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Source: Journal of Vascular Surgery
Condition: Thrombosis
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Total 25 results found since Jan 2013.
Acute upper extremity arterial thrombosis and stroke in an unresected pheochromocytoma
Pheochromocytoma is a rare cause of hypertension in the general population. Only isolated reports show an association with acute obstructive arterial thrombosis. A 50-year-old chronically noncompliant woman with a known unresected pheochromocytoma presented to the emergency department with ataxia. Imaging confirmed a right-sided ischemic stroke. During her hospital stay, the patient developed signs consistent with acute right upper extremity ischemia resulting from occlusion in the distal right subclavian, axillary, and proximal brachial arteries. Emergent open thrombectomy was successfully performed. In patients with an u...
Source: Journal of Vascular Surgery - March 13, 2013 Category: Surgery Authors: Sameer Kaiser, John Chronakos, Alan M. Dietzek Tags: Case reports Source Type: research
Intraluminal Thrombus, Intraplaque Hemorrhage, Plaque Thickness, and Current Smoking Optimally Predict Carotid Stroke
Optimal discrimination of carotid-source stroke was obtained with intraluminal thrombus, intraplaque hemorrhage, plaque thickness, and smoking history but not ulceration or stenosis.
Source: Journal of Vascular Surgery - April 24, 2015 Category: Surgery Authors: J.S. McNally, M.S. McLaughlin, P.J. Hinckley Source Type: research
Management of common carotid artery dissection due to extension from acute type A (DeBakey I) aortic dissection
Conclusions: CCAD, due to extension from aortic arch dissection, has a low risk of subsequent stroke after the initial event. Based on current data, there is little evidence to suggest that aortic origin CCAD requires repair in the absence of recurrent symptoms, regardless of the degree of stenosis or false-lumen patency. Recommended optimal medical therapy includes either aspirin or anticoagulation for 6 months after initial presentation. Additional longitudinal studies are needed.
Source: Journal of Vascular Surgery - May 13, 2013 Category: Surgery Authors: Kristofer M. Charlton-Ouw, Ali Azizzadeh, Harleen K. Sandhu, Ali Sawal, Samuel S. Leake, Charles C. Miller, Anthony L. Estrera, Hazim J. Safi Tags: Clinical research studies Source Type: research
Results of carotid artery stenting with transcervical access
Conclusions: CAS with the transcervical approach is a safe procedure with low incidence of stroke and complications. It can be used as an alternative to femoral access in patients with unfavorable aortoiliac or aortic arch anatomy.
Source: Journal of Vascular Surgery - September 26, 2013 Category: Surgery Authors: George S. Sfyroeras, Konstantinos G. Moulakakis, Fotis Markatis, Constantinos N. Antonopoulos, George A. Antoniou, John D. Kakisis, Elias N. Brountzos, Christos D. Liapis Tags: Review article Source Type: research
Patching plus extended exposure and tacking of the common carotid cuff may reduce the late incidence of recurrent stenosis after carotid endarterectomy
The objective of this study was to determine whether routine patch angioplasty and precautions related to the common carotid cuff could reduce the risks for perioperative stroke, internal carotid artery (ICA) thrombosis, or recurrent carotid stenosis.Methods: The senior author (N.H.) performed 1959 consecutive isolated CEAs at the Cleveland Clinic from 1976 to 2004. This series can be divided into three distinct eras with respect to patching and management of the proximal common carotid cuff: (1) primary arteriotomy closure with selective patching in only 38 of 653 CEAs (5.8%) from 1976 to 1983 (group 1); (2) routine patch...
Source: Journal of Vascular Surgery - June 3, 2013 Category: Surgery Authors: Norman R. Hertzer, James F. Bena Tags: Clinical research studies Source Type: research
Low carotid stump pressure as a predictor for ischemic symptoms and as a marker for compromised cerebral reserve in octogenarians undergoing carotid endarterectomy
Carotid artery occlusive disease can cause stroke by embolization, thrombosis, and hypoperfusion. The majority of strokes secondary to cervical carotid atherosclerosis are believed to be of embolic etiology. However, cerebral hypoperfusion could be an important factor in perioperative stroke. We retrospectively reviewed the stump pressure (SP) of carotid endarterectomy (CEA) of patients at Pennsylvania Hospital to identify whether physiologic perfusion differences account for differences in perioperative stroke rates, particularly in octogenarians.
Source: Journal of Vascular Surgery - February 23, 2018 Category: Surgery Authors: Sam C. Tyagi, Matthew J. Dougherty, Shinichi Fukuhara, Douglas A. Troutman, Danielle M. Pineda, Hong Zheng, Keith D. Calligaro Tags: Clinical paper Source Type: research
Aspirin Alone Is Superior Therapy for Grade III Blunt Carotid Injury: A Multicenter Study from the Eastern Association for the Surgery of Trauma
The optimal treatment of blunt cerebrovascular injury (BCVI) remains unclear. Antiplatelet therapy and therapeutic anticoagulation have each demonstrated substantial reductions in BCVI-associated stroke without evidence of the superiority of either. Uncertainty surrounds grade III injury, in particular, because stroke can involve both platelet activation from endothelial injury and thrombus formation within the pseudoaneurysm sac. We hypothesized that treatment of grade III blunt carotid injury (BCI) with aspirin alone would be associated with a decreased rate of subsequent stroke compared with other medical therapies.
Source: Journal of Vascular Surgery - August 24, 2021 Category: Surgery Authors: Rishi Kundi, Emily C. Esposito, Thomas M. Scalea, Deborah M. Stein, Margaret Lauerman, East Blunt Cerebrovascular Injury Study Group Tags: S3: Plenary Session 3 Source Type: research
Carotid endarterectomy for symptomatic low-grade carotid stenosis
Conclusions: This study shows that CEA is a safe, effective, and durable treatment for patients with symptomatic low-grade carotid stenosis associated with unstable plaque. Patients had excellent protection against further ischemic events and survived long enough to justify the initial surgical risk. Plaque instability seems to play a major part in the onset of ischemic events, regardless the entity of lumen narrowing.
Source: Journal of Vascular Surgery - August 19, 2013 Category: Surgery Authors: Enzo Ballotta, Annalisa Angelini, Franco Mazzalai, Giacomo Piatto, Antonio Toniato, Claudio Baracchini Tags: Clinical research studies Source Type: research
Invited commentary
Since current guidelines based on randomized clinical trials1-6 have established degree of carotid stenosis as the primary surrogate for stroke risk and indication for carotid endarterectomy or stenting, accurate assessment of the degree of carotid stenosis has been the traditional focus of carotid imaging.7 However, the degree of carotid stenosis is an inadequate assessment of stroke risk, and other key factors for determining carotid plaque vulnerability include intraplaque hemorrhage, plaque rupture, and luminal thrombus.
Source: Journal of Vascular Surgery - November 20, 2018 Category: Surgery Authors: Karen J. Ho Tags: From bench to bedside Source Type: research
The role of completion imaging following carotid artery endarterectomy
A variety of completion imaging methods can be used during carotid endarterectomy to recognize technical errors or intrinsic abnormalities such as mural thrombus or platelet aggregation, but none of these methods has achieved wide acceptance, and their ability to improve the outcome of the operation remains a matter of controversy.It is unclear if completion imaging is routinely necessary and which abnormalities require re-exploration. Proponents of routine completion imaging argue that identification of these abnormalities will allow their immediate correction and avoid a perioperative stroke. However, much of the evidenc...
Source: Journal of Vascular Surgery - April 23, 2013 Category: Surgery Authors: Jean-Baptiste Ricco, Fabrice Schneider, Giulio Illuminati, Russell H. Samson Tags: Trans-Atlantic debate Source Type: research
Posterior transverse plication of the internal carotid artery to correct for kinking
Conclusions: Although the indications for additional shortening procedures following CEA need to be defined, in this small series, PTP as an additional shortening procedure of the ICA following CEA seems feasible and safe with no additional periprocedural risk for narrowing at the plicature or thrombosis of the endarterectomy plane. However, restenosis at the plicature may hamper the long term benefit of carotid reconstruction.
Source: Journal of Vascular Surgery - January 21, 2014 Category: Surgery Authors: Michiel H.F. Poorthuis, Eelco C. Brand, Raechel J. Toorop, Frans L. Moll, Gert Jan de Borst Tags: Clinical research studies Source Type: research
Follow-up outcomes of hybrid procedures for thoracoabdominal aortic pathologies with special focus on graft patency and late mortality
Conclusions: A hybrid procedure for thoracoabdominal aortic pathologies in high-risk patient is feasible but carries a significant rate of early and midterm reintervention and death. Long-term surveillance of the visceral bypass is necessary because one-third of the patients will have bypass-related complications.
Source: Journal of Vascular Surgery - January 27, 2014 Category: Surgery Authors: Claudio Bianchini Massoni, Philipp Geisbüsch, Enrico Gallitto, Maani Hakimi, Mauro Gargiulo, Dittmar Böckler Tags: Clinical research studies Source Type: research
Therapeutic application of contrast-enhanced ultrasound and low-dose urokinase for thrombolysis in a porcine model of acute peripheral arterial occlusion
In this study, we investigated the effect of additional US and microbubbles on standard low-dose intra-arterial thrombolysis in a porcine model of extensive peripheral arterial occlusion.
Source: Journal of Vascular Surgery - April 24, 2014 Category: Surgery Authors: Harm P. Ebben, Johanna H. Nederhoed, Jeroen Slikkerveer, Otto Kamp, Geert W.J.M. Tangelder, René J.P. Musters, Willem Wisselink, Kak K. Yeung Source Type: research
Frequency of cancer in patients operated on for acute peripheral arterial thrombosis and the impact on prognosis
Little is known about acute peripheral arterial thrombosis in patients with concomitant cancer. Small studies suggest that revascularization in this patient group is associated with thrombosis and increased risk of amputation and death. We investigated the frequency of cancer in patients operated on for acute peripheral arterial thrombosis and the long-term risk of amputation, mortality, myocardial infarction, and stroke in a national cohort.
Source: Journal of Vascular Surgery - September 15, 2015 Category: Surgery Authors: Chalotte Winther Nicolajsen, Maja Holch Dickenson, Jacob Budtz-Lilly, Nikolaj Eldrup Source Type: research
