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Carotid artery stenosis, an underestimated cause of stroke recurrence in patients with ischaemic monocular visual loss.
CONCLUSIONS: Carotid stenosis ≥ 50% is present in patients with ocular ischaemia in approximately 20% of those with persistent visual loss and in 10% with transient visual loss. Those with carotid stenosis have a higher risk of stroke recurrence and should be considered urgent surgical intervention as other forms of stroke. PMID: 31155910 [PubMed - as supplied by publisher]
Source: Annals of the Royal College of Surgeons of England - June 2, 2019 Category: Surgery Authors: Cheng SF, Zarkali A, Richards T, Simister R, Chandratheva A Tags: Ann R Coll Surg Engl Source Type: research

Mechanical thrombectomy for the treatment of acute ischaemic stroke following pulmonary lobectomy.
We report the case of a patient developing an acute ischaemic stroke following pulmonary lobectomy, who was transferred to the regional neurosciences unit, despite the absence of an established referral pathway, to undergo mechanical thrombectomy, with significant prognostic neurological benefit. We would advocate all cardiothoracic centres identify their regional neurosciences unit and initiate discussion to establish a referral pathway. PMID: 30855160 [PubMed - as supplied by publisher]
Source: Annals of the Royal College of Surgeons of England - March 10, 2019 Category: Surgery Authors: Ali JM, Wolff I, Falconieri F, Aresu G, Coonar AS, Joshi Y, Peryt A Tags: Ann R Coll Surg Engl Source Type: research

The effects of centralisation of vascular surgical services in the Bath, Bristol and Weston area on the carotid endarterectomy pathway.
Conclusion Centralisation has not significantly impacted the overall efficiency of the carotid endarterectomy pathway. This study highlights areas where improvement across the vascular network is required. This includes addressing the 35% patients that are not currently meeting the 14-day target and standardising the provision of care to outlying communities. Further follow-up is required to assess the longer term effects of centralisation. PMID: 28682128 [PubMed - as supplied by publisher]
Source: Annals of the Royal College of Surgeons of England - July 6, 2017 Category: Surgery Authors: Partridge E, Brooks M, Curd C, Davis V, Oates C, McGeeney D Tags: Ann R Coll Surg Engl Source Type: research