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Diabetes Mellitus with Chronic Complications in Relation to Carotid Endarterectomy and Carotid Artery Stenting Outcomes
Carotid endarterectomy and carotid artery stenting are effective treatment procedures for carotid artery stenosis. Although diabetes mellitus is highly prevalent among patients undergoing these revascularization procedures, few studies have examined their impact on periprocedural outcomes.
Source: Journal of Stroke and Cerebrovascular Diseases - October 30, 2016 Category: Neurology Authors: Oluwole Adegbala, Kimberly D. Martin, David Otuada, Tomi Akinyemiju Source Type: research

Ipsilateral regional cortical injury after carotid endarterectomy
We report a patient who had focal neurologic deficits after CEA with delayed manifestation of ipsilateral regional cortical injury on diffusion-weighted images.
Source: Journal of Stroke and Cerebrovascular Diseases - March 18, 2017 Category: Neurology Authors: Sungwook Yu, Young-Min Park, Kyung-Hee Cho Source Type: research

Carotid Endarterectomy to Remove Retained Solitaire Stent Retriever inside Carotid Stent after Mechanical Thrombectomy
Tandem occlusions of the internal carotid artery (ICA) and middle cerebral artery (MCA) occur in up to a third of patients with acute ischemic strokes undergoing endovascular mechanical thrombectomy. Understanding open neurosurgical management of associated complications with this procedure is important.
Source: Journal of Stroke and Cerebrovascular Diseases - March 17, 2017 Category: Neurology Authors: Mary In-Ping Huang Cobb, Tony P. Smith, Patrick A. Brown, L. Fernando Gonzalez, Ali R. Zomorodi Tags: Case Studies Source Type: research

Carotid Endarterectomy Induces the Release of Inflammatory Markers and the Activation of Coagulation as Measured in the Jugular Bulb
Transient cerebral hypoxia may induce neuronal injury through an ischemia –reperfusion (I/R) response, with a subsequent activation of inflammation and coagulation–fibrinolysis. During carotid endarterectomy (CEA), the artery is clamped, which might impair the regional cerebral perfusion and initiate a local I/R response. Data suggest that the CD40–CD40 ligand dyad acts as a modulator in the induced activation. The aim of this study was to locally measure soluble CD40 ligand (sCD40L), in conjunction with inflammation and coagulation activation markers, during CEA.
Source: Journal of Stroke and Cerebrovascular Diseases - June 24, 2017 Category: Neurology Authors: Bjorn Kragsterman, David Bergqvist, Agneta Siegbahn, Hakan Parsson Source Type: research

Visual Aids for Improving Patient Decision Making in Severe Symptomatic Carotid Stenosis
Because of the large amount of information to process and the limited time of a clinical consult, choosing between carotid endarterectomy (CEA) and carotid angioplasty with stenting (CAS) can be confusing for patients with severe symptomatic internal carotid stenosis (ICA).
Source: Journal of Stroke and Cerebrovascular Diseases - August 7, 2017 Category: Neurology Authors: Sebastian Fridman, Gustavo Saposnik, Luciano A. Sposato Source Type: research

Periprocedural Outcomes of Carotid Artery Stenting in Elderly Patients
Carotid artery stenting has emerged as an alternative to carotid endarterectomy especially in patients with high risk of carotid endarterectomy. Older age ( ≥80 years old) was recognized as one of the high risk factors of carotid endarterectomy. However, the association between older age and increased risk of adverse events for carotid artery stenting has been reported. The purpose of this study was to evaluate the association between age and periproc edural outcomes after carotid artery stenting.
Source: Journal of Stroke and Cerebrovascular Diseases - September 14, 2017 Category: Neurology Authors: Masataka Nanto, Yudai Goto, Hiroyuki Yamamoto, Seisuke Tanigawa, Michiko Takado, Takahiro Ogawa, Yoshikazu Nakahara Source Type: research

Midt-Term Results after Fast-Track Prophylactic Carotid Surgery Program: The Risk of Overlooking Occult Cancer
Most guidelines recommend fast-track carotid endarterectomy (CEA) within 14 days of the last ischemic event. Long-term survival after fast-track CEA is unknown. The purpose of this study was to determine whether the fast-track CEA program in our region was associated with a reduced or increased 2-year survival and overall complication rate in our population.
Source: Journal of Stroke and Cerebrovascular Diseases - November 28, 2017 Category: Neurology Authors: Liv Schoellhammer, Alan Owen-Falkenberg, Bo Gottschalksen, Saeid Shahidi Source Type: research

Cerebral Neuromonitoring during Carotid Endarterectomy and Impact of Contralateral Internal Carotid Occlusion
The aim of this study was to identify the reliability of carotid artery stump pressure (SP) in predicting the neurologic changes and correlation with contralateral internal carotid artery (ICA) occlusion in patients undergoing eversion carotid endarterectomy (CEA). The optimal method for monitoring cerebral perfusion during CEA, performed under either local or general anesthesia, is still controversial.
Source: Journal of Stroke and Cerebrovascular Diseases - February 4, 2018 Category: Neurology Authors: Davorin Sef, Andrija Skopljanac-Macina, Milan Milosevic, Anita Skrtic, Vinko Vidjak Source Type: research

Influence of Contralateral Carotid Occlusion on Outcomes After Carotid Endarterectomy: A Meta-Analysis
There is a controversy about whether the contralateral carotid occlusion (CO) in patients undergoing carotid endarterectomy (CEA) is associated with worse early and long-term outcomes. The aim of this systematic review and meta-analysis was to investigate the impact of CO on outcomes after CEA.
Source: Journal of Stroke and Cerebrovascular Diseases - June 22, 2018 Category: Neurology Authors: Wenlong Cheng, Huijun Lu, Yali Hu Source Type: research

Impact of Plaque Composition on Risk of Coronary Artery Diseases in Patients with Carotid Artery Stenosis
This study was aimed to determine the relationship between carotid plaque composition and CAD in patients who underwent carotid endarterectomy (CEA) or carotid artery stenting (CAS).
Source: Journal of Stroke and Cerebrovascular Diseases - September 12, 2018 Category: Neurology Authors: Saori Hamada, Daina Kashiwazaki, Shusuke Yamamoto, Naoki Akioka, Naoya Kuwayama, Satoshi Kuroda Source Type: research

High Neutrophil to Lymphocyte Ratio and Platelet to Lymphocyte Ratio are Associated with Symptomatic Internal Carotid Artery Stenosis
The neutrophil to lymphocyte ratio (NLR) and the platelet to lymphocyte ratio (PLR) have been identified as predictive factors in several cardiovascular diseases but their significance in patients with internal carotid artery (ICA) stenosis is still poorly known. The aim of this study was to determine the clinical significance of the preoperative NLR and PLR in patients with ICA stenosis undergoing carotid endarterectomy.
Source: Journal of Stroke and Cerebrovascular Diseases - September 27, 2018 Category: Neurology Authors: Nicolas Massiot, Fabien Lareyre, Audrey Voury-Pons, Yann Pelletier, Julien Chikande, Joseph Carboni, Emilien Umbdenstock, Elix ène Jean-Baptiste, Réda Hassen-Khodja, Juliette Raffort Source Type: research

Prolonged Autonomic Fluctuation Derived from Parasympathetic Hypertonia after Carotid Endarterectomy but not Stenting
Carotid endarterectomy (CEA) is a standard treatment for carotid artery stenosis, but the incidence after periprocedural myocardial infarction (MI) is not negligible. The mechanism for the higher risk of MI following CEA compared with the carotid artery stenting (CAS) is unclear. We hypothesized that it may be explained by different autonomic nervous responses.
Source: Journal of Stroke and Cerebrovascular Diseases - October 23, 2018 Category: Neurology Authors: Mari Amino, Masataka Nakano, Takashi Komatsu, Reisuke Yoshizawa, Fusanori Kunugita, Ken Kiyono, Norihiko Shinozaki, Kuniaki Ogasawara, Yoshihiro Morino, Koichiro Yoshioka, Yuji Ikari Source Type: research

Platelet Aggregability as a Predictor of Restenosis Following Carotid Endarterectomy
Background: Antiplatelet drugs are administered before and after carotid endarterectomies (CEAs), but their efficacy for preventing restenosis remains unclear. Hence, this study aimed to identify associations between postoperative restenosis and platelet aggregability in CEA patients. Methods: Thirty-six consecutive CEA patients treated at Tokyo Women's Medical University from May 2013 to March 2015 were included in this retrospective study. Restenosis was defined as a stenosis ratio greater than or equal to 50% per the European Carotid Surgery Trial criteria or peak systolic velocity of 150 cm/s on carotid ultrasound.
Source: Journal of Stroke and Cerebrovascular Diseases - November 29, 2018 Category: Neurology Authors: Yuichi Mochizuki, Tatsuya Ishikawa, Yasuo Aihara, Koji Yamaguchi, Takakazu Kawamata Source Type: research

Carotid Endarterectomy with Autoarterial Remodeling of Bifurcation of the Common Carotid Artery and Carotid Endarterectomy with Patch Closure: Comparison of Methods
The objectives of our research were to identify whether the new method of carotid endarterectomy (CEA) with autoarterial remodeling of bifurcation of the common carotid artery (ARBCCA) influences daily parameters of blood pressure and heart rate (HR) while monitoring them on a daily basis and to assess the efficacy of the suggested method.
Source: Journal of Stroke and Cerebrovascular Diseases - December 11, 2018 Category: Neurology Authors: Pavel Ignatenko, Olga Novikova, Alexander Gostev, Vladimir Starodubtsev, Galina Zeidlits, Konstantin Kuznetsov, Alexandra Starodubtseva, Andrey Karpenko Source Type: research

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