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Specialty: Surgery
Source: European Journal of Vascular and Endovascular Surgery
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Total 289 results found since Jan 2013.
Closing the Loop: A 21-year Audit of Strategies for Preventing Stroke and Death Following Carotid Endarterectomy
The objective of this review was to identify causes of stroke/death after carotid endarterectomy (CEA) and to develop transferable strategies for preventing stroke/death after CEA, via an overview of a 21-year series of themed research and audit projects. Three preventive strategies were identified: (i) intra-operative transcranial Doppler (TCD) ultrasound and completion angioscopy which virtually abolished intra-operative stroke, primarily through the removal of residual luminal thrombus prior to restoration of flow; (ii) dual antiplatelet therapy with a single 75-mg dose of clopidogrel the night before surgery in additio...
Source: European Journal of Vascular and Endovascular Surgery - June 17, 2013 Category: Surgery Authors: A.R. Naylor, R.D. Sayers, M.J. McCarthy, M.J. Bown, A. Nasim, M.J. Dennis, N.J.M. London, P.R.F. Bell Tags: Carotid Disease Source Type: research
Diastolic Blood Pressure is a Risk Factor for Peri-procedural Stroke Following Carotid Endarterectomy in Asymptomatic Patients
Carotid endarterectomy (CEA) prevents future stroke, but this benefit depends on detection and control of high peri-operative risk factors. In symptomatic patients, diastolic hypertension has been causally related to procedural stroke following CEA. The aim was to identify risk factors causing peri-procedural stroke in asymptomatic patients and to relate these to timing of surgery and mechanism of stroke.
Source: European Journal of Vascular and Endovascular Surgery - March 17, 2017 Category: Surgery Authors: D.D. de Waard, G.J. de Borst, R. Bulbulia, A. Huibers, A. Halliday, the Asymptomatic Carotid Surgery Trial-1 Collaborative Group Source Type: research
Contralateral Occlusion and Concomitant Procedures Drive Risk of Non-ipsilateral Stroke After Carotid Endarterectomy
Stroke after carotid endarterectomy (CEA) has been assessed widely. However, factors enhancing non-ipsilateral stroke risk are poorly defined. The aim of this study was to identify drivers of 30 day non-ipsilateral stroke after CEA in the Vascular Quality Initiative (VQI) and assess long-term survival based on laterality of post-operative stroke.
Source: European Journal of Vascular and Endovascular Surgery - March 29, 2019 Category: Surgery Authors: W. Darrin Clouse, Laura T. Boitano, Emel A. Ergul, Vikram S. Kashyap, Mahmoud B. Malas, Philip P. Goodney, Virendra I. Patel, Mark F. Conrad Source Type: research
Stroke Following Thoracic Endovascular Aortic Repair and the Impact of Left Subclavian Artery Management
Introduction: Stroke is a devastating complication following thoracic endovascular aortic repair (TEVAR). Studies have found conflicting results on stroke risk following TEVAR with concurrent left subclavian artery (LSA) coverage alone (pooled reported rates ranging between 4.7-7.8%) and whether LSA revascularization results in lower stroke rates (pooled reported rates ranging between 4.1-5.8%). Therefore, we compared stroke rate following TEVAR with differing LSA management strategies in the real-world setting of a nationwide clinical registry.
Source: European Journal of Vascular and Endovascular Surgery - November 30, 2019 Category: Surgery Authors: Rens R.B. Varkevisser, Nicholas J. Swerdlow, Livia E.M.V. de Guerre, Kirsten Dansey, Chun Li, Patric Liang, Christopher A. Latz, Mathijs T. Carvalho Mota, Hence J.M. Verhagen, Marc L. Schermerhorn Source Type: research
Changes in Middle Cerebral Artery Velocity after Carotid Endarterectomy do not Identify Patients at High-risk of Suffering Intracranial Haemorrhage or Stroke due to Hyperperfusion Syndrome
Conclusion: We were unable to demonstrate that significant increases in MCAV and PI were able to predict patients at increased risk of suffering a post-operative stroke due to HS or ICH. The provision of written guidance for managing PEH in Group 2 patients was associated with virtual abolition of ICH/HS.
Source: European Journal of Vascular and Endovascular Surgery - March 29, 2013 Category: Surgery Authors: J.E. Newman, M. Ali, R. Sharpe, M.J. Bown, R.D. Sayers, A.R. Naylor Tags: Carotid Disease Source Type: research
Safety of Carotid Intervention Following Thrombolysis in Acute Ischaemic Stroke
This study aims to assess the safety of carotid intervention post-thrombolysis for acute ischaemic stroke.
Source: European Journal of Vascular and Endovascular Surgery - August 12, 2014 Category: Surgery Authors: R. Mandavia, M.I. Qureshi, B. Dharmarajah, K. Head, A.H. Davies Tags: Review Source Type: research
Risk of Early Recurrent Stroke in Symptomatic Carotid Stenosis
The risk of recurrent stroke in patients with symptomatic carotid artery stenosis is highest in the first weeks after a transient ischemic attack (TIA) or minor stroke and can be reduced with carotid endarterectomy (CEA). The optimal timing of CEA remains a controversial issue since very urgent CEA is associated with an increased procedural risk. The aim of this study was to determine the risk of very early recurrent stroke in a population with symptomatic high grade carotid stenosis.
Source: European Journal of Vascular and Endovascular Surgery - December 26, 2014 Category: Surgery Authors: S. Strömberg, A. Nordanstig, T. Bentzel, K. Österberg, G.M.L. Bergström Source Type: research
Stroke/Death Rates Following Carotid Artery Stenting and Carotid Endarterectomy in Contemporary Administrative Dataset Registries: A Systematic Review
Randomised trials have reported higher stroke/death rates after carotid artery stenting (CAS) versus carotid endarterectomy (CEA). Despite this, the 2011 American Heart Association (AHA) guidelines expanded CAS indications, partly because of the Carotid Revascularization Endarterectomy versus Stenting Trial, but also because of improving outcomes in industry sponsored CAS Registries. The aim of this systematic review was: (i) to compare stroke/death rates after CAS/CEA in contemporary dataset registries, (ii) to examine whether published stroke/death rates after CAS fall within AHA thresholds, and, (iii) to see if there ha...
Source: European Journal of Vascular and Endovascular Surgery - September 5, 2015 Category: Surgery Authors: K.I. Paraskevas, E.L. Kalmykov, A.R. Naylor Tags: Review Source Type: research
Intra-arterial Therapy in the Early Treatment of Acute Ischaemic Stroke
In 1995, intravenously administered recombinant tissue-type plasminogen activator (rtPA) was demonstrated to be effective as a treatment for acute ischaemic stroke provided it was commenced within 3 hours of stroke onset.1 In 2008, the ECASS-2 trial demonstrated that the time window for intravenous thrombolysis could be increased to 4.5 hours.2 More recently, intra-arterial thrombectomy (IAT), in addition to intravenous rtPA, has been shown to be highly beneficial when administered within 6 hours after acute stroke onset in six randomized clinical trials.
Source: European Journal of Vascular and Endovascular Surgery - September 9, 2015 Category: Surgery Authors: L.J. Kappelle, G.J. de Borst Tags: Editorial Source Type: research
Metabolic Phenotypes of Carotid Atherosclerotic Plaques Relate to Stroke Risk: An Exploratory Study
In this study, the utility of comprehensive metabolic phenotyping is assessed to provide candidate biomarkers that relate to stroke risk in stenosing carotid plaque tissue samples.
Source: European Journal of Vascular and Endovascular Surgery - May 22, 2016 Category: Surgery Authors: P.A. Vorkas, J. Shalhoub, M.R. Lewis, K. Spagou, E.J. Want, J.K. Nicholson, A.H. Davies, E. Holmes Source Type: research
Incidence of Stroke Following Thoracic Endovascular Aortic Repair for Descending Aortic Aneurysm: A Systematic Review of the Literature with Meta-analysis
Stroke is an increasingly recognised complication following thoracic endovascular aortic repair (TEVAR). The aim of this study was to systematically synthesise the published data on perioperative stroke incidence during TEVAR for patients with descending thoracic aneurysmal disease and to assess the impact of left subclavian artery (LSA) coverage on stroke incidence.
Source: European Journal of Vascular and Endovascular Surgery - December 16, 2016 Category: Surgery Authors: R.S. von Allmen, B. Gahl, J.T. Powell Tags: Review Source Type: research
Editor's Choice – Incidence of Stroke Following Thoracic Endovascular Aortic Repair for Descending Aortic Aneurysm: A Systematic Review of the Literature with Meta-analysis
Stroke is an increasingly recognised complication following thoracic endovascular aortic repair (TEVAR). The aim of this study was to systematically synthesise the published data on perioperative stroke incidence during TEVAR for patients with descending thoracic aneurysmal disease and to assess the impact of left subclavian artery (LSA) coverage on stroke incidence.
Source: European Journal of Vascular and Endovascular Surgery - December 16, 2016 Category: Surgery Authors: R.S. von Allmen, B. Gahl, J.T. Powell Tags: Review Source Type: research
Carotid Endarterectomy After Intracranial Endovascular Thrombectomy for Acute Ischaemic Stroke in Patients with Carotid Artery Stenosis
Introduction: Recent randomised controlled trials have demonstrated the benefit of intracranial endovascular thrombectomy (EVT) in acute ischaemic stroke with large vessel occlusion, and the number of EVTs has increased rapidly. There are no data on how to treat concomitant extracranial carotid artery stenosis after EVT. The aim of this study was to evaluate the outcome in stroke patients treated with carotid endarterectomy (CEA) after successful EVT, comparing complication rates to stroke patients undergoing CEA as a single procedure.
Source: European Journal of Vascular and Endovascular Surgery - February 1, 2022 Category: Surgery Authors: Magnus Jonsson, Ellinoora Aro, Katarina Bj örses, Staffan Holmin, Petra Ijäs, Nicolas Martinez-Majander, Pirkka Vikatmaa, Carl-Magnus Wahlgren, Maarit Venermo, Martin Björck Source Type: research
Rates of Stroke in Patients With Different Presentations of Carotid Artery Stenosis
Carotid artery stenosis may present without the classical symptoms of transient ischaemic attack or stroke but the rates of stroke for these presentations is unknown. The aim of this study was to examine the rates of stroke in patients with different presentations of carotid artery stenosis.
Source: European Journal of Vascular and Endovascular Surgery - June 6, 2023 Category: Surgery Authors: Dylan R. Morris, Tejas P. Singh, Tahmid Zaman, Ramesh Velu, Francis Quigley, Jason Jenkins, Jonathan Golledge Source Type: research
Prognostic Value of Preoperative Border-zone (Watershed) Infarcts on the Early Postoperative Outcomes of Carotid Endarterectomy after Acute Ischemic Stroke
Conclusion: CBZIs, compared to TCIS, were associated with a higher neurological complication rate during the postoperative period after CEA for SCS in cases of AIS. Further studies are required to better define the timing and the best treatment modality for patients with CBZI related to an SCS in order to reduce associated procedural complications.
Source: European Journal of Vascular and Endovascular Surgery - January 10, 2013 Category: Surgery Authors: E. Jean-Baptiste, P. Perini, L. Suissa, S. Lachaud, S. Declemy, M.H. Mahagne, A. Mousnier, R. Hassen-Khodja Tags: Carotid Disease Source Type: research
