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Source: Journal of Vascular Surgery
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Total 705 results found since Jan 2013.
Influence of multiple stents on periprocedural stroke after carotid artery stenting in the Carotid Revascularization Endarterectomy versus Stent Trial (CREST)
In the Carotid Revascularization Endarterectomy versus Stent Trial (CREST), carotid artery atherosclerotic lesion length and nature of the lesions were important factors that predicted the observed difference in stroke rates between carotid endarterectomy and carotid artery stenting (CAS). Additional patient-related factors influencing CAS outcomes in CREST included age and symptomatic status. The importance of the operator's proficiency and its influence on periprocedural complications have not been well defined.
Source: Journal of Vascular Surgery - December 4, 2018 Category: Surgery Authors: Brajesh K. Lal, Gary S. Roubin, Michael Jones, Wayne Clark, Ariane Mackey, Michael D. Hill, Jenifer H. Voeks, George Howard, Robert W. Hobson, Thomas G. Brott Source Type: research
Addition of proximal intervention to carotid endarterectomy increases risk of stroke and death
Adding ipsilateral, proximal endovascular (IPE) intervention to carotid endarterectomy (CEA) for the treatment of tandem bifurcation and supra-aortic trunk disease is controversial. Some suggest that this combined strategy (CEA + IPE) confers no risk over isolated CEA (ICEA). Others disagree, reserving CEA + IPE for symptomatic patients. Using the Vascular Quality Initiative (VQI), this study assessed the effect of adding IPE to CEA on stroke and death risk. We further weighed CEA + IPE outcomes in the context of sympt omatic status and Society for Vascular Surgery guidelines.
Source: Journal of Vascular Surgery - December 13, 2018 Category: Surgery Authors: Linda J. Wang, Emel A. Ergul, Mark F. Conrad, Mahmoud B. Malas, Vikram S. Kashyap, Philip P. Goodney, Virendra I. Patel, W. Darrin Clouse Tags: Clinical paper Source Type: research
Assessment of long-term survival and stroke after carotid endarterectomy and carotid stenting in patients older than 80 years
The objective of this study was to analyze preoperative risk factors affecting long-term survival and the occurrence of stroke in patients older than 80 years undergoing either carotid endarterectomy (CEA) or carotid artery stenting (CAS) for carotid stenosis.
Source: Journal of Vascular Surgery - March 1, 2019 Category: Surgery Authors: Daniela Mazzaccaro, Alfredo Modafferi, Giovanni Malacrida, Giovanni Nano Source Type: research
The Efficacy of Carotid Surgery by Subgroups: The Concept of Stroke Prevention Potential
Considering carotid endarterectomy (CEA), reporting treatment delay, symptom status, and surgical complication rates separately gives an incomplete picture of efficacy; therefore, the aim was to combine these factors and develop a reporting standard that better describes the number of potentially prevented strokes. With a real life cohort and theoretical inclusion scenarios, the aim was to explore the stroke prevention potential of different carotid practices.
Source: Journal of Vascular Surgery - July 22, 2019 Category: Surgery Authors: E. Aro, P. Ij äs, L. Vikatmaa, L. Soinne, R. Sund, M. Venermo, P. Vikatmaa Tags: Selected Abstract from the July Issue of the European Journal of Vascular and Endovascular Surgery Source Type: research
Carotid Artery Webs as an Atypical Cause of Ischemic Stroke; Risk Factors, Diagnosis, and Management
Carotid webs are a rare and difficult-to-diagnose cause of stroke. There are currently few cases reported in the existing literature. We reviewed our recent institutional experience and performed a systematic review of the literature to provide diagnostic and management recommendations.
Source: Journal of Vascular Surgery - July 22, 2019 Category: Surgery Authors: Matthew Carnevale, Issam Koleilat, Evan Lipsitz, John Phair Tags: Abstract from the 2019 Eastern Vascular Society Annual Meeting Source Type: research
Last neurologic event is associated with risk of in-hospital stroke or death after carotid endarterectomy or carotid artery stenting: Secondary data analysis of the German statutory quality assurance database
We sought to analyze the association between last neurologic event and the risk of stroke or death among patients treated with carotid endarterectomy (CEA) or carotid artery stenting (CAS) under routine conditions in Germany.
Source: Journal of Vascular Surgery - August 11, 2019 Category: Surgery Authors: Pavlos Tsantilas, Christoph Knappich, Sofie Schmid, Michael Kallmayer, Thorben Breitkreuz, Alexander Zimmermann, Hans-Henning Eckstein, Andreas Kuehnl Source Type: research
Retinal Artery Occlusion Does Not Portend an Increased Risk of Stroke
The aim of this study was to determine the subsequent risk of stroke after a diagnosis of retinal artery occlusion (RAO). We hypothesized that the risk would be low and comparable to that of the general population. RAO is relatively rare and often incorrectly diagnosed. We believe our institution is in a unique position to investigate this relationship with both a high-volume eye center and vascular laboratory.
Source: Journal of Vascular Surgery - August 21, 2019 Category: Surgery Authors: David J. Laczynski, Sean P. Lyden, Joshua Gallop, James Bena, Francis J. Caputo Tags: Abstract from the 2019 Midwestern Vascular Surgical Society Annual Meeting Source Type: research
Association of Upper Extremity and Neck Access With Stroke in Endovascular Aortic Repair
Upper extremity and neck access is increasingly being used for complex endovascular aortic repairs. We sought to compare perioperative stroke and other complications of (1) arm/neck with femoral/iliac access (AN) vs femoral/iliac access alone (FI), (2) right- vs left-sided AN, and (3) arm vs neck access sites.
Source: Journal of Vascular Surgery - August 21, 2019 Category: Surgery Authors: Anastasia Plotkin, Li Ding, Sukgu M. Han, Gustavo S. Oderich, Benjamin W. Starnes, Jason T. Lee, Mahmoud B. Malas, Fred A. Weaver, Gregory Magee Tags: Abstract from the 2019 Western Vascular Society Annual Meeting Source Type: research
The Vascular Quality Initiative 30-day stroke/death risk score calculator after transfemoral carotid artery stenting
Carotid artery stenting (CAS) was introduced as an alternative carotid revascularization procedure in patients deemed to be at high risk for carotid endarterectomy. Although techniques and selection criteria for patients have dramatically improved, CAS continues to have higher risk of stroke and death in comparison to carotid endarterectomy. Several risk factors are known to be associated with worse outcomes. Whereas knowledge of these independent factors is helpful, clinical decision-making is further refined when these are considered in aggregate.
Source: Journal of Vascular Surgery - September 12, 2019 Category: Surgery Authors: Hanaa Dakour-Aridi, Muhammad Faateh, Pei-Lun Kuo, Devin S. Zarkowsky, Adam Beck, Mahmoud B. Malas Source Type: research
CAR 12. Emergent Carotid Revascularization for Acute Stroke Therapy: A Role for Open Surgery and Catheter-Based Therapy Based on Brain Imaging
Recent studies have expanded the window for the use of systemic and catheter-directed thrombolysis and mechanical thrombectomy for acute stroke management. The purpose of this review was to evaluate the impact that contemporary cerebral imaging has on the indications for emergent cervical carotid revascularization.
Source: Journal of Vascular Surgery - October 21, 2019 Category: Surgery Authors: Scott S. Berman Source Type: research
CAR 3. Neurologic Complication Rates of Intravenous Thrombolysis Combined With Early Carotid Endarterectomy for Treatment of Hyperacute Ischemic Stroke
Intravenous thrombolysis for treatment of acute carotid-associated stroke can be combined with carotid endarterectomy (CEA) either simultaneously or in a staged procedure. The aim of this single-center retrospective study was to analyze the short-term and long-term results of sequential lysis with CEA.
Source: Journal of Vascular Surgery - October 21, 2019 Category: Surgery Authors: Ewa Swiecka, Martin Storck, Roland Zippel Source Type: research
Antiplatelet Therapy vs Anticoagulation Therapy in Cervical Artery Dissection: The Cervical Artery Dissection in Stroke Study (CADISS) Randomized Clinical Trial Final Results.
A randomized, prospective study from the United Kingdom and Australia was conducted between February 24, 2006 and June 17, 2013.
Source: Journal of Vascular Surgery - November 22, 2019 Category: Surgery Authors: H.S. Markus, C. Levi, A. King, J. Madigan, J. Norris, Cervical Artery Dissection in Stroke Study (CADISS) Investigators. Tags: There is no difference in treatment of carotid or vertebral artery dissection with antiplatelet vs anticoagulant therapy Source Type: research
Retinal artery occlusion does not portend an increased risk of stroke
The aim of this study was to determine the subsequent risk of stroke after a diagnosis of retinal artery occlusion (RAO). We hypothesized that the risk would be low and comparable to that of the general population. RAO is relatively rare and often incorrectly diagnosed. We believe our institution is in a unique position to investigate this relationship with both a high-volume eye center and vascular laboratory.
Source: Journal of Vascular Surgery - December 12, 2019 Category: Surgery Authors: David J. Laczynski, Joshua Gallop, Sean P. Lyden, Jim Bena, Alex Yuan, Christopher J. Smolock, Francis J. Caputo Source Type: research
Hemodynamic events during carotid stenting are associated with significant periprocedural stroke and adverse events
This study evaluates the risk attributable to the CAS-related hemodynamic events and the impact preprocedural medications have on mitigating this risk in a large, population-based cohort.
Source: Journal of Vascular Surgery - February 17, 2020 Category: Surgery Authors: Isibor J. Arhuidese, Mary E. Ottinger, Ankur J. Shukla, Neil Moudgil, Paul Armstrong, Karl Illig, Brad L. Johnson, Murray L. Shames Source Type: research
Early vascular imaging and key system strategies expedite carotid revascularization after transient ischemic attack and stroke
International guidelines recommend carotid revascularization within 14 days for patients with a symptomatic transient ischemic attack (TIA) or stroke event. However, significant delays in care persist, with only 9% of outpatients and 36% of inpatients in Ontario meeting this target. The study objective was to explore the influence of health system factors on carotid revascularization timelines.
Source: Journal of Vascular Surgery - April 5, 2020 Category: Surgery Authors: Sophia Gocan, Aline Bourgoin, Rany Shamloul, Brammiya Sivakumar, Dar Dowlatshahi, Grant Stotts Source Type: research
