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Acute ischemic stroke: The role of emergency carotid endarterectomy in isolated extracranial internal carotid artery occlusion
CONCLUSIONS: Emergency CEA in isolated eICA occlusion has proved to be a safe and effective treatment option in selected patients. CT perfusion, imaging the ischemic penumbra and quantifying the tissue suitable for reperfusion, offers a valid support in the diagnostic-therapeutic workup. Indeed, we can infer that the area of the ischemic penumbra is directly proportional to the margin of clinical improvement after revascularization, supposing that the appropriate intervention timing is respect.PMID:37594376 | DOI:10.1177/17085381231192712
Source: Vascular - August 18, 2023 Category: Surgery Authors: Pierfilippo Acciarri Alice Camagni Maddalena Bressan Gladiol Zenunaj Ilaria Casetta Andrea Bernardoni Vincenzo Gasbarro Luca Traina Source Type: research

Bypass and other modified reconstruction techniques for 'challenging' carotid cases: A comparison with conventional endarterectomy
CONCLUSIONS: Patients who underwent ICA revascularization with MCAR showed risks of perioperative death, major or minor stroke (<2%), reintervention rates and carotid restenosis rates that are comparable with PCEA or ECEA groups. Nevertheless, the MCAR group showed a significantly higher rate of global central neurological complications (considering together TIA, minor stroke and major stroke) than patients treated with standard CEA. MCAR techniques appear to be effective alternatives to standard CEAs, with an acceptable surgical risk. However, these should be performed mainly in selected cases, for example, in complex ...
Source: Vascular - May 12, 2023 Category: Surgery Authors: Andrea Xodo Federico Barbui Alessandro Desole Fabio Pilon Massimiliano Zaramella Domenico Milite Source Type: research

Systematic review of the relationship between Hollenhorst plaques and cerebrovascular events
CONCLUSION: The presence of asymptomatic retinal emboli indicates a risk of a cerebrovascular event when compared to patients with no plaques seen on fundoscopy. The evidence suggests that these patients warrant referral for medical optimization of cardiovascular risk factors. Currently, there is no recommendation to support carotid endarterectomy in patients with Hollenhorst plaques, or retinal emboli, and further studies are needed to assess this.PMID:36914563 | DOI:10.1177/17085381231163339
Source: Vascular - March 13, 2023 Category: Surgery Authors: Baker Moustafa Ghoneim Daniel Westby Mohamed Elsharkawi Marwa Said Stewart R Walsh Source Type: research

The Impact of age and outcomes of high-risk patients on carotid revascularization
CONCLUSIONS: In patients older than 75 years in the Hr group, there were relatively poor 30-day treatment outcomes in both CEA and CAS. Alternative treatment is needed that can expect better outcomes in older high-risk patients. In the Nr group, CEA has a significant benefit compared with CAS, and CEA should be recommended more to these patients.PMID:36794829 | DOI:10.1177/17085381231155035
Source: Vascular - February 16, 2023 Category: Surgery Authors: Joon-Kee Park Shin-Young Woo Yang-Jin Park Dong-Ik Kim Gyeong-Moon Kim Woo-Keun Seo Jong-Won Jung Pyoung Jeon Keon-Ha Kim Young-Wook Kim Shin-Seok Yang Source Type: research

Systemic immune-inflammation index for predicting poor outcome after carotid endarterectomy: A novel hematological marker
CONCLUSIONS: Our study revealed for the first time in the literature that SII significantly predicted poor outcome after CEA.PMID:36441077 | DOI:10.1177/17085381221141476
Source: Vascular - November 28, 2022 Category: Surgery Authors: Ahmet Yuksel Yusuf Velioglu Ufuk Turan Kursat Korkmaz Serkan Burc Deser Dursun Topal Serdar Badem Temmuz Taner Erhan Renan Ucaroglu Nail Kahraman Deniz Demir Source Type: research

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