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Specialty: Surgery
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Total 3117 results found since Jan 2013.
Urgent carotid intervention is safe after thrombolysis for minor to moderate acute ischemic stroke
Carotid intervention shortly after an acute neurologic ischemic event is being performed more frequently in stroke centers to reduce the risk of recurrent stroke. Thrombolysis with recombinant tissue plasminogen activator (tPA) is offered to select patients with ischemic stroke symptoms who present within 4.5 hours. However, there is a paucity of data as to whether tPA followed by urgent carotid endarterectomy (CEA) or carotid artery stenting (CAS) has an increased risk of complications, particularly intracerebral hemorrhage (ICH).
Source: Journal of Vascular Surgery - September 24, 2015 Category: Surgery Authors: Hernan A. Bazan, Nicolas Zea, Bethany Jennings, Taylor A. Smith, Gabriel Vidal, W. Charles Sternbergh Tags: Clinical Paper Source Type: research
Metabolic Phenotypes of Carotid Atherosclerotic Plaques Relate to Stroke Risk: An Exploratory Study
In this study, the utility of comprehensive metabolic phenotyping is assessed to provide candidate biomarkers that relate to stroke risk in stenosing carotid plaque tissue samples.
Source: European Journal of Vascular and Endovascular Surgery - May 22, 2016 Category: Surgery Authors: P.A. Vorkas, J. Shalhoub, M.R. Lewis, K. Spagou, E.J. Want, J.K. Nicholson, A.H. Davies, E. Holmes Source Type: research
Postoperative stroke after debranching with thoracic endovascular aortic repair
This study aimed to analyze the perioperative stroke rate, stroke lesions, outcome, risk factors, and stroke prevention following debranching with thoracic endovascular aortic repair (TEVAR).
Source: Annals of Vascular Surgery - July 7, 2016 Category: Surgery Authors: Akihiro Yoshitake, Takashi Hachiya, Kazuma Okamoto, Hiroto Kitahara, Shinji Kawaguchi, Seishi Nakatsuka, Masanori Inoue, Masahiro Jinzaki, Hideyuki Shimizu Source Type: research
One-Year Risk of Stroke after Transient Ischemic Attack or Minor Stroke
There is a lower risk of cardiovascular events after transient ischemic attack (TIA) than previously reported. The ABCD2 score, findings and brain imaging, and presence of large-artery atherosclerosis help stratify the risk of recurrent stroke within 1 year after a TIA or minor stroke.
Source: Journal of Vascular Surgery - September 22, 2016 Category: Surgery Authors: P. Amarenco, P.C. Lavallee, J. Labreuche Tags: Abstract Source Type: research
Coronary artery bypass grafting for left main disease and the risk of stroke: Incidence, aetiology and prevention
Publication date: Available online 3 October 2016 Source:The Surgeon Author(s): Ana-Catarina Pinho-Gomes, David P. Taggart This review explores the association between left main disease and the increased risk of perioperative stroke following coronary artery bypass grafting, specifically addressing the potential underlying mechanisms and its potential prevention. In particular, this correlation appears stronger for patients with left main disease when compared to patients with isolated triple vessel disease. Even though evidence on this topic is limited and of modest quality, there appears to be a significant association ...
Source: The Surgeon - October 3, 2016 Category: Surgery Source Type: research
The correlation of the platelet-to-lymphocyte ratio with the severity of stenosis and stroke in patients with carotid arterial disease.
CONCLUSIONS: Increased platelet-to-lymphocyte ratio could be a simple and practical marker of the clinical course in patients with carotid arterial stenosis.
PMID: 27770030 [PubMed - as supplied by publisher]
Source: Vascular - October 19, 2016 Category: Surgery Authors: İdil Soylu A, Arıkan Cortcu S, Uzunkaya F, Atalay YO, Bekçi T, Güngör L, Belet Ü Tags: Vascular Source Type: research
Effects of Aspirin on Risk and Severity of Early Recurrent Stroke After Transient Ischemic Attack and Ischemic Stroke: Time-Course Analysis of Randomized Trials
Medical therapy substantially reduces risk of early recurrent stroke after TIA and minor stroke and aspirin is the key intervention.
Source: Journal of Vascular Surgery - November 18, 2016 Category: Surgery Authors: P.M. Rothwell, A. Algra, Z. Chen Tags: Abstract Source Type: research
Incidence of Stroke Following Thoracic Endovascular Aortic Repair for Descending Aortic Aneurysm: A Systematic Review of the Literature with Meta-analysis
Stroke is an increasingly recognised complication following thoracic endovascular aortic repair (TEVAR). The aim of this study was to systematically synthesise the published data on perioperative stroke incidence during TEVAR for patients with descending thoracic aneurysmal disease and to assess the impact of left subclavian artery (LSA) coverage on stroke incidence.
Source: European Journal of Vascular and Endovascular Surgery - December 16, 2016 Category: Surgery Authors: R.S. von Allmen, B. Gahl, J.T. Powell Tags: Review Source Type: research
Editor's Choice – Incidence of Stroke Following Thoracic Endovascular Aortic Repair for Descending Aortic Aneurysm: A Systematic Review of the Literature with Meta-analysis
Stroke is an increasingly recognised complication following thoracic endovascular aortic repair (TEVAR). The aim of this study was to systematically synthesise the published data on perioperative stroke incidence during TEVAR for patients with descending thoracic aneurysmal disease and to assess the impact of left subclavian artery (LSA) coverage on stroke incidence.
Source: European Journal of Vascular and Endovascular Surgery - December 16, 2016 Category: Surgery Authors: R.S. von Allmen, B. Gahl, J.T. Powell Tags: Review Source Type: research
Incidence of Stroke Following Thoracic Endovascular Aortic Repair for Descending Aortic Aneurysm: A Systematic Review of the Literature with Meta-analysis
Stroke is an increasingly recognised complication following thoracic endovascular aortic repair (TEVAR). The aim of this study was to systematically synthesise the published data on perioperative stroke incidence during TEVAR for patients with descending thoracic aneurysmal disease and to assess the impact of left subclavian artery (LSA) coverage on stroke incidence.
Source: Journal of Vascular Surgery - February 22, 2017 Category: Surgery Authors: R.S. von Allmen, B. Gahl, J.T. Powell Tags: Selected Abstract from the February Issue of the European Journal of Vascular and Endovascular Surgery Source Type: research
Will Mesh-covered stents help reduce stroke associated with carotid stent-angioplasty?
After a decade and a half of clinical studies on carotid stenting, several factors have become clear. Both carotid stenting (CAS) and endarterectomy (CEA) protect the patient from stroke over the long-term (1, 2). However, in the perioperative period, the risk of stroke is higher with stenting, especially minor stroke, and often presents in a delayed fashion. That is, a significant portion of neurologic events occur between one and thirty days following stent placement, long after the cerebral protection device has been removed (3-5).
Source: Seminars in Vascular Surgery - April 27, 2017 Category: Surgery Authors: Carly N. Richards, Peter A. Schneider Source Type: research
Carotid endarterectomy: the change in practice over 11 years in a stroke centre
ConclusionThe trends in CEA practice at our centre align with international trends and guidelines. This study provides a representative indicator of Australian hospital practice, and illustrates how evidence from research is translated into clinical care.
Source: ANZ Journal of Surgery - November 13, 2017 Category: Surgery Authors: Gabrielle T. W. Tse, Monique F. Kilkenny, Chris Bladin, Michael Grigg, Helen M. Dewey Tags: Original Article Source Type: research
Urgent Carotid Intervention in Patients With Minor to Moderate Strokes (National Institutes of Health Stroke Scale Score ≤10) Performed After 48 Hours Results in Greater Functional Independence at Discharge
Increasing evidence suggests that urgent carotid intervention after transient ischemic attack (TIA) or nondisabling stroke is safe.1 However, functional outcome after urgent carotid intervention for various degrees of stroke severity has not yet been quantified. We aimed to determine whether increased stroke severity on presentation is associated with poor functional outcomes in patients undergoing urgent carotid endarterectomy (CEA) or carotid artery stenting (CAS).
Source: Journal of Vascular Surgery - December 18, 2017 Category: Surgery Authors: Esther Mihindu, Alaa Mohammed, Bethany Jennings, Mustafa Alhasan, James Milburn, Taylor Smith, Clayton Brinster, W.C. Sternbergh Tags: Abstract from the 2018 Southern Association for Vascular Surgery Annual Meeting Source Type: research
Blunt Cerebrovascular Artery Injury and Stroke in Severely Injured Patients: An International Multicenter Analysis
ConclusionOur data validated cervical spine injuries as a major predictor, but the predictive value of BSF must be scrutinized. Patient age appears to play a contradictory role in BCVI risk and BCVI-associated mortality. Predicting which patients will develop BCVI remains an ongoing challenge, especially since many patients do not present with concomitant injuries of the head or spine and therefore might not be captured by standard screening criteria.
Source: World Journal of Surgery - December 21, 2017 Category: Surgery Source Type: research
