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Total 3117 results found since Jan 2013.

Rates of Stroke in Patients With Different Presentations of Carotid Artery Stenosis
Carotid artery stenosis may present without the classical symptoms of transient ischaemic attack or stroke but the rates of stroke for these presentations is unknown. The aim of this study was to examine the rates of stroke in patients with different presentations of carotid artery stenosis.
Source: European Journal of Vascular and Endovascular Surgery - June 6, 2023 Category: Surgery Authors: Dylan R. Morris, Tejas P. Singh, Tahmid Zaman, Ramesh Velu, Francis Quigley, Jason Jenkins, Jonathan Golledge 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 factors for postoperative acute ischemic stroke in advanced-aged patients with previous stroke undergoing noncardiac surgery: a retrospective cohort study
The current study aimed to investigate the incidence and risk factors for postoperative acute ischemic stroke (PAIS) in advanced-aged patients ( ≥ 75 years) with previous ischemic stroke undergoing noncardiac s...
Source: BMC Surgery - August 29, 2023 Category: Surgery Authors: Wei Xiao, Shuyi Yang, Shuai Feng, Chunxiu Wang, Hao Huang, Chaodong Wang, Chonglin Zhong, Shubin Zhan, Dongxu Yao and Tianlong Wang Tags: Research Source Type: research

Prognostic Value of Preoperative Border-zone (Watershed) Infarcts on the Early Postoperative Outcomes of Carotid Endarterectomy after Acute Ischemic Stroke
Conclusion: CBZIs, compared to TCIS, were associated with a higher neurological complication rate during the postoperative period after CEA for SCS in cases of AIS. Further studies are required to better define the timing and the best treatment modality for patients with CBZI related to an SCS in order to reduce associated procedural complications.
Source: European Journal of Vascular and Endovascular Surgery - January 10, 2013 Category: Surgery Authors: E. Jean-Baptiste, P. Perini, L. Suissa, S. Lachaud, S. Declemy, M.H. Mahagne, A. Mousnier, R. Hassen-Khodja Tags: Carotid Disease Source Type: research

Standardized Protocols Enable Early Stroke Recognition and Treatment of Carotid Stenosis
To examine the impact of acute stroke care coordination between vascular surgery and stroke neurology services with primary focus on acute patient stabilization and expeditious carotid endarterectomy (CEA).
Source: Journal of Vascular Surgery - August 28, 2013 Category: Surgery Authors: R. Clement Darling, Philip S.K. Paty, Gary Bernardini, Manish Mehta, Dhiraj M. Shah, Benjamin B. Chang, Sean P. Roddy, Paul B. Kreienberg Tags: Abstracts from the 2013 New England Society for Vascular Surgery Annual Meeting Source Type: research

Clopidogrel with Aspirin in Acute Minor Stroke or Transient Ischemic Attack
In patients with transient ischemic attack (TIA) or minor stroke treated ≤24 hours after onset of symptoms, the combination of aspirin and clopidogrel is superior to aspirin alone in reducing stroke risk in the first 90 days. The combination does not increase the risk of hemorrhage.
Source: Journal of Vascular Surgery - October 1, 2013 Category: Surgery Authors: Y. Wang, Y. Wang, X. Zhao, CHANCE Investigators Tags: Abstracts Source Type: research

Risk of Stroke From New Carotid Artery Occlusion in the Asymptomatic Carotid Surgery Trial-1
During long-term follow-up of patients with asymptomatic carotid stenosis, occlusion and stroke were more common among patients with ≥70% stenosis. Occlusion is an independent prognostic risk factor for stroke.
Source: Journal of Vascular Surgery - January 24, 2014 Category: Surgery Authors: A.G. den Hartog, A.W. Halliday, E. Hayter, the Asymptomatic Carotid Surgery Trial Collaborators Tags: Abstracts Source Type: research

Ischemic Stroke due to Paradoxical Embolism Arising from a Popliteal Vein Aneurysm
We present the case of a 63-year-old, right-handed man who presented to the emergency department with transitory ischemic accident (left superior extremity regressive monoplegia). Complete etiologic work-up led to the discovery of both a patent foramen ovale associated with an septum interauricular aneurysm, and of a PVA without mural thrombus. The diagnosis of brain paradoxical embolism was retained. The unique potentially embolic cause was the presence of the PVA. We decided to treat the PVA surgically to avoid a further cerebral vascular episode. Although uncommon, venous etiology must be considered for stroke.
Source: Annals of Vascular Surgery - December 20, 2013 Category: Surgery Authors: Laurent Auboire, Laura Palcau, Elise Mackowiak, Fausto Viader, Claire Le Hello, Ludovic Berger Tags: Case Report Abstracts Source Type: research

Implications of the 2014 updated American Heart Association/American Stroke Association guidelines for symptomatic carotid patients
The 2014 American Heart Association/American Stroke Association (AHA/ASA) guidelines1 for symptomatic patients updated the previous 2011 AHA/ASA recommendations.2 Because “these Guidelines are addressed to all clinicians who manage secondary prevention of stroke in symptomatic patients,”1 it is important to analyze the expected implications of these recommendations.
Source: Journal of Vascular Surgery - August 22, 2014 Category: Surgery Authors: Kosmas I. Paraskevas, Frank J. Veith Tags: Letters to the Editor Source Type: research

CT Perfusion Imaging in the Selection of Acute Stroke Patients to Undergo Emergent Carotid Endarterectomy
Severe acute stroke patients with critical carotid stenosis or occlusion without intracranial thrombus typically do not undergo emergent carotid thromboendarterectomy (CEA) because of the risk of reperfusion-related intracranial hemorrhage. Past studies have not consistently demonstrated benefit of early operative intervention. Cerebral computed tomography (CT), cervical and cerebral CT angiography (CTA), and cerebral CT perfusion (CTP) imaging may identify a subset of acute stroke patients without intracranial thrombus who may benefit from emergent CEA.
Source: Annals of Vascular Surgery - September 3, 2014 Category: Surgery Authors: Thomas G. Devlin, Sachin V. Phade, R. Kent Hutson, Mark W. Fugate, G. Ralston Major, Gregory W. Albers, Abdelazim A. Sirelkhatim, Biggya L. Sapkota, Steven D. Quartfordt, Blaise W. Baxter Source Type: research

Safety of Carotid Intervention following Thrombolysis in Acute Ischaemic Stroke
Indications for carotid endarterectomy (CEA) have evolved as stroke services have improved. Hyperacute stroke units are referring more patients with a significant carotid stenosis, some within hours of thrombolysis. In their meta-analysis, Mandavia et al. pooled the evidence to date to attempt to assess 30-day safety of urgent CEA for these patients.1 However, care must be taken with the interpretation and contextualization of these results.
Source: European Journal of Vascular and Endovascular Surgery - August 26, 2014 Category: Surgery Authors: C.P. Twine Tags: Invited Commentary Source Type: research

Computed Tomography Perfusion Imaging in the Selection of Acute Stroke Patients to Undergo Emergent Carotid Endarterectomy
Severe acute stroke patients with critical carotid stenosis or occlusion without intracranial thrombus typically do not undergo emergent carotid thromboendarterectomy (CEA) because of the risk of reperfusion-related intracranial hemorrhage. Past studies have not consistently demonstrated benefit of early operative intervention. Cerebral computed tomography (CT), cervical and cerebral CT angiography (CTA), and cerebral CT perfusion (CTP) imaging may identify a subset of acute stroke patients without intracranial thrombus who may benefit from emergent CEA.
Source: Annals of Vascular Surgery - September 3, 2014 Category: Surgery Authors: Thomas G. Devlin, Sachin V. Phade, Rodney K. Hutson, Mark W. Fugate, Grant R. Major, Gregory W. Albers, Abdelazim A. Sirelkhatim, Biggya L. Sapkota, Steven D. Quartfordt, Blaise W. Baxter Tags: Case Report Source Type: research

The True Risk of Early Recurrent Stroke: Importance of Cohort Composition and Index Event Definition
Guidelines for the treatment of symptomatic carotid artery disease currently recommend that carotid revascularization should be performed as soon as possible and certainly within 2 weeks of the index symptom. The underlying reason for this is growing evidence that the highest risk period for recurrent stroke is the early time period after onset of symptoms, but this must be balanced against the potential for incurring higher procedural risks. Accordingly, in the current era of better medical therapy, the key question is when exactly should interventions be performed in order to prevent recurrent stroke while not unduly inc...
Source: European Journal of Vascular and Endovascular Surgery - January 9, 2015 Category: Surgery Authors: G.J. de Borst Tags: Invited Commentary Source Type: research

Bilateral Cervical Ribs Causing Cerebellar Stroke and Arterial Thoracic Outlet Syndrome: A Case Report and Review of the Literature
This report describes a case of cerebellar stroke secondary to aTOS and reviews the literature.
Source: Annals of Vascular Surgery - February 25, 2015 Category: Surgery Authors: Owen P. Palmer, Fred A. Weaver Source Type: research