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Does bariatric surgery change the risk of acute ischemic stroke in patients with a history of transient ischemic attack? A nationwide analysis
CONCLUSIONS: After analyzing nationwide information, we conclude bariatric surgery helps decrease risk of AIS in patients with a history of TIA. However, this comparison is limited by the nature of the database; further studies are needed to better understand these results.PMID:36581552 | DOI:10.1016/j.soard.2022.11.013
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - December 29, 2022 Category: Surgery Authors: Roberto J Valera Cristina Botero-Fonnegra Vicente J Cogollo Mauricio Sarmiento-Cobos Lisandro Montorfano Carlos Rivera Liang Hong Emanuele Lo Menzo Samuel Szomstein Raul J Rosenthal Source Type: research

Does Bariatric Surgery Change the Risk of Acute Ischemic Stroke in Patients with History of Transient Ischemic Attack? A Nationwide Analysis
Academic Hospital, United States.
Source: Surgery for Obesity and Related Diseases - November 22, 2022 Category: Surgery Authors: Roberto J. Valera, Cristina Botero-Fonnegra, Vicente J. Cogollo, Mauricio Sarmiento-Cobos, Lisandro Montorfano, Carlos Rivera, Liang Hong, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: Original articles Source Type: research

Embolic protection devices for carotid artery stenting: A network meta-analysis
CONCLUSIONS: PB deployment during CAS is superior to DF and DB in preventing distal embolization phenomena. However, no statistically significant difference in TIA and stroke rate was found among any of the analyzed EPD groups. Further research is warranted to investigate the association of embolic phenomena on imaging after CAS with clinically significant neurologic deficits.PMID:36394946 | DOI:10.1177/17085381221140616
Source: Vascular - November 17, 2022 Category: Surgery Authors: Stefanos Giannopoulos Marios Sagris Spyridon Giannopoulos Andreas Tzoumas Damianos G Kokkinidis Pavlos Texakalidis George Koutsias Panagiotis Volteas Li Jing Rafael D Malgor Source Type: research

Comment on: Insurance-mandated weight management program completion before bariatric surgery provides no long-term clinical benefit
By 2030, 1 in 2 American adults is projected to have obesity and 1 in 4 clinically severe obesity. Obesity represents a serious public health issue because it is a major risk factor for many major, noncommunicable diseases, such as type 2 diabetes, coronary heart disease, stroke, chronic obstructive pulmonary disease, and cancer, and independently predicts overall mortality. The burden of obesity on medical spending is also significant, with $1861 in excess annual medical costs per adult with obesity and $3097 per adult with severe obesity —accounting for $173 billion annually in the United States [1].
Source: Surgery for Obesity and Related Diseases - November 15, 2022 Category: Surgery Authors: Hamlet Gasoyan, David B. Sarwer, Michael B. Rothberg Tags: Editorial comment Source Type: research

Precertification criteria for bariatric surgery should be based on evidence
By 2030, one in two American adults is projected to have obesity and one in four clinically severe obesity. Obesity represents a serious public health issue because it is a major risk factor for many major, non-communicable diseases, such as type 2 diabetes, coronary heart disease, stroke, chronic obstructive pulmonary disease, and cancer, and independently predicts overall mortality. The burden of obesity on medical spending is also significant, with $1,861 excess annual medical costs per adult with obesity and $3,097 per adult with severe obesity – accounting for $173 billion annually in the United States.
Source: Surgery for Obesity and Related Diseases - November 15, 2022 Category: Surgery Authors: Hamlet Gasoyan, David B. Sarwer, Michael B. Rothberg Source Type: research

Effect of high-risk factors on postoperative major adverse cardiovascular and cerebrovascular events trends following bariatric surgery in the United States from 2012 to 2019
CONCLUSIONS: MACE following LSG and LRYGB is rare, occurring in 0.1% of patients. Persistently increasing high-risk conditions and demographics has had minimal effect on MACE over time for LSG and LRYGB but has had significant effect on MACE trend over time in SG and RYGB.PMID:36209030 | DOI:10.1016/j.soard.2022.08.014
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - October 8, 2022 Category: Surgery Authors: Linda Adepoju Denise Danos Christian Green Michael W Cook Philip R Schauer Vance L Albaugh Source Type: research

Regarding an Apparently High Stroke Rate in Patients With Medically Managed Asymptomatic Carotid Stenosis at an Academic Center in the Southeastern United States
We respectfully disagree with Weiner et al and advise that it is premature to give up on current best non-invasive medical intervention (lifestyle coaching and medication) alone for patients with asymptomatic carotid stenosis (ACS).(1) Weiner et al reported an average annual ipsilateral 'stroke' rate of 2.9% (10 ipsilateral strokes, in 173 patients with>70% stenosis over 2 years). This is just a little more than for non-surgically managed patients in the Asymptomatic Carotid Atherosclerosis Study (2.3%/year in patients with 60-99% ACS) and significantly more than in the most recently published quality studies of non-invasi...
Source: Annals of Vascular Surgery - September 20, 2022 Category: Surgery Authors: Anne L. Abbott, Oliseneku D. Uyagu, Guillaume Goudot, Hrvoje Budincevic, Stavros Kakkos Tags: Correspondence Source Type: research

TransCarotid Revascularization With Dynamic Flow Reversal Versus Carotid Endarterectomy in the Vascular Quality Initiative Surveillance Project
Objective: To compare the outcomes of TCAR with flow reversal to the gold standard CEA using data from the Society for Vascular Surgery Vascular Quality Initiative TCAR Surveillance Project. Summary of Background Data: TCAR is a novel minimally invasive procedure for carotid revascularization in high-risk patients that is associated with significantly lower stroke rates compared with carotid artery stenting via the transfemoral approach. Methods: Patients in the United States and Canada who underwent TCAR and CEA for carotid artery stenosis (2016-2019) were included. Propensity scores were calculated base...
Source: Annals of Surgery - July 15, 2022 Category: Surgery Tags: Original Articles Source Type: research

Why sex matters
Before writing this commentary, I performed a PubMed search using the terms “carotid endarterectomy” and “women” and retrieved 844 results. The current excellent study is one of the first to report the outcomes of transcarotid artery revascularization stratified by sex.1 However, the outcomes of carotid interventions for stroke prevention in women are still a matter of debate. Although stroke is the fifth leading cause of death in the United States, it remains the third leading cause among African-American and Hispanic women.
Source: Journal of Vascular Surgery - June 20, 2022 Category: Surgery Authors: Caron Rockman Tags: Invited Commentary Source Type: research

Predicting Transcarotid Artery Revascularization adverse outcomes by Imaging Characteristics
Approximately 20-30% of ischemic strokes are caused by internal carotid artery stenosis. Stroke is the leading cause of disability and the second leading cause of death in the United States. Second generation Trans Carotid Arterial Revascularization (TCAR) stenting, using the ENROUTE flow reversal technology to prevent embolic stroke during the stenting process, has demonstrated stroke and death outcomes equivalent to CEA with reduced cranial nerve injury. However, at present, it is not known whether imaging characteristics obtained pre-operatively can predict outcomes of TCAR procedures.
Source: Annals of Vascular Surgery - June 14, 2022 Category: Surgery Authors: Elizabeth Blears, Sefali Patel, Mark Doyle, Nicholas Lombardi, Satish Muluk Tags: Clinical Research Source Type: research

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