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Specialty: Surgery
Source: Annals of Vascular Surgery

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Total 295 results found since Jan 2013.

Early carotid endarterectomy provides a better neurological outcome in symptomatic patients. A single center experience
Many studies confirmed the role of early carotid endarterectomy to prevent recurrent stroke or transient ischemic attack however the mid-long term neurological benefit is still not completely investigated. The purpose of the study is to evaluate the role of early carotid endarterectomy on the peri and post-operative stroke/death complications of patients with a symptomatic carotid stenosisMaterial and methods: ninety consecutive patients were referred to our center for a symptomatic carotid stenosis.
Source: Annals of Vascular Surgery - May 22, 2017 Category: Surgery Authors: Gianfranco Varetto, Lorenzo Gibello, Francesca Sperti, Alessandra Trevisan, Edoardo Frola, Paolo Garneri, Pietro Rispoli Source Type: research

Early Carotid Endarterectomy Provides a Better Neurological Outcome in Symptomatic Patients: A Single-Center Experience
Many studies confirmed the role of early carotid endarterectomy (CEA) to prevent recurrent stroke or transient ischemic attack; however, the mid-long-term neurological benefit is still not completely investigated. The purpose of the study was to evaluate the role of early CEA on the perioperative and postoperative stroke/death complications of patients with a symptomatic carotid stenosis.
Source: Annals of Vascular Surgery - May 22, 2017 Category: Surgery Authors: Gianfranco Varetto, Lorenzo Gibello, Francesca Sperti, Alessandra Trevisan, Edoardo Frola, Paolo Garneri, Pietro Rispoli Tags: Clinical Research Source Type: research

Invited Commentary
Antiplatelet and statin therapy have become routine agents in the medical armamentarium for patients with carotid artery stenosis, supported by results from multiple randomized controlled trials showing lower rates of stroke associated with use of these agents.[1] Moreover, patients taking these medical agents have been found to have lower rates of stroke and mortality following carotid endarterectomy (CEA) in several prior observational studies.[2, 3] As such, antiplatelet and statin therapy is considered standard of care for patients with carotid artery stenosis before and after CEA, and recommended by all practice guide...
Source: Annals of Vascular Surgery - November 2, 2017 Category: Surgery Authors: Benjamin S. Brooke Source Type: research

Patency and Follow Up of Endovascular Stents in the Treatment of Blunt Cerebrovascular Injury
The objective of this study is to describe the patency rates and follow up of patients with BCVI who have been treated with endovascular stents at our institution.
Source: Annals of Vascular Surgery - March 13, 2018 Category: Surgery Authors: Charles P. Shahan, Nathan Manley, Benjamin R. Zambetti, Michael J. Rohrer, Shaun M. Stickley, Kelly Kempe, Prateek Gupta, Reshma Brahmbhatt Tags: Abstracts Accepted for Presentation During the 42nd Annual Meeting of the Vascular and Endovascular Surgery Society Source Type: research

Onset of neurological deficit during carotid clamping with carotid endarterectomy under regional anaesthesia is not a predictor of carotid restenosis
A number of awake patients undergoing carotid endarterectomy (CEA) present from test clamp neurological deficits (ND) during the procedure. Current guidelines advocate tighter doppler ultrasound (DUS) surveillance in these patients due to probable higher likelihood of hemodynamic stroke (class 1 grade C), although evidence is lacking regarding benefit. the reasoning for the study is: the assumption that patients who present ND have a higher risk of developing a complete stroke if the ipsilateral carotid artery becomes occluded, and for this reason surveillance over restenosis of endarterectomy in this group is justifiable,...
Source: Annals of Vascular Surgery - August 1, 2019 Category: Surgery Authors: Jos é D. Vieira-Andrade, João P. Rocha-Neves, Juliana P. Macedo, Marina F. Dias-Neto Tags: Clinical Research, Basic Science Source Type: research

Onset of Neurological Deficit During Carotid Clamping With Carotid Endarterectomy Under Regional Anesthesia Is Not a Predictor of Carotid Restenosis
A number of awake patients undergoing carotid endarterectomy (CEA) present from test clamp neurological deficits (NDs) during the procedure. Current guidelines advocate tighter Doppler ultrasound (DUS) surveillance in these patients because of probable higher likelihood of hemodynamic stroke (class 1 grade C), although evidence is lacking regarding benefit. The aim for the study is the assumption that patients who present ND have a higher risk of developing a complete stroke if the ipsilateral carotid artery becomes occluded, and for this reason, surveillance over restenosis of endarterectomy in this group is justifiable; ...
Source: Annals of Vascular Surgery - August 1, 2019 Category: Surgery Authors: Jos é D. Vieira-Andrade, João P. Rocha-Neves, Juliana P. Macedo, Marina F. Dias-Neto Tags: Clinical Research 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

Comparison of Radiation And Contrast Exposure In Transfemoral Versus Transcarotid Stenting
In this study we compared the radiation exposure between TCAR and traditional transfemoral CAS procedures.
Source: Annals of Vascular Surgery - January 31, 2020 Category: Surgery Authors: David O'Connor, Lifen Cao, Jacqueline Steinman, Stanton Nielsen, Kristin Cook, Anjali Ratnathicam, Michael Wilderman, Gregory Simonian, Massimo Napolitano Source Type: research

A Systematic Review and Meta-Analysis of TransCarotid Artery Revascularization with Dynamic Flow Reversal versus Transfemoral Carotid Artery Stenting and Carotid Endarterectomy
TransFemoral Carotid Artery Stenting (TFCAS) was introduced as a less invasive option for carotid revascularization in patients at high risk for complications from Carotid Endarterectomy (CEA). The increased perioperative stroke and death risk of TFCAS has however prevented TFCAS from widespread acceptance as an alternative to CEA in high risk patients. Recent research suggests that TransCarotid Artery Revascularization (TCAR) may be associated with a low stroke and risk and potentially meet the needs of patients at high surgical risk.
Source: Annals of Vascular Surgery - June 3, 2020 Category: Surgery Authors: Isaac N. Naazie, Christina L. Cui, Ikponmwosa Osaghae, Mohammad H. Murad, Marc Schermerhorn, Mahmoud B. Malas Tags: Clinical Research, Basic Science Source Type: research

Outcomes of Transcarotid Artery Revascularization and Carotid Endarterectomy at a Single Institution
Carotid endarterectomy (CEA) and carotid artery stenting (CAS) are accepted revascularization modalities to treat carotid artery stenosis. Higher incidences of perioperative adverse neurological events and death have been reported in transfemoral CAS patients. Transcarotid artery revascularization (TCAR) is a newer operative technique that involves direct transcervical carotid access, mitigating aortic arch manipulation and minimizing the risk of embolic stroke via cerebral blood flow reversal. Perioperative stroke, myocardial infarction (MI), and death rates have been shown to be similar between TCAR and CEA, with TCAR ha...
Source: Annals of Vascular Surgery - November 25, 2020 Category: Surgery Authors: Christopher A. Cappellini, Hong Zheng, Kathleen M. Lamb, Renganaden Sooppan, James Coffey, Robert Q. Luo Tags: Clinical Research, Basic Science Source Type: research

Clinical Research, Basic ScienceEpidemiological Analysis of 37,424 Carotid Artery Stenosis Intervention procedures during 11 years in the Public Health System in Brazil: Stenting Has Been More Common than Endarterectomy
Stroke (cerebrovascular accident) figures among CVDs as the second leading cause of death worldwide, responding for approximately 5.7 million cases per year, which represent 10% of global mortality (1), as well as the third leading cause of disability globally (2). In Brazil, stroke is currently the second leading cause of death and impairing symptoms (3). In 10 to 20% of cases, strokes are secondary to carotid atherosclerosis (4), hence the relevance of analysing carotid bifurcation operative procedures as a sensible preventative measure for cerebral ischemic diseases.
Source: Annals of Vascular Surgery - June 24, 2021 Category: Surgery Authors: Nelson Wolosker, Maria Fernanda Cassino Portugal, Marcelo Fiorelli Alexandrino da Silva, Rodrigo Massaud, Edson Amaro, Claudia Jerussalmy, Marcelo Passos Teivelis Source Type: research

Epidemiological Analysis of 37,424 Carotid Artery Stenosis Intervention Procedures During 11 Years in the Public Health System in Brazil: Stenting has Been More Common Than Endarterectomy
Stroke (cerebrovascular accident) figures among CVDs as the second leading cause of death worldwide, responding for approximately 5.7 million cases per year, which represent 10% of global mortality,1 as well as the third leading cause of disability globally.2 In Brazil, stroke is currently the second leading cause of death and impairing symptoms.3 In 10 –20% of cases, strokes are secondary to carotid atherosclerosis,4 hence the relevance of analyzing carotid bifurcation operative procedures as a sensible preventative measure for cerebral ischemic diseases.
Source: Annals of Vascular Surgery - June 24, 2021 Category: Surgery Authors: Nelson Wolosker, Maria Fernanda Cassino Portugal, Marcelo Fiorelli Alexandrino da Silva, Rodrigo Massaud, Edson Amaro, Claudia Jerussalmy, Marcelo Passos Teivelis Tags: Clinical Research, Basic Science Source Type: research

Intraoperative microembolic signals during carotid endarterectomy
Transcranial Doppler ultrasonography (TCD) can detect microembolic signals (MESs) that are one of the pathogenic indications of ischemic stroke. However, MESs are not uncommon findings during carotid endarterectomy (CEA). The aim of this study was to evaluate the association between MESs and postoperative neurologic events (transient ischemic attack [TIA] or stroke) or new brain lesions (NBLs) on magnetic resonance imaging (MRI).
Source: Annals of Vascular Surgery - November 11, 2021 Category: Surgery Authors: Choshin Kim, Jun Lee, Se-Jin Lee, Woo-Sung Yun Tags: Clinical Research Source Type: research

A new Doppler-derived parameter to quantify internal carotid artery stenosis: maximal systolic acceleration
Carotid artery stenosis has long been recognized as an important etiological factor for ischemic stroke and large trials have determined the benefit of carotid endarterectomy (CEA) in symptomatic patients as prophylactic countermeasure against stroke.1 –5 Doppler ultrasonography (DUS) is the primary evaluation of carotid artery stenosis and management determination.6,7,8 Although in many centers additional imaging (computed tomographic angiography (CTA) or MR angiography (MRA)) is obtained when intervention is considered, in some regions a major ity of surgical interventions of the carotid artery is based on DUS-imaging alone.
Source: Annals of Vascular Surgery - November 11, 2021 Category: Surgery Authors: Jeroen J.W.M. Brouwers, Janey F.Y. Jiang, Robert T. Feld, Louk P. van Doorn, Rob C. van Wissen, Marianne A.A. van Walderveen, Jaap F. Hamming, Abbey Schepers Source Type: research