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Treatment of an infected, bovine pericardial carotid patch: Excision and reconstruction with a superficial femoral arterial interposition graft
We present a case of a gram-negative bacterial infection of a bovine pericardial carotid patch. Treatment ultimately required patch explantation and reconstruction with a femoral arterial interposition graft.
Source: Annals of Vascular Surgery - August 4, 2020 Category: Surgery Authors: Gordon H. Martin, Naveed U. Saqib, Hazim J. Safi Tags: Case Report Source Type: research

Impact of the physical activity on the phenotype of circulating monocytes and the biological characteristics of the carotid plaque
Atherosclerosis is accompanied by a low-grade inflammation which mobilizes the classical, intermediate and non-classical circulating monocytes. It was shown that an accumulation of leucocytes supports the development of intraplaque hemorrhage (IPH), making the plaque vulnerable, exposed to rupture and thrombosis. Moreover, the elevation of the rate of intermediate monocytes is associated with an increase in cardiovascular mortality and ischemic stroke. The benefit of endarterectomy (CE) remains discussed in the patients without stroke.
Source: Annals of Vascular Surgery - September 24, 2019 Category: Surgery Authors: Mathilde Mura, Mich èle Weiss, Nellie Della Schiava, Marine Bordet, Patrick Lermusiaux, Antoine Millon, Vincent Pialoux Tags: Abstracts Presented to the French Society for Vascular and Endovascular Surgery Source Type: research

Mycotic aneurysm of the extracranial internal carotid artery - resect and ligate or reconstruct?
This report highlights a case of ECA aneurysm infection presenting with stroke and an occluded internal carotid artery, likely due to microbial arteritis on a background of osteomyelitis. Operative intervention was performed to definitively treat the infection and prevent the potential associated complications.
Source: Annals of Vascular Surgery - May 26, 2016 Category: Surgery Authors: A.C. Rogers, M. Bourke, A.S. Galbraith, A.G. Ryan, K.S.C. Cross, M.P. McMonagle Source Type: research

Mycotic Aneurysm of the Extracranial Internal Carotid Artery, Resect and Ligate or Reconstruct?
This report highlights a case of ECA-aneurysm infection presenting with stroke and an occluded internal carotid artery, likely due to microbial arteritis on a background of osteomyelitis. Operative intervention was performed to definitively treat the infection and prevent the potential associated complications.
Source: Annals of Vascular Surgery - May 26, 2016 Category: Surgery Authors: Ail ín C. Rogers, Michael Bourke, Adam S. Galbraith, Anthony G. Ryan, K. Simon C. Cross, Morgan P. McMonagle Tags: Case Report Source Type: research

Mycotic aneurysm of the extracranial internal carotid artery - resect and ligate or reconstruct?
This report highlights a case of ECA aneurysm infection presenting with stroke and an occluded internal carotid artery, likely due to microbial arteritis on a background of osteomyelitis. Operative intervention was performed to definitively treat the infection and prevent the potential associated complications.
Source: Annals of Vascular Surgery - May 26, 2016 Category: Surgery Authors: A.C. Rogers, M. Bourke, A.S. Galbraith, A.G. Ryan, K.S.C. Cross, M.P. McMonagle Source Type: research

CT Perfusion Imaging in the Selection of Acute Stroke Patients to Undergo Emergent Carotid Endarterectomy
Severe acute stroke patients with critical carotid stenosis or occlusion without intracranial thrombus typically do not undergo emergent carotid thromboendarterectomy (CEA) because of the risk of reperfusion-related intracranial hemorrhage. Past studies have not consistently demonstrated benefit of early operative intervention. Cerebral computed tomography (CT), cervical and cerebral CT angiography (CTA), and cerebral CT perfusion (CTP) imaging may identify a subset of acute stroke patients without intracranial thrombus who may benefit from emergent CEA.
Source: Annals of Vascular Surgery - September 3, 2014 Category: Surgery Authors: Thomas G. Devlin, Sachin V. Phade, R. Kent Hutson, Mark W. Fugate, G. Ralston Major, Gregory W. Albers, Abdelazim A. Sirelkhatim, Biggya L. Sapkota, Steven D. Quartfordt, Blaise W. Baxter Source Type: research

Computed Tomography Perfusion Imaging in the Selection of Acute Stroke Patients to Undergo Emergent Carotid Endarterectomy
Severe acute stroke patients with critical carotid stenosis or occlusion without intracranial thrombus typically do not undergo emergent carotid thromboendarterectomy (CEA) because of the risk of reperfusion-related intracranial hemorrhage. Past studies have not consistently demonstrated benefit of early operative intervention. Cerebral computed tomography (CT), cervical and cerebral CT angiography (CTA), and cerebral CT perfusion (CTP) imaging may identify a subset of acute stroke patients without intracranial thrombus who may benefit from emergent CEA.
Source: Annals of Vascular Surgery - September 3, 2014 Category: Surgery Authors: Thomas G. Devlin, Sachin V. Phade, Rodney K. Hutson, Mark W. Fugate, Grant R. Major, Gregory W. Albers, Abdelazim A. Sirelkhatim, Biggya L. Sapkota, Steven D. Quartfordt, Blaise W. Baxter Tags: Case Report Source Type: research

A Retrospective Study on Early Carotid Endarterectomy within 48 Hours after Transient Ischemic Attack and Stroke in Evolution
Conclusions: CEA can be performed with an acceptable risk in properly selected symptomatic patients within 48 hours after TIA or SIE. The benefits of early CEA in symptomatic patients include the prevention of recurrent stroke.
Source: Annals of Vascular Surgery - September 5, 2013 Category: Surgery Authors: Emanuele Ferrero, Michelangelo Ferri, Andrea Viazzo, Carmelo Labate, Giuseppe Berardi, Alberto Pecchio, Salvatore Piazza, Matteo Ripepi, Franco Nessi Tags: Clinical Research Source Type: research

Carotid Artery Free-Floating Thrombus Caused by Paradoxical Embolization From Greater Saphenous Vein Ascending Thrombophlebitis
We report a case of a young woman without cardiovascular risk factors who was admitted to our emergency department with listlessness and altered mental status. The clinical examination revealed right lower limb swelling. Magnetic resonance imaging and contrast-enhanced computed tomographic scans revealed a free floating thrombus of the left internal carotid artery (ICA) with a large bilateral frontal ischemic lesion. The diagnosis of a medium-sized PFO with moderate right-to-left contrast shunting was made after transesophageal echocardiography. No other cardiac sources for embolization were detected, while an ascending th...
Source: Annals of Vascular Surgery - April 28, 2013 Category: Surgery Authors: Luigi Irace, Roberto Gabrielli, Maria Sofia Rosati, Maria Fabrizia Giannoni, Anna Castiglione, Antonella Laurito, Bruno Gossetti Tags: Case Report Abstracts Source Type: research

Time Is Brain? — Surgical Revascularization of Acute Symptomatic Occlusion of the Internal Carotid Artery up to One Week
Conclusions: In patients who undergo surgery after 72 hr from symptom onset, the risk seems to outweigh the benefit.
Source: Annals of Vascular Surgery - February 11, 2013 Category: Surgery Authors: Barbara Theresia Weis-Müller, Asya Spivak-Dats, Bernd Turowski, Mario Siebler, Kai Michael Balzer, Klaus Grabitz, Erhard Godehardt, Wilhelm Sandmann Tags: Clinical Research Source Type: research