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Condition: Disability
Procedure: Carotid Endarterectomy

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Total 34 results found since Jan 2013.

Most patients experiencing 30-day postoperative stroke after carotid endarterectomy will initially experience disability
Although modern rates of stroke after carotid endarterectomy (CEA) have been low, the functional outcomes of stroke after CEA are unclear. Our goal was to assess the degree of initial disability in patients without baseline stroke-related impairment who had undergone CEA and experienced an early postoperative stroke.
Source: Journal of Vascular Surgery - May 4, 2019 Category: Surgery Authors: Scott R. Levin, Alik Farber, Thomas W. Cheng, Douglas W. Jones, Denis Rybin, Jeffrey A. Kalish, Kyla M. Bennett, Nkiruka Arinze, Jeffrey J. Siracuse Source Type: research

Poststent Ballooning Increases Postoperative Stroke and Death Rate in Carotid Artery Stenting
Stroke remains the fourth leading cause of death and the leading cause of disability in the United States. Carotid endarterectomy (CEA) has been proven superior to medical therapy alone in decreasing the risk of stroke in patients with high-grade stenosis of the internal carotid artery. Although CEA remains the gold standard, with low perioperative stroke risk, carotid artery stenting (CAS) has seen progressively improved outcomes. Operators follow general guidelines in intraoperative techniques in CAS.
Source: Journal of Vascular Surgery - November 21, 2014 Category: Surgery Authors: Mahmoud Malas, Tammam Obeid, Isibor Arhuidese, Umair Qazi, Chris Abularrage, James Black, Bruce Perler Tags: Abstract from the Thirty-Ninth Annual Meeting of the Southern Association for Vascular Surgery Source Type: research

IP103. A Significant Number of Patients Who Suffer a Perioperative Stroke After Carotid Endarterectomy Experience Significant Disability
Although modern rates of perioperative stroke after carotid endarterectomy (CEA) have been shown to be low, the degree of disability after a stroke is unclear. Our goal was to assess the degree of disability of perioperative stroke after CEA in patients without perioperative impairment.
Source: Journal of Vascular Surgery - May 22, 2018 Category: Surgery Authors: Scott R. Levin, Alik Farber, Douglas W. Jones, Denis Rybin, Jeffrey Kalish, Kyla Bennett, Nkiruka Arinze, Jeffrey Siracuse Source Type: research

Postoperative Disability and One-Year Outcomes for Patients Experiencing Stroke After Carotid Endarterectomy
Although, post-carotid endarterectomy (CEA) stroke is rare, it can be devastating. The impairment degree and 1-year effects are unclear. Our goal was to assess the postoperative and 1-year outcomes for patients experiencing a stroke after CEA without preoperative disability.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Scott R. Levin, Alik Farber, Elizabeth G. King, Mohammad H. Eslami, Karan Garg, Virendra Patel, Caron Rockman, Denis Rybin, Jeffrey J. Siracuse Tags: IPC: International Poster Competition Source Type: research

Delaying Carotid Endarterectomy 3-4  Days From Admission Date Allows Lower Stroke Risk in Patients Who Had Carotid Endarterectomy for Symptomatic Carotid Stenosis With Moderate-to-Severe Disability
This study investigates this topic.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Melina Recarey, Renxi Li, Emanuela Peshel, Jamie Thompson, Anton Sidawy, Bao-Ngoc Nguyen Tags: Interactive Poster Session Source Type: research

Clinical risk predictors for cerebral hyperperfusion syndrome after carotid endarterectomy
Conclusions Independent, prospective monitoring of a large cohort of CEA cases identified a brief time interval between ischaemic symptoms and endarterectomy as the clearest risk factor for CHS.
Source: Journal of Neurology, Neurosurgery and Psychiatry - April 8, 2013 Category: Neurosurgery Authors: Maas, M. B., Kwolek, C. J., Hirsch, J. A., Jaff, M. R., Rordorf, G. A. Tags: Epilepsy and seizures, Headache (including migraine), Pain (neurology), Stroke, Hypertension, Ophthalmology, Ischaemic heart disease, Disability Neurosurgery Source Type: research

Neurologic and Functional Long-term Outcome after Carotid Endarterectomy
Background: The aim of this research was to assess the neurologic status of patients a year after endarterectomy with the use of National Institutes of Health Stroke Scale (NIHSS) and the degree of disability using the modified Rankin Scale (mRS) and to examine the patients' subjective evaluation of their health.Methods: One hundred two patients with symptomatic internal carotid artery stenosis who underwent endarterectomy and attended a 1-year follow-up examination were enrolled in the study. The material comprised 72 (70.6%) men and 30 (29.4%) women. Before the surgery, the patients' neurologic status was assessed accord...
Source: Journal of Stroke and Cerebrovascular Diseases - July 15, 2013 Category: Neurology Authors: Piotr Kaźmierski, Mirosław Stelągowski, Anna Kasielska-Trojan, Katarzyna Bogusiak, Andrzej Glabinski Tags: Original Articles Source Type: research

Patches of different types for carotid patch angioplasty.
CONCLUSIONS: The number of outcome events is too small to allow conclusions, and more trial data are required to establish whether any differences do exist. Nevertheless, there is little to no difference in effect on perioperative and long-term ipsilateral stroke between vein and any synthetic patch material. Some evidence indicates that other synthetic patches (e.g. PTFE) may be superior to Dacron grafts in terms of perioperative stroke and TIA rates, and both early and late arterial re-stenosis and occlusion. Pseudoaneurysm formation may be more common after use of a vein patch than after use of a synthetic patch. Bovin...
Source: Cochrane Database of Systematic Reviews - February 18, 2021 Category: General Medicine Authors: Orrapin S, Benyakorn T, Howard DP, Siribumrungwong B, Rerkasem K Tags: Cochrane Database Syst Rev Source Type: research

Carotid endarterectomy for symptomatic carotid stenosis.
CONCLUSIONS: Carotid endarterectomy reduced the risk of recurrent stroke for people with significant stenosis. Endarterectomy might be of some benefit for participants with 50% to 69% symptomatic stenosis (moderate-quality evidence) and highly beneficial for those with 70% to 99% stenosis (moderate-quality evidence). PMID: 32918282 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - September 11, 2020 Category: General Medicine Authors: Rerkasem A, Orrapin S, Howard DP, Rerkasem K Tags: Cochrane Database Syst Rev Source Type: research

Urgent carotid endarterectomy in patients with acute neurological ischemic events within six hours after symptoms onset.
In conclusion, based on our results urgent CEA is a safe and effective treatment option for patients with crescendo TIA and stroke in progression with acceptable rate of postoperative complications. PMID: 23508394 [PubMed - as supplied by publisher]
Source: Vascular - March 18, 2013 Category: Surgery Authors: Gajin P, Radak D, Tanaskovic S, Babic S, Nenezic D Tags: Vascular Source Type: research

Carotid endarterectomy for symptomatic carotid stenosis.
CONCLUSIONS: Endarterectomy was of some benefit for participants with 50% to 69% symptomatic stenosis (moderate-quality evidence), and highly beneficial for those with 70% to 99% stenosis without near-occlusion (moderate-quality evidence). We found no benefit in people with carotid near-occlusion (high-quality evidence). PMID: 28590505 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - June 7, 2017 Category: General Medicine Authors: Orrapin S, Rerkasem K Tags: Cochrane Database Syst Rev Source Type: research

Future management of carotid stenosis: role of urgent carotid interventions in the acutely symptomatic carotid patient and best medical therapy for asymptomatic carotid disease.
CONCLUSION: CAS has an increasingly higher risk of stroke with advancing age. Patients treated with CAS have a 1.76-fold increased risk of stroke (95% CI, 1.35-2.31) with each 10-year increase in age. No such age effect is seen in patients treated with CEA. Age is a critical variable in making informed choices regarding treatment of severe carotid artery stenosis. PMID: 25598726 [PubMed]
Source: Ochsner Journal - November 18, 2015 Category: Journals (General) Tags: Ochsner J Source Type: research

Outcomes of transcarotid artery revascularization: A systematic review
CONCLUSION: TCAR is associated with a lower risk of perioperative stroke compared to TFCAS. TCAR is also associated with shorter operative time, lower risk of CNI and less blood loss compared to CEA. TCAR may be a promising treatment option besides TFCAS and CEA.PMID:36039496 | DOI:10.1177/15910199221123283
Source: Interventional Neuroradiology - August 30, 2022 Category: Radiology Authors: Haoliang Wu Zhiwei Wang Mingxing Li Peng Sun Shunbo Wei Boao Xie Cong Zhang Liwei Zhang Hualong Bai Source Type: research