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Specialty: Surgery
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Total 3117 results found since Jan 2013.
Faster Surgery for Stroke and TIA Requires More Expedient Referral to the Vascular Service
This study aimed to assess and identify rate-limiting steps to performing CEA.
Source: Journal of Vascular Surgery - July 24, 2015 Category: Surgery Authors: Hong-Yau Tan, Phillip Puckridge, Conor Marron, James Ian Spark Tags: Abstract from the 2015 Annual Meetings of the Western Vascular Society and Australia and New Zealand Society for Vascular Surgery Source Type: research
Public Health Initiatives and Stroke Awareness
Our group demonstrated poor stroke literacy 5 years ago*. We wanted to reassess baseline knowledge of stroke risks factors, signs or symptoms, anatomical location, and behaviors to determine the impact of public awareness campaigns.
Source: Journal of Vascular Surgery - October 23, 2015 Category: Surgery Authors: Maged Metias, Naomi Eisenberg, Michael D. Clemente, Elizabeth M. Wooster, Andrew D. Dueck, Douglas L. Wooster, Graham Roche-Nagle Tags: Abstract from the 2015 Canadian Society for Vascular Surgery Annual Meeting Source Type: research
Predictors of Stroke, Myocardial Infarction or Death within 30 Days of Carotid Artery Stenting: Results from the International Carotid Stenting Study
Stroke, myocardial infarction (MI), and death are complications of carotid artery stenting (CAS). The effect of baseline patient demographic factors, processes of care, and technical factors during CAS on the risk of stroke, MI, or death within 30 days of CAS in the International Carotid Stenting Study (ICSS) were investigated.
Source: European Journal of Vascular and Endovascular Surgery - October 23, 2015 Category: Surgery Authors: D. Doig, E.L. Turner, J. Dobson, R.L. Featherstone, R.T.H. Lo, P.A. Gaines, S. Macdonald, L.H. Bonati, A. Clifton, M.M. Brown, the ICSS Investigators Source Type: research
Commentary on ‘Plaque Echolucency and the Risk of Ischaemic Stroke in Patients with Asymptomatic Carotid Stenosis Within the First Asymptomatic Carotid Surgery Trial (ACST-1)’
In this issue, the investigators of the first Asymptomatic Carotid Surgery Trial (ACST-1) trial provide a post hoc analysis of a medical therapy group in a randomized trial looking at whether plaque echolucency can predict ipsilateral stroke within a 10 year follow up period.1 Huibers et al. have shown that patients with echolucent plaques had a significantly higher ischemic stroke event rate within 5 years compared with patients with non-echolucent plaques.1 Indeed, carotid plaque echo features have long been suggested to correlate with clinical events in patients with asymptomatic carotid stenosis.
Source: European Journal of Vascular and Endovascular Surgery - February 23, 2016 Category: Surgery Authors: J. Roy, U. Hedin Tags: Invited Commentary Source Type: research
Predictors of Stroke, Myocardial Infarction or Death within 30 Days of Carotid Artery Stenting: Results from the International Carotid Stenting Study
Stroke, myocardial infarction (MI), and death are complications of carotid artery stenting (CAS). The effect of baseline patient demographic factors, processes of care, and technical factors during CAS on the risk of stroke, MI, or death within 30 days of CAS in the International Carotid Stenting Study (ICSS) were investigated.
Source: Journal of Vascular Surgery - March 23, 2016 Category: Surgery Authors: D. Doig, E.L. Turner, J. Dobson, R.L. Featherstone, R.T.H. Lo, P.A. Gaines, S. Macdonald, L.H. Bonati, A. Clifton, M.M. Brown, ICSS Investigators Tags: Selected abstract from the March issue of the European Journal of Vascular and Endovascular Surgery Source Type: research
Pioglitazone After Ischemic Stroke or Transient Ischemic Attack
In patients without diabetes but who have insulin resistance along with a recent history of ischemic stroke or TIA, the risk of stroke or myocardial infarction was lower among those patients who received pioglitazone than among those who received placebo.
Source: Journal of Vascular Surgery - June 24, 2016 Category: Surgery Authors: W.N. Kernan, C.M. Viscoli, K.L. Furie Tags: Abstract Source Type: research
Endovascular Aortic Arch Repair with Mini-cardiopulmonary Bypass to Prevent Stroke
Debranching thoracic endovascular aortic repair for aortic arch pathology is an important alternative to total arch replacement. However, the problem of intra-operative stroke due to atherosclerotic changes in the aorta remains. We apply our minimally invasive mini-cardiopulmonary bypass system to prevent intra-operative stroke during the endovascular procedure. Once debranching from the right axillary artery to the left common carotid and the left axillary artery is constructed, only the brachiocephalic artery is a pathway to the brain.
Source: Annals of Vascular Surgery - July 13, 2016 Category: Surgery Authors: Masaaki Ryomoto, Hiroe Tanaka, Tetsuya Kajiyama, Masataka Mitsuno, Mitsuhiro Yamamura, Shinya Fukui, Yuji Miyamoto Source Type: research
Commentary on ‘Risk of Recurrent Stroke in Patients with Symptomatic Mild (20–49% NASCET) Carotid Stenosis’
The authors of this retrospective regional study report that patients with symptomatic mild carotid artery stenosis on current best medical management had a 7.4% cumulative incidence of recurrent ipsilateral stroke in 3-year follow-up.1 This was a significantly higher risk of ipsilateral stroke than that of a comparable set of asymptomatic patients with similar mild carotid stenosis, as well as that of patients with symptomatic moderate or severe stenosis in the 3 years after CEA. If these results are supported by future studies, a prospective randomized trial is needed to determine whether CEA or current best medical therapy is recommended.
Source: European Journal of Vascular and Endovascular Surgery - July 28, 2016 Category: Surgery Authors: J.P. Archie Tags: Invited Commentary Source Type: research
Results of Early Versus Delayed Carotid Endarterectomy After a Recent Mild to Moderate Stroke
Patients with recent stroke represent a heterogeneous group in which the risks of carotid endarterectomy (CEA) vary according to the clinical presentation and the findings on imaging studies. Herein we compared the results of early vs delayed CEA after a recent stroke in patients with similar neurologic presentation.
Source: Journal of Vascular Surgery - August 23, 2016 Category: Surgery Authors: Sachinder Hans, Irina Catanescu Tags: Abstract from the 2016 Midwestern Vascular Surgical Society Annual Meeting Source Type: research
Development of a Validated Model to Predict 30-Day Stroke and One-Year Survival After Carotid Endarterectomy for Asymptomatic Stenosis Using the Vascular Quality Initiative
Carotid endarterectomy (CEA) has been shown to be an effective treatment for patients with asymptomatic carotid artery stenosis when perioperative stroke rates are low and patients survive long enough to benefit from the intervention. Our objective was to develop and to validate a simple risk prediction index for 30-day stroke and 1-year mortality to guide optimal selection of patients for CEA.
Source: Journal of Vascular Surgery - August 23, 2016 Category: Surgery Authors: Randall DeMartino, Benjamin Brooke, Dan Neal, Adam W. Beck, Mark Conrad, Shipra Arya, Sapan Desai, Faisal Aziz, Patrick Ryan, Larry Kraiss Tags: Abstract from the 2016 Midwestern Vascular Surgical Society Annual Meeting Source Type: research
Carotid Atherosclerotic Plaque Characteristics on Magnetic Resonance Imaging Relate With History of Stroke and Coronary Heart Disease
Carotid plaque thickness and stenosis are associated with a history of ischemic stroke and coronary heart disease (CHD). Carotid intraplaque hemorrhage is associated with ischemic stroke but not with CHD.
Source: Journal of Vascular Surgery - September 22, 2016 Category: Surgery Authors: M. Selwaness, D. Bos, Q. van den Bouwhuijsen Tags: Abstract Source Type: research
Impact of Circle of Willis Anatomy in Blunt Cerebrovascular Injury-Related Stroke
Cerebral vascular anatomy, specifically, the circle of Willis (COW), plays an unstudied role in the development of stroke after blunt cerebrovascular injury (BCVI) (carotid and vertebral arteries). Variant anatomy is very common, and certain variants such as persistent fetal circulation (enlarged posterior communicating artery) may improve collateralization between the anterior (carotid) and posterior (vertebral) circulations. Identifying patients at increased stroke risk may allow tailored anticoagulation, the mainstay of therapy.
Source: Journal of the American College of Surgeons - September 30, 2016 Category: Surgery Authors: Charles P. Shahan, Timothy C. Fabian, Richard I. Gray, Martin A. Croce Tags: Trauma Source Type: research
Prevention of Stroke With Ticagrelor in Patients With Prior Myocardial Infarction: Insights from PEGASUS-TIMI 54 (Prevention of Cardiovascular Events in Patients With Prior Heart Attack Using Ticagrelor Compared to Placebo on a Background of Aspirin-Thrombolysis in Myocardial Infarction)
In patients with prior myocardial infarction, ticagrelor 60 mg twice daily reduces risk of stroke without an excess of hemorrhagic stroke but with more major bleeding.
Source: Journal of Vascular Surgery - December 20, 2016 Category: Surgery Authors: M.P. Bonaca, S. Goto, D.L. Bhatt Tags: Abstract Source Type: research
The Effects of pharmaceutical Thrombolysis and Multi-modal Therapy on Patients with Acute Posterior Circulation Ischemic Stroke: Results of a One Center Retrospective Study
The treatment method for acute ischemic stroke is rapidly developing, and the effects of endovascular modalities, when used alone or in combination, needs to be studied. We aimed to identify the difference between pharmaceutical thrombolysis and multi-modal therapy (MMT) used in acute posterior circulation ischemic stroke (APCIS) patients and also to detect the predictors for successful recanalization and favorable outcomes.
Source: International Journal of Surgery - February 5, 2017 Category: Surgery Authors: Yang Yang, Chunyang Liang, Chunsen Shen, Hao Tang, Shang Ma, Qiang Zhang, Mou Gao, Qin Dong, Ruxiang Xu Tags: Original Research Source Type: research
