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Source: Journal of Vascular Surgery
Procedure: Carotid Endarterectomy

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Total 349 results found since Jan 2013.

Result of 48-Hour Approach to Symptomatic Carotid Lesions in Patients With Stable Neurologic Examinations
Timing of treatment for symptomatic carotid disease has a controversial history with current guidelines recommending carotid surgery within 48  hours up to 2 weeks. Advocating for earlier carotid endarterectomy (CEA) after stroke (cerebrovascular accident [CVA]) or while a patient is having transient ischemic attacks (TIA) can potentially provide additional benefit to acute stroke patients resulting in improved stroke and death outcomes.
Source: Journal of Vascular Surgery - September 20, 2023 Category: Surgery Authors: Tigran Divanyan, Jeffrey Hnath, Amanda Kistler, Misak Harutyunyan, W John Byrne, Julia Kleene Tags: Carotid Artery Interventions Source Type: research

Impact of Race on Perioperative Outcomes Following Carotid Endarterectomy, Transfemoral Carotid Artery Stenting, and Transcarotid Artery Revascularization
Carotid artery revascularization is performed less frequently among Black and minority populations despite a higher incidence of stroke and greater cardiovascular and stroke risk profile. Limited data exists on what impact race has on outcomes following carotid interventions. We assessed racial differences in perioperative outcomes following carotid endarterectomy (CEA), transfemoral carotid artery stenting (tfCAS), and transcarotid artery revascularization (TCAR) using the Vascular Quality Initiative database.
Source: Journal of Vascular Surgery - September 20, 2023 Category: Surgery Authors: Pavel Kibrik, Ajit Rao, Jerry Zhu, Halbert Bai, Jason Storch, Daniel Han, Windsor Ting, Michael Marin, Peter Faries Tags: Carotid Artery Interventions Source Type: research

Female and Male Patients Have Similar Outcomes After TransCarotid Artery Revascularization in Prospective Trials
Sex disparities in outcomes after carotid revascularization have long been a concern, with several studies demonstrating increased post-operative death and stroke for female patients after either carotid endarterectomy (CEA) or transfemoral stenting (TF-CAS). Adverse events after TF-CAS are higher in female patients, particularly in symptomatic cases. Our objective was to investigate outcomes after transcarotid revascularization (TCAR) stratified by patient sex hypothesizing that the results would be similar between males and females.
Source: Journal of Vascular Surgery - September 14, 2023 Category: Surgery Authors: Justin A. Smith, Jane M. Chung, Peter A. Schneider, Christopher J. Kwolek, Frank R. Arko, Steve Henao, Jessica Titus, Paul DiMuzio, Sean Roddy, Mark A. Farber, Vikram S. Kashyap, ROADSTER trial investigators Source Type: research

Long-term outcomes of carotid endarterectomy vs transfemoral carotid stenting in a Medicare-matched database
Carotid endarterectomy (CEA) is associated with lower risk of perioperative stroke compared with transfemoral carotid artery stenting (TFCAS) in the treatment of carotid artery stenosis. However, there is discrepancy in data regarding long-term outcomes. We aimed to compare long-term outcomes of CEA vs TFCAS using the Medicare-matched Vascular Quality Initiative Vascular Implant Surveillance and Interventional Outcomes Network database.
Source: Journal of Vascular Surgery - August 25, 2023 Category: Surgery Authors: Kevin S. Yei, Claire Janssen, Nadin Elsayed, Isaac Naazie, Art Sedrakyan, Mahmoud B. Malas Source Type: research

Long-Term Outcomes of Carotid Endarterectomy vs. Transfemoral Carotid Stenting in a Medicare-Matched Database
Carotid endarterectomy is associated with lower risk of perioperative stroke compared to transfemoral carotid artery stenting in the treatment of carotid artery stenosis. However, there is discrepancy in data regarding long-term outcomes. We aimed to compare long-term outcomes of carotid endarterectomy vs transfemoral carotid artery stenting using the Medicare-matched Vascular Quality Initiative Vascular Implant Surveillance and Interventional Outcomes Network database.
Source: Journal of Vascular Surgery - August 25, 2023 Category: Surgery Authors: Kevin S. Yei, Claire Janssen, Nadin Elsayed, Isaac Naazie, Art Sedrakyan, Mahmoud B. Malas Source Type: research

Ultrasound Assessment of Internal Carotid Stenosis Pre- and Post-endarterectomy of Contralateral Near-occluded Carotid
Internal carotid artery (ICA) stenosis often presents bilaterally and is a major cause of stroke. Carotid duplex ultrasound is used for stenosis estimation via peak systolic velocity (PSV), end diastolic velocity (EDV), and ICA/common carotid artery (CCA) ratio. Carotid endarterectomy (CEA) is a common surgery for ICA stenosis and carries a high risk of stroke and mortality. In ICA near occlusion with>90% stenosis, collateral flow through contralateral ICA can compensate with increased velocities, artificially elevating contralateral stenosis.
Source: Journal of Vascular Surgery - August 18, 2023 Category: Surgery Authors: Vaishnavi Aradhyula, Lauren Workman, Todd E. Russell, Gregory Kasper, Brett Aplin, Fedor Lurie Source Type: research

A comparative effectiveness study of carotid intervention for long-term stroke prevention in patients with severe asymptomatic stenosis from a large integrated health system
In this study, we compared the observed effectiveness of CEA and standard medical therapy versus standard medical therapy alone to prevent ipsilateral stroke in a contemporary cohort of patients with ACS.
Source: Journal of Vascular Surgery - July 3, 2023 Category: Surgery Authors: Robert W. Chang, Noel Pimentel, Lue-Yen Tucker, Kara A. Rothenberg, Andrew L. Avins, Alexander C. Flint, Rishad M. Faruqi, Mai N. Nguyen-Huynh, Romain Neugebauer Source Type: research

Frail indications
Carotid endarterectomy (CEA) for asymptomatic internal carotid artery stenosis has always been predicated on an expected life expectancy and quality of life to justify the initial morbidity risk.1 Treatment for asymptomatic disease can be quite variable and is a source of controversy.2,3 This concern can range from traditional CEA to primary medical management without any intervention. The treatment algorithm begins with a stroke risk assessment to determine those at high risk if untreated and then assessing the expected benefit.
Source: Journal of Vascular Surgery - June 20, 2023 Category: Surgery Authors: Jeffrey J. Siracuse Tags: Invited commentary Source Type: research

Impact of presenting stroke severity and thrombolysis on outcomes following urgent carotid interventions
Carotid interventions are increasingly performed in select patients following acute stroke. We aimed to determine the effects of presenting stroke severity (National Institutes of Health Stroke Scale [NIHSS]) and use of systemic thrombolysis (tissue plasminogen activator [tPA]) on discharge neurologic outcomes (modified Rankin scale [mRS]) following urgent carotid endarterectomy (uCEA) and urgent carotid artery stenting (uCAS).
Source: Journal of Vascular Surgery - June 15, 2023 Category: Surgery Authors: Aaron Hayson, Jeffrey Burton, Joseph Allen, W.C. Sternbergh, Daniel Fort, Hernan A. Bazan Source Type: research

Risk of Reintervention Is Lower for Carotid Endarterectomy Than Carotid Artery Stenting
Perioperative outcomes for carotid endarterectomy (CEA) and carotid artery stenting (CAS) have been well-studied. Less is known about the durability and reintervention rates of each, particularly in the era of transcarotid artery revascularization (TCAR). We sought to compare real-world rates of ipsilateral reintervention, stroke, and death in patients undergoing CEA and CAS, with an additional analysis of CAS patients comparing reintervention between transfemoral stenting (TFCAS) and TCAR.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Shaunak Adkar, Xinyan Zheng, Sabina Sorondo, Elizabeth L. George, Jordan R. Stern Tags: Plenary Session 2 Source Type: research

General Anesthesia Does Not Increase Mortality and Morbidity in High-risk Patients Undergoing Carotid Endarterectomy
Myocardial infarction and stroke are known complications of general anesthesia, resulting in the effort to perform carotid endarterectomy (CEA) for high-risk patients under local/regional anesthesia. However, there are few data supporting this practice.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Emanuela C. Peshel, Renxi Li, Yan Cheng, Jamie Thompson, Salim Lala, Anton Sidawy, Bao-Ngoc Nguyen Tags: SVS-VESS Scientific Session @ VAM: Session 1 Source Type: research

Delaying Carotid Endarterectomy 3-4  Days From Admission Date Allows Lower Stroke Risk in Patients Who Had Carotid Endarterectomy for Symptomatic Carotid Stenosis With Moderate-to-Severe Disability
This study investigates this topic.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Melina Recarey, Renxi Li, Emanuela Peshel, Jamie Thompson, Anton Sidawy, Bao-Ngoc Nguyen Tags: Interactive Poster Session Source Type: research

Change in Peak Systolic Velocity Estimation in Internal Carotid Artery Following Contralateral Near Occlusive Carotid Endarterectomy
Carotid artery stenosis (CAS) is one of the main causes of stroke, as the internal carotid artery (ICA) is a major source of cerebral blood supply. A common surgical intervention for CAS is carotid endarterectomy (CEA), which carries a high risk of stroke and mortality. CEA is indicated for 50% to 99% stenosis in symptomatic patients and 60% to 99% stenosis in asymptomatic patients. Carotid duplex ultrasound is frequently used to estimate peak systolic velocity (PSV), end diastolic velocity (EDV), and ICA/common carotid artery (CCA) ratio to determine the extent of stenosis.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Vaishnavi Aradhyula, Lauren R. Workman, Fedor Lurie Tags: Interactive Poster Session Source Type: research

Perioperative Outcomes Following Carotid Revascularization for Stroke Stratified by Modified Rankin Scale and Time of Intervention
The relationship between modified Rankin Scale (mRS) and optimal timing of carotid revascularization in patients with prior stroke is unclear. Therefore, we compared outcomes of transfemoral carotid artery stenting (TFCAS), transcarotid artery revascularization (TCAR), and carotid endarterectomy (CEA) after prior stroke, stratified by and accounting for preoperative mRS and time-to-intervention.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Patrick D. Conroy, Yoel Solomon, Vinamr Rastogi, Steven P. Summers, Grace J. Wang, Peter A. Schneider, Mahmoud Malas, Gert J. De Borst, Marc L. Schermerhorn Tags: Poster Competition Source Type: research

Risk Stratified Outcomes of Carotid Endarterectomy vs Transcarotid Artery Revascularization
Transcarotid artery revascularization (TCAR) offers a minimally invasive alternative to carotid endarterectomy (CEA) in patients at high risk for CEA. Prior studies suggest nearly comparable stroke and mortality outcomes in asymptomatic patients, whereas CEA is associated with lower periprocedural stroke risk in symptomatic patients. Here, we compare TCAR and CEA in risk-stratified patients to assist with clinical decision-making.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Katharina Horn, Jose Antonio Munoz, Priya B. Patel, Panpan Chen, Danielle Bajakian, Nicholas Morrissey, Jeffrey J. Siracuse, Marc L. Schermerhorn, Thomas F.X. O'Donnell, Virendra I. Patel, Karan Garg Tags: Poster Competition Source Type: research