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Source: Annals of Vascular Surgery

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Total 154 results found since Jan 2013.

Transcarotid Artery Revascularization as a new Modality of Treatment for Carotid Stenosis
Carotid artery stenosis is a significant cause of ischaemic stroke and studies have shown that trans-femoral carotid artery stenting is associated with a higher perioperative stroke risk than open endarterectomy. Trans-carotid artery revascularization (TCAR) is a novel technique in carotid stenting via direct trans-cervical carotid access without the risk of arch manipulation, offers a smaller wound than endarterectomy and employs flow reversal to decrease the risk of antegrade embolic stroke. Contemporary evidence on the safety and efficacy of TCAR is reviewed.
Source: Annals of Vascular Surgery - November 6, 2019 Category: Surgery Authors: Y. Luk, Y.C. Chan, S.W. Cheng Tags: General Review Source Type: research

Early carotid endarterectomy for symptomatic stenosis of internal carotid artery in patients affected by transient ischemic attack or minor to moderate ischemic acute stroke: a single center experience
To report a single center experience with early surgical carotid revascularization in patients affected by transient ischemic attack and minor/moderate ischemic acute stroke.
Source: Annals of Vascular Surgery - November 6, 2019 Category: Surgery Authors: Ottavia Borghese, Angelo Pisani, Bertrand Lapergue, Isabelle Di Centa Tags: Clinical Research, Basic Science Source Type: research

Angioplasty using drug-coated balloons in ostial vertebral artery stenosis
Ostial vertebral artery stenosis (OVAS) is a relevant cause of acute ischemic posterior circulation stroke. Percutaneous trans-luminal angioplasty (PTA) might offer a promising treatment modality, but re-stenosis rate is high. So far, little is known about recanalization using drug-coated balloons (DCB) in OVAS. We aimed to show feasibility and safety of DCB-PTA in OVAS.
Source: Annals of Vascular Surgery - October 19, 2019 Category: Surgery Authors: Philipp Gruber, Jatta Berberat, Timo Kahles, Javier Anon, Michael Diepers, Krassen Nedeltchev, Luca Remonda Tags: Clinical Research, Basic Science Source Type: research

Carotid Body Tumor Resection: Just As Safe Without Preoperative Embolization
This study aimed to investigate the impact of embolization on outcomes following CBT resection.
Source: Annals of Vascular Surgery - October 18, 2019 Category: Surgery Authors: Adrienne N. Cobb, Adel Barkat, Witawat Daungjaiboon, Pegge Halandras, Paul Crisostomo, Paul C. Kuo, Bernadette Aulivola Tags: Clinical Research, Basic Science Source Type: research

Staged Carotid Artery Stenting and Coronary Artery Bypass Grafting Procedures: A Word of Caution
In their systematic review and meta-analysis (n=5 studies; 16,712 patients), Giannopoulos et al.1 compared synchronous carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG) vs. staged carotid artery stenting (CAS) followed by CABG. They demonstrated that perioperative stroke (3% [447/15,727] vs. 3% [33/985], for CEA/CABG vs. CAS/CABG, respectively; odds ratio [OR]: 0.84; 95% confidence interval [CI]: 0.43-1.64; I2=39.1%) and transient ischemic attack (TIA) rates (1% [2/193] vs 4% [4/95] for CEA/CABG vs.
Source: Annals of Vascular Surgery - October 14, 2019 Category: Surgery Authors: Kosmas I. Paraskevas Tags: Correspondence Source Type: research

Impact of the physical activity on the phenotype of circulating monocytes and the biological characteristics of the carotid plaque
Atherosclerosis is accompanied by a low-grade inflammation which mobilizes the classical, intermediate and non-classical circulating monocytes. It was shown that an accumulation of leucocytes supports the development of intraplaque hemorrhage (IPH), making the plaque vulnerable, exposed to rupture and thrombosis. Moreover, the elevation of the rate of intermediate monocytes is associated with an increase in cardiovascular mortality and ischemic stroke. The benefit of endarterectomy (CE) remains discussed in the patients without stroke.
Source: Annals of Vascular Surgery - September 24, 2019 Category: Surgery Authors: Mathilde Mura, Mich èle Weiss, Nellie Della Schiava, Marine Bordet, Patrick Lermusiaux, Antoine Millon, Vincent Pialoux Tags: Abstracts Presented to the French Society for Vascular and Endovascular Surgery Source Type: research

The Effect of acute Limb Ischemia on Mortality in Patients Undergoing Femoral Veno-arterial Extracorporeal Membrane Oxygenation
Extracorporeal membrane oxygenation (ECMO) is a life saving modality increasingly used in the management cardiopulmonary failure. However, ECMO itself is not without major complications. Mortality remains high, and morbidity such as stroke, renal failure, and acute threatening limb ischemia (ALI) are common among surviving patients. We analyzed the effect of one of these complications, ALI, on the survival of patients receiving veno-arterial ECMO (VA ECMO) with femoral cannulation.
Source: Annals of Vascular Surgery - August 23, 2019 Category: Surgery Authors: Iosif Gulkarov, Thomas Bobka, Adham Elmously, Arash Salemi, Berhane Worku, Ivancarmine Gambardella, Marcus D ’Ayala Tags: Clinical Research, Basic Science Source Type: research

The Effect of Acute Limb Ischemia on Mortality in Patients Undergoing Femoral Venoarterial Extracorporeal Membrane Oxygenation
Extracorporeal membrane oxygenation (ECMO) is a life-saving modality increasingly used in the management cardiopulmonary failure. However, ECMO itself is not without major complications. Mortality remains high, and morbidity such as stroke, renal failure, and acute limb threatening ischemia (ALI) are common among surviving patients. We analyzed the effect of one of these complications, ALI, on the survival of patients receiving venoarterial ECMO (VA ECMO) with femoral cannulation.
Source: Annals of Vascular Surgery - August 23, 2019 Category: Surgery Authors: Iosif Gulkarov, Thomas Bobka, Adham Elmously, Arash Salemi, Berhane Worku, Ivancarmine Gambardella, Marcus D'Ayala Tags: Clinical Research Source Type: research

Outcomes of urgent carotid endarterectomy for crescendo transient ischemic attacks and stroke in evolution
Carotid endarterectomy (CEA) following an unstable neurological presentation is still a controversial issue. The aim of this study was to evaluate outcomes of urgent ( ≤48 hours) CEA in patients with crescendo transient ischemic attack (cTIA) or stroke in evolution (SIE).
Source: Annals of Vascular Surgery - August 5, 2019 Category: Surgery Authors: Igor Gunka, Dagmar Krajickova, Michal Lesko, Ondrej Renc, Jan Raupach, Stanislav Jiska, Miroslav Lojik, Vendelin Chovanec, Alexander Hudak, Radovan Maly Tags: Clinical Research, Basic Science Source Type: research

Onset of Neurological Deficit During Carotid Clamping With Carotid Endarterectomy Under Regional Anesthesia Is Not a Predictor of Carotid Restenosis
A number of awake patients undergoing carotid endarterectomy (CEA) present from test clamp neurological deficits (NDs) during the procedure. Current guidelines advocate tighter Doppler ultrasound (DUS) surveillance in these patients because of probable higher likelihood of hemodynamic stroke (class 1 grade C), although evidence is lacking regarding benefit. The aim for the study is the assumption that patients who present ND have a higher risk of developing a complete stroke if the ipsilateral carotid artery becomes occluded, and for this reason, surveillance over restenosis of endarterectomy in this group is justifiable; ...
Source: Annals of Vascular Surgery - August 2, 2019 Category: Surgery Authors: Jos é D. Vieira-Andrade, João P. Rocha-Neves, Juliana P. Macedo, Marina F. Dias-Neto Tags: Clinical Research Source Type: research

Onset of neurological deficit during carotid clamping with carotid endarterectomy under regional anaesthesia is not a predictor of carotid restenosis
A number of awake patients undergoing carotid endarterectomy (CEA) present from test clamp neurological deficits (ND) during the procedure. Current guidelines advocate tighter doppler ultrasound (DUS) surveillance in these patients due to probable higher likelihood of hemodynamic stroke (class 1 grade C), although evidence is lacking regarding benefit. the reasoning for the study is: the assumption that patients who present ND have a higher risk of developing a complete stroke if the ipsilateral carotid artery becomes occluded, and for this reason surveillance over restenosis of endarterectomy in this group is justifiable,...
Source: Annals of Vascular Surgery - August 2, 2019 Category: Surgery Authors: Jos é D. Vieira-Andrade, João P. Rocha-Neves, Juliana P. Macedo, Marina F. Dias-Neto Tags: Clinical Research, Basic Science Source Type: research

Immediate Carotid Endarterectomy is Associated with Higher Risk in Symptomatic Patients
This study seeks to more fully evaluate the effect of timing of surgery on outcomes for Sx-CAS.
Source: Annals of Vascular Surgery - June 12, 2019 Category: Surgery Authors: James C. Andersen, Kristyn A. Mannoia, Sharon C. Kiang, Sheela T. Patel, Theodore H. Teruya, Christian Bianchi, Ahmed M. Abou-Zamzam, Vascular Quality Initiative Source Type: research

Rationale and Design for the Remote Ischemic Preconditioning for Carotid Endarterectomy Trial
While the perioperative stroke rate after carotid endarterectomy (CEA) is low, “silent” microinfarctions identified by magnetic resonance imaging (MRI) are common and have been correlated with postoperative neurocognitive decline. Our study will investigate the role of remote ischemic preconditioning (RIPC) as a potential neuroprotective mechanism. RIPC is a well-tolerated stimulus that, through neuronal and humoral pathways, generates a systemic environment of greater resistance to subsequent ischemic insults.
Source: Annals of Vascular Surgery - June 11, 2019 Category: Surgery Authors: Natalie D. Sridharan, Darve Robinson, Partha Thirumala, Ali Arak, Oladipupo Olafiranye, Edith Tzeng, Efthymios Avgerinos Tags: Clinical Research Source Type: research

Female Gender as a Risk Factor for Adverse Outcomes After Carotid Revascularization
We aim to identify gender differences in complications after carotid surgery. Our primary endpoint is the incidence of perioperative stroke, myocardial infarction, and mortality. Secondary endpoints include restenosis and reintervention rates.
Source: Annals of Vascular Surgery - June 11, 2019 Category: Surgery Authors: Makinderjit Dulai, Wael Tawfick, Niamh Hynes, Sherif Sultan Tags: Clinical Research Source Type: research

Impact of Femoral Ossification on Local and Systemic Cardiovascular Patients ’ Condition
Vascular calcifications are associated with a high cardiovascular morbi-mortality when located in the coronary territory, and with atheromatous plaque stability and stroke when located in carotid arteries. Previous studies have shown that femoral arteries were more prone to calcify and to develop osteoid metaplasia (OM). So far the impact of OM on local and systemic cardiovascular events remains unknown. The aim of this study was to assess the predictive value of OM in histological analysis of femoral plaque for the occurrence of mid- and long-term adverse cardiovascular events.
Source: Annals of Vascular Surgery - June 11, 2019 Category: Surgery Authors: Aurore Danvin, Thibaut Quillard, Olivier Espitia, C éline Charrier, Béatrice Guyomarch, Yann Gouëffic, Blandine Maurel Source Type: research

Acute Occlusion of Descending Thoracic Aorta
Acute aortic occlusion is a rare but potentially devastating clinical event, that requires a prompt diagnosis and emergency treatment.Only five cases of native thoracic aorta acute occlusion have so far been reported with different pathologic causes.The clinical features depend on the level of occlusion. Sometimes, the diagnosis could be misinterpreted as a stroke or other diseases of central nervous system.This could lead to a delay in the diagnosis and revascularization procedure, followed by a morbidity or mortality increase.
Source: Annals of Vascular Surgery - June 11, 2019 Category: Surgery Authors: Cesare Battocchio, Tommaso Dezi, Alessandro D ’andrea, Maurizio Taurino, Luigi Rizzo Tags: Case Report Source Type: research

Rationale and Design for the Remote Ischemic Preconditioning for Carotid Endarterectomy (RIP-CEA) Trial
While the perioperative stroke rate after carotid endarterectomy (CEA) is low, magnetic resonance imaging (MRI) “silent” microinfarctions are common and have been correlated with postoperative neurocognitive decline. Our study will investigate the role of remote ischemic preconditioning (RIPC) as a potential neuroprotective mechanism. RIPC is a well-tolerated stimulus that, through neuronal and humoral pa thways, generates a systemic environment of greater resistance to subsequent ischemic insults.
Source: Annals of Vascular Surgery - June 11, 2019 Category: Surgery Authors: Natalie D. Sridharan, Darve Robinson, Partha Thirumala, Ali Arak, Oladipupo Olafiranye, Edith Tzeng, Efthymios Avgerinos Tags: Clinical Research, Basic Science Source Type: research

Female Gender as a Risk Factor for Adverse Outcomes Following Carotid Revascularization.
We aim to identify gender differences in complications following carotid surgery. Our primary endpoint is the incidence of perioperative stroke, myocardial infarction and mortality. Secondary endpoints include restenosis and reintervention rates.
Source: Annals of Vascular Surgery - June 11, 2019 Category: Surgery Authors: Makinderjit Dulai, Wael Tawfick, Niamh Hynes, Sherif Sultan Tags: Clinical Research, Basic Science Source Type: research

Considerations Beyond Stenosis for Carotid Endarterectomy in Treating Free-Floating Thrombus of the Carotid Artery
Free-floating thrombus (FFT) of the carotid artery is an uncommon condition that can present with neurologic symptoms, often in the setting of ischemic stroke. The literature pertaining to the incidence and optimal treatment of this condition is limited. Herein we report our contemporary experience with FFT across a range of degrees of carotid stenosis.
Source: Annals of Vascular Surgery - May 8, 2019 Category: Surgery Authors: Besher Tolaymat, Karen Irizarry, Michaella Reif, Charles B. Drucker, Brittany O. Aicher, Rajabrata Sarkar, Shahab Toursavadkohi, Thomas S. Monahan Tags: Clinical Research, Basic Science Source Type: research

Impact of the Supra-Aortic Trunks And Circle of Willis Patency on the Neurological Compensation During Carotid Endarterectomy
One of the most critical phases of carotid endoarterectomy is the carotid cross-clamping test which is a concrete evaluation of efficacy of collateral cerebral perfusion. Some studies revealed a strong correlation between tolerance to carotid cross-clamping and post-operative TIA/stroke complications. The aim of the study is to make a global analysis of supra-aortic trunks and Circle of Willis patency in order to predict the tolerance to carotid cross-clamping pre-operatively.
Source: Annals of Vascular Surgery - May 7, 2019 Category: Surgery Authors: Lorenzo Gibello, Gianfranco Varetto, Flavia Spalla, Andrea Ferraris, Matteo Ripepi, Alessandra Trevisan, Fabrizio Bert, Paolo Fonio, Fabio Verzini, Pietro Rispoli Tags: Clinical Research, Basic Science Source Type: research

Novel approach to prevention of perioperative stroke in patients undergoing debranching thoracic endovascular aortic repair with mini-cardiopulmonary bypass support
This study was performed to evaluate the efficacy of mini-cardiopulmonary bypass (mini-CPB) support in debranching TEVAR to prevent perioperative stroke.
Source: Annals of Vascular Surgery - April 5, 2019 Category: Surgery Authors: Masaaki Ryomoto, Hiroe Tanaka, Masataka Mitsuno, Mitsuhiro Yamamura, Naosumi Sekiya, Hisashi Uemura, Ayaka Sato, Daisuke Ueda Source Type: research

A Novel Approach to Prevent Perioperative Stroke in Patients Undergoing Debranching Thoracic Endovascular Aortic Repair with a Mini-Cardiopulmonary Bypass Support
This study was performed to evaluate the efficacy of mini-cardiopulmonary bypass (mini-CPB) support in debranching TEVAR to prevent perioperative stroke.
Source: Annals of Vascular Surgery - April 5, 2019 Category: Surgery Authors: Masaaki Ryomoto, Hiroe Tanaka, Masataka Mitsuno, Mitsuhiro Yamamura, Naosumi Sekiya, Hisashi Uemura, Ayaka Sato, Daisuke Ueda Tags: Clinical Research Source Type: research

Carotid Endarterectomy Outcomes in the Elderly: A Canadian Institutional Experience
Carotid endarterectomy (CEA) is a well-established surgical intervention for stroke prevention in patients with carotid stenosis of all ages. However, the decision to proceed to operate in the elderly involves a more complicated risk-benefit assessment due in part, to increased comorbidities and reduced life expectancy. Some studies suggest that CEA is more risky in the elderly with worse outcomes, while others have found no difference. Our objective was to evaluate and compare outcomes of CEA between elderly and younger patients at our institution.
Source: Annals of Vascular Surgery - February 22, 2019 Category: Surgery Authors: R.J. Doonan, Abdullah Abdullah, Samantha Steinmetz-Wood, Sandra Mekhaiel, Oren K. Steinmetz, Daniel I. Obrand, Marc M. Corriveau, Kent S. Mackenzie, Heather L. Gill Tags: Clinical Research, Basic Science Source Type: research

Early Carotid Endarterectomy After Acute Stroke Yields Excellent Outcomes: An Analysis of The Procedure-Targeted ACS-NSQIP
Recurrent ischemic events have been associated with delayed carotid endarterectomy (CEA) for patients who present with acute strokes. As such earlier intervention has been advocated in order to preserve cerebral function and expedient rehabilitation. We sought to determine the differences in 30-day postoperative major adverse clinical events (MACEs) for patients who undergo early ( ≤ 7 days) and delayed (>7 days) CEA following acute stroke
Source: Annals of Vascular Surgery - January 25, 2019 Category: Surgery Authors: Eddie Blay, Yetunde Balogun, Michael J. Nooromid, Mark K. Eskandari Tags: Clinical Research, Basic Science Source Type: research

Optimal Timing of Carotid Endarterectomy in Symptomatic Patients
This study seeks out the optimal timing of CEA for Sx-CAS.
Source: Annals of Vascular Surgery - January 18, 2019 Category: Surgery Authors: James Andersen, Kristyn Mannoia, Sheela Patel, Sharon Kiang, Christian Bianchi, Theodore H. Teruya, Ahmed Abou-Zamzam Tags: Abstracts Presented to the Vascular and Endovascular Surgery Society - 2019 Annual Winter Meeting Source Type: research

Timing of Hospital-acquired Venous Thromboembolism and Its Relationship with Venous Thromboembolism Prevention Measures in Immobile Patients
The aim of this study is to describe the timing of venous thromboembolism (VTE) diagnosis in patients with cerebral or spinal trauma and stroke and describe the relationships between VTE prophylaxis and timing of VTE diagnosis at a community hospital.
Source: Annals of Vascular Surgery - November 27, 2018 Category: Surgery Authors: Hao Pham, Todd Russell, Andrew Seiwert, Gregory Kasper, Fedor Lurie Tags: Clinical Research Source Type: research

Timing of Hospital-Acquired Venous Thromboembolism (VTE) and its Relationship with VTE Prevention Measures in Immobile Patients
To describe the timing of venous thromboembolism (VTE) diagnosis in patients with cerebral or spinal trauma and stroke and describe the relationships between VTE prophylaxis and timing of VTE diagnosis at a community hospital.
Source: Annals of Vascular Surgery - November 27, 2018 Category: Surgery Authors: Hao Pham, Todd Russell, Andrew Seiwert, Gregory Kasper, Fedor Lurie Source Type: research

Transfemoral Carotid Artery Stents Should Be Used with Caution in Patients with Asymptomatic Carotid Artery Stenosis
Significant national variation exists in defining the degree of stenosis that requires intervention in patients with asymptomatic carotid artery stenosis (ACAS). We aimed to evaluate the risk of perioperative- and 2-year stroke and death in ACAS patients undergoing carotid endarterectomy (CEA) and carotid artery stenting (CAS) for severe versus very severe stenosis in a contemporary population.
Source: Annals of Vascular Surgery - October 16, 2018 Category: Surgery Authors: Caitlin W. Hicks, Besma Nejim, Hanaa D. Aridi, James H. Black, Mahmoud B. Malas Tags: Vascular & Endovascular Surgery Society Source Type: research

Three-year Results of the Endovascular Treatment of Carotid Lesions at Risk of Stroke
The objective was to evaluate the medium-term results of this technique in these particular indications.
Source: Annals of Vascular Surgery - October 9, 2018 Category: Surgery Authors: Charlotte Behets, Guillaume Marques, Claude Clement Tags: Abstracts Presented to the French Society for Vascular and Endovascular Surgery Source Type: research

Contralateral Occlusion Does Not Predispose to Higher Stroke Rates after Carotid Endarterectomy
Multiple small studies have suggested that contralateral internal carotid artery (ICA) occlusion is associated with higher stroke rates after carotid endarterectomy (CEA) than when contralateral ICA is not occluded. This situation has therefore been designated as a “high-risk” situation and been established as a criterion for carotid stenting. Our objective was to use a large multi-institutional clinical database to assess the effect of contralateral ICA occlusion on 30-day stroke and death after CEA.
Source: Annals of Vascular Surgery - April 1, 2018 Category: Surgery Authors: Prateek K. Gupta, Kelly Kempe, Reshma Brahmbhatt, Shaun M. Stickley, Michael J. Rohrer Tags: Abstracts Accepted for Presentation During the 42nd Annual Meeting of the Vascular and Endovascular Surgery Society Source Type: research

Stroke Outcomes In Sickle Cell Patients: From Children To Adults
One common and potentially devastating manifestation of sickle cell disease (SCD) that can occur in both a pediatric and adult population is stroke. Due to the high incidence of stroke in patients with SCD coupled with the severe, costly, and long-lasting effects, it is crucial to investigate this population. To date, there is no published data on stroke outcomes in pediatric and adult patients with SCD in Florida. The purpose of this study is to provide a modern look at the burden of stroke in this population.
Source: Annals of Vascular Surgery - February 1, 2018 Category: Surgery Authors: Nicholas R. Schmoke, Francisco Irizarry, Jason Llaneras, Juan Ruiz, Melissa Ward-Peterson Tags: Abstracts Presented to the Florida Vascular Society Source Type: research

Safety of early carotid endarterectomy after intravenous thrombolysis in acute ischemic stroke
The timing of carotid endarterectomy (CEA) after intravenous thrombolysis (IVT) is still a controversial issue. The aim of this study was to assess the safety of early carotid interventions in patients treated with thrombolysis for acute ischemic stroke.
Source: Annals of Vascular Surgery - May 4, 2017 Category: Surgery Authors: Igor Gunka, Dagmar Krajickova, Michal Lesko, Ondrej Renc, Jan Raupach, Stanislav Jiska, Miroslav Lojik, Vendelin Chovanec, Radovan Maly Source Type: research

Somatosensory Evoked Potentials and Electroencephalography During Carotid Endarterectomy Predict Late Stroke But Not Death
Late stroke and death rates are anticipated to be higher in patients undergoing carotid endarterectomy (CEA) compared to healthy counterparts. However, little is known regarding predictors, other than the baseline comorbidities. We have recently shown that dual intraoperative Somatosensory Evoked Potentials (SSEP) and electroencephalogram (EEG) monitoring improves the ability to predict perioperative strokes. We seek to determine if dual intraoperative monitoring (IOM) can further predict long-term strokes and death.
Source: Annals of Vascular Surgery - August 10, 2016 Category: Surgery Authors: N. Domenick, R.A. Chaer, P.D. Thirumala, J. Balzer, B. Long, M.S. Makaroun, E.D. Avgerinos Source Type: research

Endovascular Aortic Arch Repair with Mini-cardiopulmonary Bypass to Prevent Stroke
Debranching thoracic endovascular aortic repair for aortic arch pathology is an important alternative to total arch replacement. However, the problem of intra-operative stroke due to atherosclerotic changes in the aorta remains. We apply our minimally invasive mini-cardiopulmonary bypass system to prevent intra-operative stroke during the endovascular procedure. Once debranching from the right axillary artery to the left common carotid and the left axillary artery is constructed, only the brachiocephalic artery is a pathway to the brain.
Source: Annals of Vascular Surgery - July 14, 2016 Category: Surgery Authors: Masaaki Ryomoto, Hiroe Tanaka, Tetsuya Kajiyama, Masataka Mitsuno, Mitsuhiro Yamamura, Shinya Fukui, Yuji Miyamoto Source Type: research

Postoperative stroke after debranching with thoracic endovascular aortic repair
This study aimed to analyze the perioperative stroke rate, stroke lesions, outcome, risk factors, and stroke prevention following debranching with thoracic endovascular aortic repair (TEVAR).
Source: Annals of Vascular Surgery - July 8, 2016 Category: Surgery Authors: Akihiro Yoshitake, Takashi Hachiya, Kazuma Okamoto, Hiroto Kitahara, Shinji Kawaguchi, Seishi Nakatsuka, Masanori Inoue, Masahiro Jinzaki, Hideyuki Shimizu Source Type: research

Somatosensory Evoked Potentials and Electroencephalography During Carotid Endarterectomy Predict Late Stroke But Not Death
Late stroke and death rates are anticipated to be higher in patients undergoing carotid endarterectomy (CEA), however little is known regarding predictors. We seek to determine if dual intraoperative Somatosensory Evoked Potentials (SSEP) and electroencephalogram (EEG) monitoring can predict long-term strokes and death.
Source: Annals of Vascular Surgery - July 1, 2016 Category: Surgery Authors: Natalie A. Domenick, Rabih Chaer, Partha Thirumala, Jeffrey Balzer, Michel Makaroun, Edith Tzeng, Efthimios Avgerinos Source Type: research

Stroke from an External Carotid: Lesion Pattern and Mechanisms
Traditionally, patients with symptomatic external carotid stenosis present with neck or face pain, retinal ischaemic symptoms or jaw claudication. and rarely as ipsilateral cerebrovascular events. In this present case, our patient suffered a stroke from a paradoxical embolism from the external carotid, without involvement of the internal carotid artery. A plaque ulceration of the external carotid’s origin was the cause of this cerebral emboli. Duplex ultrasound showed a pathological left external carotid, with a floating thrombus in the internal carotid.
Source: Annals of Vascular Surgery - January 20, 2016 Category: Surgery Authors: Kagan Nicolas, Lathelyse Hubert, Leclere Franck Marie, Marchand Etienne, Martinez Robert Source Type: research

Metastatic Angiosarcoma Presenting as Ischemic Anterior Circulation Stroke
We report a case of angiosarcoma that presented as thromboembolic stroke, review the current literature, and discuss the management challenges.
Source: Annals of Vascular Surgery - November 24, 2015 Category: Surgery Authors: Thavenesh K. Ramachandren, Karthik Venkataraman, Keith Hussey, Laurence Ferguson Tags: Case Report Source Type: research

Metastatic angiosarcoma presenting as ischaemic anterior circulation stroke
We report a case of angiosarcoma that presented as thromboembolic stroke, review the current literature and discuss the management challenges.
Source: Annals of Vascular Surgery - November 24, 2015 Category: Surgery Authors: Thavenesh K. Ramachandren, Karthik Venkataraman, Keith Hussey, Laurence Ferguson Source Type: research

Case report: Intraluminal thrombus attached to the lesser curvature of the aortic arch and cerebral ischemic stroke after its surgical removal
Some cases of thrombi at the ascending and descending aorta have been reported, but there are only a few reports of intraluminal aortic arch thrombi. Most intraluminal thrombi are associated with atherosclerotic lesions at the aortic wall. Here we report a case of an intraluminal thrombus attached to the lesser curvature of the aortic arch. The thrombus was successfully and completely excised, and the pathological study suggested no obvious atherosclerotic changes in the aortic wall. Two months after surgical removal of the thrombus, the patient suffered a severe cerebral ischemic stroke caused by a newly formed thromboemb...
Source: Annals of Vascular Surgery - March 11, 2015 Category: Surgery Authors: Qiang Fu, Liang Zhang, Bo Wei, Xinjin Luo, Yuetang Wang, Diancai Zhao, Yang Sun, Cuntao Yu Source Type: research

Intraluminal Thrombus Attached to the Lesser Curvature of the Aortic Arch and Cerebral Ischemic Stroke after Its Surgical Removal
Some cases of thrombi at the ascending and descending aorta have been reported, but there are only a few reports of intraluminal aortic arch thrombi. Most intraluminal thrombi are associated with atherosclerotic lesions at the aortic wall. Here, we report a case of an intraluminal thrombus attached to the lesser curvature of the aortic arch. The thrombus was successfully and completely excised, and the pathologic study suggested no obvious atherosclerotic changes in the aortic wall. Two months after surgical removal of the thrombus, the patient suffered a severe cerebral ischemic stroke caused by a newly formed thromboembo...
Source: Annals of Vascular Surgery - March 11, 2015 Category: Surgery Authors: Qiang Fu, Liang Zhang, Bo Wei, Xinjin Luo, Yuetang Wang, Diancai Zhao, Yang Sun, Cuntao Yu Tags: Case Report Source Type: research

Bilateral Cervical Ribs Causing Cerebellar Stroke and Arterial Thoracic Outlet Syndrome: A Case Report and Review of the Literature
This report describes a case of cerebellar stroke secondary to aTOS and reviews the literature.
Source: Annals of Vascular Surgery - February 25, 2015 Category: Surgery Authors: Owen P. Palmer, Fred A. Weaver Source Type: research

CT Perfusion Imaging in the Selection of Acute Stroke Patients to Undergo Emergent Carotid Endarterectomy
Severe acute stroke patients with critical carotid stenosis or occlusion without intracranial thrombus typically do not undergo emergent carotid thromboendarterectomy (CEA) because of the risk of reperfusion-related intracranial hemorrhage. Past studies have not consistently demonstrated benefit of early operative intervention. Cerebral computed tomography (CT), cervical and cerebral CT angiography (CTA), and cerebral CT perfusion (CTP) imaging may identify a subset of acute stroke patients without intracranial thrombus who may benefit from emergent CEA.
Source: Annals of Vascular Surgery - September 3, 2014 Category: Surgery Authors: Thomas G. Devlin, Sachin V. Phade, R. Kent Hutson, Mark W. Fugate, G. Ralston Major, Gregory W. Albers, Abdelazim A. Sirelkhatim, Biggya L. Sapkota, Steven D. Quartfordt, Blaise W. Baxter Source Type: research

Computed Tomography Perfusion Imaging in the Selection of Acute Stroke Patients to Undergo Emergent Carotid Endarterectomy
Severe acute stroke patients with critical carotid stenosis or occlusion without intracranial thrombus typically do not undergo emergent carotid thromboendarterectomy (CEA) because of the risk of reperfusion-related intracranial hemorrhage. Past studies have not consistently demonstrated benefit of early operative intervention. Cerebral computed tomography (CT), cervical and cerebral CT angiography (CTA), and cerebral CT perfusion (CTP) imaging may identify a subset of acute stroke patients without intracranial thrombus who may benefit from emergent CEA.
Source: Annals of Vascular Surgery - September 3, 2014 Category: Surgery Authors: Thomas G. Devlin, Sachin V. Phade, Rodney K. Hutson, Mark W. Fugate, Grant R. Major, Gregory W. Albers, Abdelazim A. Sirelkhatim, Biggya L. Sapkota, Steven D. Quartfordt, Blaise W. Baxter Tags: Case Report Source Type: research

Subclavian Stump Syndrome Causing a Posterior Circulation Stroke after Thoracic Endovascular Aneurysm Repair (TEVAR) with Adjunctive Carotid to Subclavian Bypass and Endovascular Embolization of the Left Subclavian Artery
Conclusions: Consideration should be given to ligating the subclavian artery immediately proximal to the vertebral artery origin when performing adjunctive carotid subclavian bypass during TEVAR. If this is not done, surveillance computed tomography scans should monitor for the development of propagating thrombus in the subclavian stump.
Source: Annals of Vascular Surgery - February 6, 2014 Category: Surgery Authors: Ritesh Patel, Carl Muthu, Kwat Huat Goh Tags: Case Report Abstracts Source Type: research

A Stroke/Vascular Neurology Service Increases the Volume of Urgent Carotid Endarterectomies Performed in a Tertiary Referral Center
Background: Increasing evidence supports that urgent carotid endarterectomy (CEA), defined as CEA during the index hospitalization, may be undertaken in select patients with acute carotid-related neurologic symptoms to prevent recurrent ischemic events. We aimed to determine the effect of a stroke/vascular neurology service on the volume of urgent CEAs performed and assess perioperative outcomes.Methods: A retrospective review from a single tertiary referral center between June 2005 through December 2011 revealed 393 patients who underwent CEA. We identified the number of urgent CEAs before (June 2005–August 2008) and af...
Source: Annals of Vascular Surgery - November 4, 2013 Category: Surgery Authors: Hernan A. Bazan, Gentry Caton, Shahrzad Talebinejad, Ross Hoffman, Taylor A. Smith, Gabriel Vidal, Kenneth Gaines, W. Charles Sternbergh Tags: Clinical Research Source Type: research