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Specialty: Neurology
Procedure: Carotid Endarterectomy
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Total 297 results found since Jan 2013.
Complications and outcomes of carotid artery stenting in high-risk cases
In treatment of internal carotid artery stenosis, carotid artery stenting (CAS) is the standard choice for patients at risk for carotid endarterectomy (CEA). Occasionally, patients at risk of both CEA and CAS are encountered. In addition, in practice sometimes CAS is performed in patients with high risk due to patient preference and other factors. In general, symptomatic carotid artery stenosis is a risk factor for CAS1. Despite this, the American Heart Association and Stroke Association guidelines recommend CAS as an alternative to CEA for symptomatic moderate-to-severe stenosis2.
Source: Journal of Stroke and Cerebrovascular Diseases - August 31, 2023 Category: Neurology Authors: So Ozaki, Taisuke Akimoto, Yu Iida, Shigeta Miyake, Ryosuke Suzuki, Wataru Shimohigoshi, Satoshi Hori, Jun Suenaga, Nobuyuki Shimizu, Yasunobu Nakai, Katsumi Sakata, Tetsuya Yamamoto Source Type: research
Predictors of hemodynamic instability during and persistent after carotid artery stenting
Carotid artery stenting (CAS) is an alternative to carotid endarterectomy (CEA) and is widely used to treat carotid artery stenosis. CAS and CEA have been demonstrated to be equally effective and safe in both symptomatic and asymptomatic cases of carotid artery stenosis.1-3 CAS-induced hemodynamic instability (HI), manifested as bradyarrhythmia and/or hypotension, has been reported to have an incidence ranging from 7% to 76%.4-7 HI induced by CAS may increase the risk of perioperative cardiac and neurological events.
Source: Journal of Stroke and Cerebrovascular Diseases - August 9, 2023 Category: Neurology Authors: Hongchen Zhao, Zigao Wang, Yifeng Ling, Yiting Mao, Qiang Dong, Wenjie Cao Source Type: research
Transcarotid Artery Revascularization for Stroke Prevention —Multiple Elephants in the Room
In the saga of carotid revascularization procedures, carotid endarterectomy (CEA) has a track record of longer than 65 years. CEA has been shown in clinical trials to be useful for stroke prevention in select patients with symptomatic internal carotid artery stenosis and to a lesser extent, asymptomatic stenosis.
Source: JAMA Neurology - March 20, 2023 Category: Neurology Source Type: research
Stroke, Death, and MI After Transcarotid Artery Revascularization vs Carotid Endarterectomy
This cohort study compares risk of 30-day stroke, death, or myocardial infarction or 1-year ipsilateral stroke among patients with standard surgical risk undergoing transcarotid artery revascularization vs carotid endarterectomy.
Source: JAMA Neurology - March 20, 2023 Category: Neurology Source Type: research
Cathodal Genesis of Ipsilateral Hand (Crossover) Motor Evoked Potentials: Evidence from a Patient with Previous Stroke
Neurodiagn J. 2023 Mar 15:1-7. doi: 10.1080/21646821.2023.2178807. Online ahead of print.ABSTRACTA case is described where baseline transcranial electrical motor evoked potentials (TcMEP) and somatosensory evoked potentials (SSEP) results were unilaterally absent in a patient with previous hemispheric stroke undergoing a right-sided carotid endarterectomy. SSEP data confirmed right cortical pathology and excluded a technical rationale for absent motor evoked responses. Attempts at generating left-hand (contralateral) TcMEP from right cortical anodal stimulation failed despite high stimulus intensities. However, TcMEP respo...
Source: The Neurodiagnostic Journal - March 15, 2023 Category: Neurology Authors: Marshall F Wilkinson Joseph Silvaggio Anthony Kaufmann Source Type: research
Visual suppression of vestibulo-ocular reflex in patients treated with carotid artery revascularization: A potential biomarker for cerebral perfusion
Carotid endarterectomy (CEA) and carotid artery stenting (CAS) are common treatments for ischemic stroke prevention in patients with carotid artery stenosis. However, the beneficial effects of CEA/CAS for cerebral hypoperfusion due to carotid artery stenosis have yet to be fully established. As dizziness is a common symptom in patients with carotid artery stenosis, we aimed to evaluate the effects of CEA/CAS on cerebral function in patients with carotid artery stenosis, using equilibrium function tests.
Source: Journal of the Neurological Sciences - December 25, 2022 Category: Neurology Authors: Shigeta Miyake, Koji Takahashi, Yasunobu Nakai, Yu Amano, Ryoo Yamamoto, Kazumitsu Amari, Hiroya Hara, Ken Johkura Source Type: research
Factors associated with delay to carotid endarterectomy for acute ischaemic stroke in South Australia: A multicentre retrospective cohort study
The greatest benefits of carotid endarterectomy (CEA) accrue when performed within two weeks of acute ischaemic stroke (AIS) due to symptomatic carotid stenosis. Previous studies have identified multiple factors contributing to CEA delay.
Source: Journal of Stroke and Cerebrovascular Diseases - December 22, 2022 Category: Neurology Authors: Rudy Goh, Stephen Bacchi, Joshua G. Kovoor, Aashray K. Gupta, Minh-Son To, Christopher D. Ovenden, Joseph Dawson, Wilson Vallat, David Schultz, Jim Jannes, Timothy Kleinig Source Type: research
Carotid endarterectomy for symptomatic carotid stenosis: differences in patient profile in a Low-Middle Income Country
Conclusion: There is a delay in patients undergoing CEA for symptomatic carotid stenosis. Majority have high grade stenosis and present late only after a stroke reflecting a lack of awareness. CEA can be performed safely even in patients with significant intracranial tandem stenosi s and contralateral carotid occlusion.
Source: Cerebrovascular Diseases Extra - December 8, 2022 Category: Neurology Source Type: research
Cost-effectiveness of carotid artery stenting vs endarterectomy: A simulation
Clinical trials conducted before the introduction of modern medical management to prevent stroke demonstrated that carotid endarterectomy (CEA) and carotid artery stenting (CAS) prevent stroke following transient ischemic attack (TIA). We compared the cost-effectiveness of CEA, CAS, and modern medical management in two secular settings of medical management in individuals with incident TIA and type 2 diabetes.
Source: Journal of Stroke and Cerebrovascular Diseases - November 30, 2022 Category: Neurology Authors: Deanna J. Marriott, Shihchen Kuo, Wen Ye, Deborah A. Levine, William H. Herman Source Type: research
Prediction of cerebral hyperperfusion following carotid endarterectomy using intravoxel incoherent motion magnetic resonance imaging
One of the risk factors for cerebral hyperperfusion following carotid endarterectomy (CEA) is a chronic reduction in cerebral perfusion pressure due to internal carotid artery (ICA) stenosis, which is clinically detected as increased cerebral blood volume (CBV). The perfusion fraction (f) is one of the intra-voxel incoherent motion (IVIM) parameters obtained using magnetic resonance (MR) imaging that theoretically reflects CBV. The present study aimed to determine whether preoperative IVIM-f on MR imaging predicts development of cerebral hyperperfusion following CEA.
Source: Journal of Stroke and Cerebrovascular Diseases - November 25, 2022 Category: Neurology Authors: Tatsuhiko Takahashi, Ikuko Uwano, Yosuke Akamatsu, Kohei Chida, Masakazu Kobayashi, Kenji Yoshida, Shunrou Fujiwara, Yoshitaka Kubo, Makoto Sasaki, Kuniaki Ogasawara Source Type: research
