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Todd's paralysis due to hyperperfusion syndrome after carotid endarterectomy mimicking postoperative stroke
J Cardiovasc Surg (Torino). 2023 Jun 19. doi: 10.23736/S0021-9509.23.12720-0. Online ahead of print.ABSTRACTTodd's paralysis is a neurological deficit that is observed in <10% of patients following epileptic seizures. Cerebral hyperperfusion syndrome (CHS) is a rare complication following carotid endarterectomy (CEA), seen in 0-3% of the patients, characterized by focal neurological deficit, headache, disorientation, and sometimes seizures. In this case report, we present a case of CHS after CEA followed by seizures and Todd's paralysis that mimicked postoperative stroke. A 75-year-old female patient was admitted for CE...
Source: The Journal of Cardiovascular Surgery - June 19, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Slobodan Tanaskovic Nikola Cimbaljevic Jovan Petrovic Enes Ljatifi Mirjana Antonijevic Maja Neskovic Aleksandra Ostojic Nenad Ilijevski Source Type: research

Primary versus patching versus eversion as carotid endarterectomy closure
J Cardiovasc Surg (Torino). 2023 Feb 6. doi: 10.23736/S0021-9509.23.12618-8. Online ahead of print.ABSTRACTThe type of closure after carotid endarterectomy (CEA), whether with patching primary closure or eversion resulting optimal results, remains somewhat controversial. We conducted a PubMed literature review search comparing CEA with patching versus CEA with primary closure versus eversion CEA over the past four decades with emphasis on randomized controlled trials and systematic/meta-analysis and large single center or multicenter studies. The data showed that routine carotid patching can be recommended over primary clo...
Source: The Journal of Cardiovascular Surgery - February 6, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Ali F Aburahma Source Type: research

Role of mini access during carotid endarterectomy: a prospective observational study
CONCLUSIONS: According to these results the mini skin incision allows a sufficient vessels exposure for dissection, endarterectomy, reconstruction of carotid artery and shunt positioning, minimizing surgical invasiveness, decreasing the incidence of temporary cervical nerve dysfunction and improving the aesthetic result with significative less pain suffered by the patients. Transverse cervical and great auricular nerves sparing decreased postoperative hypo-paresthesia in the neck, improving patient's satisfaction. These data suggest that this procedure can be considered safe. Exploratory analysis suggested that it could po...
Source: The Journal of Cardiovascular Surgery - November 30, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Roberto Gabrielli Andrea Siani Gianluca Smedile Anna R Rizzo Gennaro DE Vivo Federico Accrocca Stefano Bartoli Source Type: research

Guideline on carotid surgery for stroke prevention: updates from the Italian Society of Vascular and Endovascular Surgery. A trend towards personalized medicine
CONCLUSIONS: This GL updates on the main recommendations for the most appropriate diagnostic and medical-surgical management of patients with atherosclerotic carotid artery stenosis to prevent ischemic stroke. This GL also provides useful elements for the application of PM in good clinical practice.PMID:35848869 | DOI:10.23736/S0021-9509.22.12368-2
Source: The Journal of Cardiovascular Surgery - July 18, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Gaetano Lanza Massimiliano Orso Giuseppe Alba Sergio Bevilacqua Laura Capoccia Alessandro Cappelli Giampaolo Carrafiello Carlo Cernetti Marina Diomedi Walter Dorigo Gianluca Faggioli Vanni Giannace David Giannandrea Matteo Giannetta Jessica Lanza Gianfran Source Type: research

Outcome analysis of synchronous carotid endarterectomy and cardiac surgery. Comparison of two anesthetic techniques after propensity score-matching
CONCLUSIONS: Synchronous surgery was performed with acceptable mortality and complication rate even in combination with other than isolated coronary surgery. Cooperative patient general anesthesia during carotid endarterectomy, was not inferior to general anesthesia in this setting.PMID:35848868 | DOI:10.23736/S0021-9509.21.12104-4
Source: The Journal of Cardiovascular Surgery - July 18, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Sergio Bevilacqua Carlo Pratesi Michele F Ostuni Andrea Pecchioni Elena Giacomelli Alfredo G Cerillo Pierluigi Stefano Source Type: research

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