acute stroke: a single center experience
To report a single center experience with early surgical carotid revascularization in patients affected by transient ischemic attack and minor/moderate ischemic acute stroke.
Source: Annals of Vascular Surgery - November 5, 2019 Category: Surgery Authors: Ottavia Borghese, Angelo Pisani, Bertrand Lapergue, Isabelle Di Centa Tags: Clinical Research, Basic Science Source Type: research