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Specialty: Surgery
Procedure: Carotid Endarterectomy

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Total 990 results found since Jan 2013.

Early postoperative outcome after carotid artery endarterectomy with bifurcation advancement
Conclusions: CEA with bifurcation advancement provides comparable perioperative results, focusing on combined stroke and mortality, but seems to have some technical drawbacks, which may lead to more frequent local neurological complications.PMID:37170543 | DOI:10.1024/0301-1526/a001074
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 12, 2023 Category: Surgery Authors: Felix L Moehle Bernard Krueger Anna-Leonie Menges Zoran Rancic Alexander Zimmermann Source Type: research

There is No Benefit to Universal Carotid Artery Duplex Screening before a Major Cardiac Surgical Procedure
Conclusions: The majority of postoperative strokes after cardiac surgery are not related to extracranial carotid artery disease and they are not predicted by preoperative carotid artery duplex scan screening. Consequently, universal carotid artery duplex scan screening cannot be recommended and a selective approach should be adopted.
Source: Annals of Vascular Surgery - November 11, 2013 Category: Surgery Authors: Brian C. Adams, Ross M. Clark, Christina Paap, James M. Goff Tags: Papers Presented to the Peripheral Vascular Surgery Society - 23rd Annual Winter Meeting Source Type: research

Very Early Carotid Endarterectomy After Intravenous Thrombolysis.
CONCLUSION: This experience suggests that very early CEA after thrombolysis, aimed at removing the source of potential embolisation and restoring blood flow, may be safe and can lead to a favourable outcome. PMID: 26712132 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - December 19, 2015 Category: Surgery Authors: Azzini C, Gentile M, De Vito A, Traina L, Sette E, Fainardi E, Mascoli F, Casetta I Tags: Eur J Vasc Endovasc Surg Source Type: research

Impact of diabetes mellitus on early outcome of carotid endarterectomy.
CONCLUSIONS: In our study, perioperative neurological complications and mortality were statistically higher in diabetic patients compared to non-diabetic patients during CEA. Further research will have to show whether other treatment modalities of carotid artery stenosis and better glycaemia and dyslipidaemia controlling in diabetics can reduce this risk. PMID: 30192204 [PubMed - as supplied by publisher]
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - September 7, 2018 Category: Surgery Authors: Dimic A, Markovic M, Vasic D, Dragas M, Zlatanovic P, Mitrovic A, Davidovic L Tags: Vasa Source Type: research

Predictive Factors for Pre-operative Recurrence of Cerebrovascular Symptoms in Symptomatic Carotid Stenosis.
CONCLUSION: More than every tenth patient with sCS experienced an early recurrent cerebrovascular event prior to scheduled CEA, despite optimal medication. However, stroke recurrence was lower than in earlier observational studies, which could be explained by improved care pathways, more aggressive medication, and expedited CEA. All recurrent strokes occurred in patients initially presenting with minor stroke. PMID: 33039297 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - October 7, 2020 Category: Surgery Authors: Eriksson H, Koskinen S, Nuotio K, Heikkilä HM, Vikatmaa P, Silvennoinen H, Valanne L, Mäyränpää MI, Kovanen PT, Soinne L, Lindsberg PJ, Ijäs P Tags: Eur J Vasc Endovasc Surg Source Type: research

A Systematic Review and Meta-analysis of Peri-Procedural Outcomes in Patients Undergoing Carotid Interventions Following Thrombolysis
CONCLUSION: Peri-procedural ICH and local haematoma were significantly more frequent in patients undergoing CEA after TT (vs. no TT), although there were no randomised comparisons. Peri-procedural hazards were also significantly higher for CAS after TT. The inverse relationship between timing to CEA and peri-procedural stroke/death mandates careful patient selection and suggests that it may be safer to defer CEA for six-seven days after TT.PMID:34266765 | DOI:10.1016/j.ejvs.2021.06.003
Source: PubMed: Eur J Vasc Endovasc ... - July 16, 2021 Category: Surgery Authors: Stavros K Kakkos Melina Vega de Ceniga Ross Naylor Source Type: research

Optimal Management of Asymptomatic Carotid Artery Stenosis: A Systematic Review and Network Meta-Analysis
CONCLUSION: Modern BMT demonstrates similar reductions in major stroke, combined stroke, and mortality to CEA. The overall risk reductions are low and data were unavailable to assess subgroups which may benefit from intervention. However, BMT carries the potential to reduce the requirement for surgical intervention in patients with ACAS.PMID:36682406 | DOI:10.1016/j.ejvs.2023.01.020
Source: PubMed: Eur J Vasc Endovasc ... - January 22, 2023 Category: Surgery Authors: Sara A Gasior John P M O'Donnell Matthew Davey James Clarke Amirhossein Jalali Éanna Ryan Thomas M Aherne Stewart R Walsh Source Type: research

Long Term Outcomes After Invasive Treatment of Carotid Artery Stenosis: a Longitudinal Study of German Health Insurance Claims
CONCLUSION: The current study revealed striking differences between previous landmark trials and real world practice. It further suggested excess mortality of invasively treated asymptomatic patients.PMID:37490978 | DOI:10.1016/j.ejvs.2023.07.030
Source: PubMed: Eur J Vasc Endovasc ... - July 25, 2023 Category: Surgery Authors: Matthias Zimmermann Axel Larena-Avellaneda Ulrich Rother Fabien Lareyre Mette S øgaard Riikka Tulamo Maarit Venermo Christian-Alexander Behrendt Source Type: research

Statins Reduce Neurologic Injury in Asymptomatic Carotid Endarterectomy Patients
This study defined neurologic injury after CEA as both clinical stroke and significant cognitive dysfunction. Agreeing to participate in the study were 328 asymptomatic patients with carotid stenosis scheduled for elective CEA. Patients were evaluated for perioperative stroke and cognitive dysfunction. Cognitive dysfunction was determined by a battery of neuropsychometric tests performed preoperatively and 1 day postoperatively (Heyer EJ et al, Arch Neurol 2002;59:217-22). Patients taking a statin medication at the time of their CEA had a lower incidence of clinical stroke (0.0% vs 3.1%; P = .02) and a lower incidence of c...
Source: Journal of Vascular Surgery - June 30, 2013 Category: Surgery Authors: E.J. Heyer, J.L. Mergeche, S.S. Bruce Tags: Abstracts Source Type: research

The impact of the present on admission indicator on the accuracy of administrative data for carotid endarterectomy and stenting
Conclusions: Administrative data has known limitations for assignment of symptom status and nonfatal perioperative outcomes. Given the uncertain timing of POA events as preoperative vs intraoperative and its apparent underestimation of the perioperative stroke rate, the use of administrative data even with the POA indicator for symptom status and non-fatal outcomes after CEA and CAS is hazardous.
Source: Journal of Vascular Surgery - August 29, 2013 Category: Surgery Authors: Margriet Fokkema, Rob Hurks, Thomas Curran, Rodney P. Bensley, Allen D. Hamdan, Mark C. Wyers, Frans L. Moll, Marc L. Schermerhorn Tags: Clinical research studies Source Type: research