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Specialty: Neurology
Procedure: Angioplasty

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Total 209 results found since Jan 2013.

Can Patient or Arterial Characteristics Guide the Choice between Carotid Angioplasty and Carotid Endarterectomy? The Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST) (P01.225)
CONCLUSIONS: Beyond the previously described differential treatment efficacy by age, there were no other patient or arterial characteristic detected to identify patient subgroups that would differentially benefit from the choice of CAS versus CEA. Our inability to identify factors to guide treatment choices could be due to the low number of stroke and death events, incomplete information regarding arterial characteristics in the CEA population, or the potential exclusion of "high risk" groups (such as those with severe arterial tortuosity) from the study.Disclosure: Dr. Moore has nothing to disclose. Dr. Roubin has receive...
Source: Neurology - February 14, 2013 Category: Neurology Authors: Moore, W., Roubin, G., Rosenfield, K., Altafullah, I., Ansel, G., Voeks, J., Meschia, J., Lal, B., Howard, G., Brott, T. Tags: P01 Cerebrovascular Disease I Source Type: research

Management of Tandem Occlusion Stroke with Endovascular Therapy (P01.230)
CONCLUSIONS: In cases of tandem occlusions of ICA and MCA, multimodal therapy consistent of intravenous thrombolysis and/or extracranial ICA stenting and intracranial thrombectomy to achieve recanalization may be a safe and efficacious therapeutic option for recanalization. Further prospective studies are warranted.Disclosure: Dr. Guerrero has nothing to disclose. Dr. Dababneh has nothing to disclose. Dr. Mocco has received personal compensation for activities with Concentric Inc as a consultant. Dr. Peters has received personal compensation for activities with Toshiba as a speakers bureau member. Dr. Waters has nothing to disclose.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Guerrero, W., Dababneh, H., Mocco, J., Peters, K., Waters, M. Tags: P01 Cerebrovascular Disease I Source Type: research

Carotid angioplasty in stenosis following radiotherapy: a review of 12 cases.
CONCLUSIONS. Carotid angioplasty is a safe, effective technique in stenosis following radiotherapy, with few short-term complications. The rate of carotid restenosis is high. The main cause of death is cancer. PMID: 23359074 [PubMed - in process]
Source: Revista de Neurologia - February 1, 2013 Category: Neurology Authors: Frasquet-Carrera M, Tembl JI, Parkhutik V, Gorriz-Romero D, Aguilella-Linares C, Ibanez-Julia MJ, Lago A Tags: Rev Neurol Source Type: research

Silent Coronary Artery Disease in Japanese Patients Undergoing Carotid Artery Stenting
Conclusions: Perioperative CAD screening revealed that silent CAD was frequently diagnosed in Japanese patients scheduled for CAS, particularly in those with DM and/or bilateral carotid stenosis.
Source: Journal of Stroke and Cerebrovascular Diseases - January 24, 2013 Category: Neurology Authors: Yukiko Enomoto, Shinichi Yoshimura, Kiyofumi Yamada, Masanori Kawasaki, Kazuhiko Nishigaki, Shinya Minatoguchi, Toru Iwama Tags: Original Articles Source Type: research

Subarachnoid Hemorrhage in a Multimodal Approach Heavily Weighted Toward Mechanical Thrombectomy With Solitaire Stent in Acute Stroke Original Contributions
Conclusions— SAH on post-therapeutic computerized tomography scans were not uncommon after primary mechanical thrombectomy with a Solitaire stent, but they seemed to be benign. Rescue angioplasty and unidentified, small vessel ruptures due to mechanical stretch during stent retrieval might give rise to these lesions.
Source: Stroke - January 18, 2013 Category: Neurology Authors: Yoon, W., Jung, M. Y., Jung, S. H., Park, M. S., Kim, J. T., Kang, H. K. Tags: Acute Cerebral Infarction, Emergency treatment of Stroke, Computerized tomography and Magnetic Resonance Imaging, Intracerebral Hemorrhage Original Contributions Source Type: research

Characteristics of Ischemic Brain Lesions After Stenting or Endarterectomy for Symptomatic Carotid Artery Stenosis: Results From the International Carotid Stenting Study-Magnetic Resonance Imaging Substudy Original Contributions
Conclusions— Compared with patients undergoing CEA, patients treated with CAS had higher numbers of periprocedural ischemic brain lesions, and lesions were smaller and more likely to occur in cortical areas and subjacent white matter. These findings may reflect differences in underlying mechanisms of cerebral ischemia. Clinical Trial Registration— URL: http://www.isrctn.org. Unique identifier: ISRCTN25337470.
Source: Stroke - December 24, 2012 Category: Neurology Authors: Gensicke, H., Zumbrunn, T., Jongen, L. M., Nederkoorn, P. J., Macdonald, S., Gaines, P. A., Lyrer, P. A., Wetzel, S. G., van der Lugt, A., Mali, W. P. T. M., Brown, M. M., van der Worp, H. B., Engelter, S. T., Bonati, L. H., on behalf of the ICSS-MRI Subs Tags: Imaging, Carotid Stenosis, Carotid endarterectomy, Angioplasty and Stenting Original Contributions Source Type: research

Evolution of Reperfusion Therapies for Acute Brain and Acute Myocardial Ischemia: A Systematic, Comparative Analysis Original Contributions
Conclusions— Reperfusion therapies developed more slowly and remain less effective for cerebral than cardiac ischemia. Further, cerebral circulation–specific technical advances are required for physicians to become as capable at safely restoring blood flow to the ischemic brain as the ischemic heart.
Source: Stroke - December 24, 2012 Category: Neurology Authors: Patel, R. D., Saver, J. L. Tags: Catheter-based coronary interventions: stents, Acute coronary syndromes, Acute myocardial infarction, Acute Cerebral Infarction, Acute Stroke Syndromes, Thrombolysis Original Contributions Source Type: research

High-Risk Plaque for Carotid Artery Stenting Evaluated With 3-Dimensional T1-Weighted Gradient Echo Sequence Original Contributions
Conclusions— Quantitative evaluation of carotid plaques using 3D T1GRE images may be useful in predicting cerebral embolism related to CAS.
Source: Stroke - December 24, 2012 Category: Neurology Authors: Tanemura, H., Maeda, M., Ichikawa, N., Miura, Y., Umeda, Y., Hatazaki, S., Toma, N., Asakura, F., Suzuki, H., Sakaida, H., Matsushima, S., Taki, W. Tags: Carotid Stenosis, Carotid endarterectomy, Angioplasty and Stenting Original Contributions Source Type: research

Unilateral Opercular Infarction Presenting with Foix-Chavany-Marie Syndrome
A 76-year-old man with a history of pontine, cerebellar infaction suddenly became speechless during the procedure of percutaneous coronary intervention. On examination, he was unable to close his mouth voluntarily, but spontaneous closing was preserved when smiling. He had anarthria and hypophonia, although his comprehension was preserved. He also had a severe dysphagia. Radiological studies revealed an acute stroke in the left anterior operculum, indicating Foix-Chavany-Marie Syndrome (FCMS) caused by a unilateral opercular lesion. Pathophysiology of the previous cases reported as unilateral FCMS remains controversial, bu...
Source: Journal of Stroke and Cerebrovascular Diseases - October 8, 2012 Category: Neurology Authors: Ryo Ohtomo, Atsushi Iwata, Shoji Tsuji Tags: Case Reports Source Type: research

Hybrid Operating Room for the Treatment of Complex Neurovascular and Brachiocephalic Lesions
Conclusions: The integration of a high-end hybrid OR enables combined endovascular and surgical procedures for complex neurovascular and brachiocephalic lesions in a 1-stage treatment.
Source: Journal of Stroke and Cerebrovascular Diseases - August 31, 2012 Category: Neurology Authors: Koji Iihara, Tetsu Satow, Toshinori Matsushige, Hiroharu Kataoka, Norio Nakajima, Kenji Fukuda, Makoto Isozaki, Daisuke Maruyama, Takuro Nakae, Nobuo Hashimoto Tags: Original Articles Source Type: research

Efficacy and Limitations of Multimodal Endovascular Revascularization Other Than Clot Retrieval for Acute Stroke Caused by Large-vessel Occlusion
Conclusions: Multimodal EVT for acute LVO yields a high reperfusion rate with a minimal risk of sICH and contributes to favorable patient outcomes. These techniques should be considered when clot retrieval is unsuitable or ineffective.
Source: Journal of Stroke and Cerebrovascular Diseases - July 23, 2012 Category: Neurology Authors: Yusuke Egashira, Shinichi Yoshimura, Yukiko Enomoto, Mitsunori Ishiguro, Kiyofumi Yamada, Yoshitaka Tanaka, Toru Iwama Tags: Original Articles Source Type: research

Emergent Angioplasty and Stent Placement Recanalization Without Thrombolysis in Acute Middle Cerebral Artery Occlusions
This study evaluated the feasibility, efficacy, and safety of intracranial artery recanalization for acute middle cerebral artery (MCA) occlusion using emergent angioplasty and stent placement without thrombolysis. All patients from a retrospectively collected database who met the inclusion criteria and were treated with an intracranial stent for acute MCA occlusion were included. Treatment comprised angioplasty and stenting without interventional thrombolytic therapy. Recanalization was assessed by angiography immediately after stent placement based on the Thrombolysis in Myocardial Infarction (TIMI) score. Complications ...
Source: Journal of Stroke and Cerebrovascular Diseases - December 12, 2011 Category: Neurology Authors: Xin-Bin Guo, Lai-Jun Song, Sheng Guan Tags: Original Articles Source Type: research

Clinical Review of 28 Patients with Basilar Artery Occlusion
Conclusions: Clinical severity on admission was the determinant factor of functional prognosis in patients with basilar artery occlusion.
Source: Journal of Stroke and Cerebrovascular Diseases - October 31, 2011 Category: Neurology Authors: Yasuko Ohe, Tomohisa Dembo, Yohsuke Horiuchi, Hajime Maruyama, Ichiro Deguchi, Takuya Fukuoka, Yuji Kato, Harumitsu Nagoya, Shoichiro Ishihara, Norio Tanahashi Tags: Original Articles Source Type: research

Clinical, Anatomic, and Procedural Durability of Carotid Revascularization
Carotid endarterectomy and carotid angioplasty with stenting are 2 common approaches to revascularization. Phase III randomized clinical trials have focused on comparisons of periprocedural outcomes and composite outcomes that combine procedural events and clinical events during follow-up. The comparison of outcomes beyond the perioperative risk period, where the principal concern is durability, defined in clinical, anatomic, and procedural terms, has received less attention. The purpose of this review is to discuss factors that may influence durability and to compare the durability of carotid revascularization techniques...
Source: Journal of Stroke and Cerebrovascular Diseases - September 14, 2011 Category: Neurology Authors: Kevin M. Barrett, Raid G. Ossi, Thomas G. Brott, James F. Meschia Tags: Original Articles Source Type: research