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Condition: Hemorrhagic Stroke
Procedure: Carotid Endarterectomy

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Total 185 results found since Jan 2013.

Synchronous or Staged Carotid Endarterectomy and Coronary Artery Bypass Grafting? Propensity score matched study.
CONCLUSION: In this experience combined with the data given in literature, our findings suggest a possible superiority of the staged CABG/CEA approach. Large, randomized studies are required to verify our findings and to establish applicable guidelines. PMID: 30311885 [PubMed - in process]
Source: The Heart Surgery Forum - August 17, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Hempe S, Moza A, Goetzenich A, Tewarie L, Bleilevens C, Autschbach R, Schnoering H, Zayat R Tags: Heart Surg Forum Source Type: research

Morphology and histology of silent and symptom-causing atherosclerotic carotid plaques - Rationale and design of the Helsinki Carotid Endarterectomy Study 2 (the HeCES2).
This article provides a detailed study design and protocol of HeCES2, an observational prospective cohort study with the objective to investigate the pathophysiology of carotid atherosclerosis. MATERIALS AND METHODS: Recruitment and carotid endarterectomies of the study patients with carotid atherosclerosis were performed from October 2012 to September 2015. After brain and carotid artery imaging, endarterectomised carotid plaques (CPs) and blood samples were collected from 500 patients for detailed biochemical and molecular analyses. Findings to date: We developed a morphological grading for macroscopic characteristic...
Source: Annals of Medicine - July 18, 2018 Category: Internal Medicine Tags: Ann Med Source Type: research

Carotid endarterectomy in patients with recurrent symptoms associated with an ipsilateral carotid artery near occlusion with full collapse
ConclusionIn patients with RSNOFC, CEA may be considered a potential treatment option. Although procedural risks in this small subgroup may be higher as compared to patients with low-to-moderate risk anatomy, this risk may outbalance the natural course.
Source: Journal of Neurology - June 18, 2018 Category: Neurology Source Type: research

Volatile Anesthesia for Carotid Endarterectomy: Friend or Foe for the Brain?
DESPITE SIGNIFICANT IMPROVEMENTS in the management of patients with cardiovascular disease, stroke remains the second leading cause of death worldwide.1 Ischemic strokes account for 87% of all strokes, whereas 10% result from intracerebral hemorrhage, and 3% are subarachnoid hemorrhage strokes.
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 22, 2018 Category: Anesthesiology Authors: Vladimir V. Lomivorotov, Vladimir A. Shmyrev, Gleb B. Moroz Tags: Editorial Source Type: research

The Role of Neurosonology in the Diagnosis and Management of Patients with Carotid Artery Disease: A Review
ABSTRACT Carotid artery disease (CAD) is a common cause of ischemic stroke with high rates of recurrence. Carotid endarterectomy (CEA) or carotid artery stenting (CAS) are highly recommended for the secondary prevention of symptomatic CAD during the first 14 days following the index event of transient ischemic attack or minor stroke. CEA or CAS may also be offered in selected cases with severe asymptomatic stenosis. Herein, we review the utility of neurosonology in the diagnosis and pre‐/peri‐interventional assessment of CAD patients who undergo carotid revascularization procedures. Carotid ultrasound may provide inval...
Source: Journal of Neuroimaging - January 1, 2018 Category: Radiology Authors: Odysseas Kargiotis, Apostolos Safouris, Georgios Magoufis, Maria Georgala, Andromachi Roussopoulou, Eleftherios Stamboulis, Konstantinos G. Moulakakis, Andreas Lazaris, George Geroulakos, Spyros Vasdekis, Georgios Tsivgoulis Tags: Views and Reviews Source Type: research

Can We Predict Who Will Develop Hypertension After Carotid Endarterectomy?
Haemorrhagic stroke is a rare and vexing complication of carotid endarterectomy (CEA). It occurs some days after a successful operation to prevent further ischaemic strokes, usually in the setting of post-operative hypertension, headache, or the full clinical picture of hyperperfusion syndrome, which features seizures, and cognitive and vigilance disturbances. The major risk factor associated with the hyperperfusion syndrome and intracerebral haemorrhage after CEA is post-operative hypertension and blood pressure lability.
Source: European Journal of Vascular and Endovascular Surgery - September 29, 2017 Category: Surgery Authors: Jos é M. Ferro Tags: Editorial Source Type: research

Oleacein may inhibit destabilization of carotid plaques from hypertensive patients. Impact on high mobility group protein-1
Conclusion : Our results indicate that oleacein possess ability to attenuate the destabilization of carotid plaque and could be potentially useful in the reduction of ischemic stroke risk. Graphical abstract
Source: Phytomedicine - June 13, 2017 Category: Drugs & Pharmacology Source Type: research

Diastolic Blood Pressure is a Risk Factor for Peri-procedural Stroke Following Carotid Endarterectomy in Asymptomatic Patients.
CONCLUSION: In ACST-1, diastolic blood pressure was the only independent risk factor associated with peri-procedural stroke or death. While the underlying mechanisms of the association between lower diastolic blood pressure and peri-procedural risk remain unclear, good pre-operative control of blood pressure may improve procedural outcome of carotid surgery in asymptomatic patients. PMID: 28318997 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - March 15, 2017 Category: Surgery Authors: de Waard DD, de Borst GJ, Bulbulia R, Huibers A, Halliday A, Asymptomatic Carotid Surgery Trial-1 Collaborative Group Tags: Eur J Vasc Endovasc Surg Source Type: research

Cerebral monitoring during carotid endarterectomy by transcranial Doppler ultrasonography.
CONCLUSION: TCD is a safe cerebral monitoring tool to detect cerebral ischemia during CEA. It can reduce use of carotid shunt. PMID: 28203558 [PubMed]
Source: Annals of Surgical Treatment and Research - February 18, 2017 Category: Surgery Tags: Ann Surg Treat Res Source Type: research

Chapter 31 Neurologic complications of cardiac and vascular surgery
Publication date: 2017 Source:Handbook of Clinical Neurology, Volume 141 Author(s): K.N. Sheth, E. Nourollahzadeh This chapter will provide an overview of the major neurologic complications of common cardiac and vascular surgeries, such as coronary artery bypass grafting and carotid endarterectomy. Neurologic complications after cardiac and vascular surgeries can cause significant morbidity and mortality, which can negate the beneficial effects of the intervention. Some of the complications to be discussed include ischemic and hemorrhagic stroke, seizures, delirium, cognitive dysfunction, cerebral hyperperfusion syndrome,...
Source: Handbook of Clinical Neurology - February 9, 2017 Category: Neurology Source Type: research

Update in the Management of Cerebrovascular Accidents
Publication date: Available online 24 December 2016 Source:Hospital Medicine Clinics Author(s): Andreas Varkaris, Anastasia Katsiampoura, Tim Kelliher, Chi-Cheng HuangTeaser Ischemic stroke is an acute neurologic deficit that results from focal cerebral ischemia leading to permanent tissue damage (infarction). The cause is commonly associated with atherothrombotic occlusion of large arteries; cerebral embolism (embolic infarction); nonthrombotic occlusion of small, deep cerebral arteries (lacunar infarction); and proximal arterial stenosis with hypotension that decreases cerebral blood flow in arterial watershed zones (he...
Source: Hospital Medicine Clinics - December 23, 2016 Category: Internal Medicine Source Type: research

Time to use mri for risk stratification in symptomatic carotid stenosis?
Conclusion MRIPH can identify a subgroup of patients with a higher risk than clinically predicted thus enabling targeted intervention.
Source: Journal of Neurology, Neurosurgery and Psychiatry - November 14, 2016 Category: Neurosurgery Authors: Hosseini, A., Simpson, R., Altaf, N., Bath, P., MacSweeney, S., Auer, D. Tags: Stroke ABN Annual Meeting, 17-19 May 2016, The Brighton Centre, Brighton Source Type: research

Vitamin D and Vulnerable Carotid Plaque EXTRACRANIAL VASCULAR
CONCLUSIONS: Low vitamin D levels and plaque thickness predict carotid intraplaque hemorrhage and outperform lumen markers of vulnerable plaque. This research demonstrates a significant link between low vitamin D levels and carotid intraplaque hemorrhage.
Source: American Journal of Neuroradiology - November 14, 2016 Category: Radiology Authors: McNally, J. S., Burton, T. M., Aldred, B. W., Kim, S.- E., McLaughlin, M. S., Eisenmenger, L. B., Stoddard, G. J., Majersik, J. J., Miller, D. V., Treiman, G. S., Parker, D. L. Tags: EXTRACRANIAL VASCULAR Source Type: research

Stroke prevention.
Abstract Patients who have had a stroke are at high risk for recurrent stroke, myocardial infarction, and vascular death. Prevention of these events should be initiated promptly after stroke, because many recurrent events occur early, and should be tailored to the precise cause of stroke, which may require specific treatment. Lifestyle advice including abstinence from smoking, regular exercise, Mediterranean-style diet, and reduction of salt intake and alcohol consumption are recommended for all patients with stroke. For most patients with ischemic stroke or TIA, control of risk factors, including lowering blood p...
Source: Presse Medicale - November 1, 2016 Category: Journals (General) Authors: Isabel C, Calvet D, Mas JL Tags: Presse Med Source Type: research