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Source: Annals of Vascular Surgery

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Total 295 results found since Jan 2013.

Old and new techniques as a safe hybrid approach for carotid tandem lesions
Carotid revascularisation is performed to prevent stroke. Carotid tandem lesions represent a challenge for treatment, and a hybrid approach may result effective.
Source: Annals of Vascular Surgery - January 21, 2016 Category: Surgery Authors: David Barillà, Mafalda Massara, Antonino Alberti, Alberto Volpe, Andrea Cutrupi, Paolo Versace, Pietro Volpe Source Type: research

Safety of Carotid Revascularization in Symptomatic Patients with less than 70 Years
This study aims to analyze the effect of age by symptomatic status in young patients receiving carotid revascularization.
Source: Annals of Vascular Surgery - January 20, 2016 Category: Surgery Authors: Paola De Rango, Gioele Simonte, Luca Farchioni, Enrico Cieri, Alessandra Manzone, Giovanbattista Parlani, Massimo Lenti, Fabio Verzini Tags: Clinical Research 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

Complication rate after carotid endarterectomy comparing patch angioplasty and primary closure
This study aimed to assess complication rate after CEA with selective patching.
Source: Annals of Vascular Surgery - November 2, 2015 Category: Surgery Authors: Vicky Maertens, Heidi Maertens, Marc Kint, Cedric Coucke, Yves Blomme Source Type: research

Carotid Artery Stenting (CAS) Outcomes May Vary between Operators and/or Institutions. The Results from Centers of CAS Excellence May Not Be Generalizable
The debate between carotid artery stenting (CAS) and carotid endarterectomy (CEA) for the management of carotid stenosis continues. Supporters of CAS claim that CAS has achieved clinical equipoise with CEA.1,2 In contrast, based on the results of multicenter randomized controlled trials (RCTs),3–5 others argue that it is currently premature to conclude that CAS is as effective as CEA.6 Even in the best academic centers, CAS is consistently associated with significantly higher rates of stroke or death compared with CEA.
Source: Annals of Vascular Surgery - September 8, 2015 Category: Surgery Authors: Kosmas I. Paraskevas, Frank J. Veith Tags: Invited Commentary Source Type: research

Carotid Artery Stenting (CAS) Outcomes May Vary Between Operators/Institutions. The Results from Centers of CAS Excellence May Not Be Generalizeable
The debate between carotid artery stenting (CAS) and carotid endarterectomy (CEA) for the management of carotid stenosis continues. Supporters of CAS claim that CAS has achieved clinical equipoise with CEA.1,2 In contrast, based on the results of multicenter RCTs,3-5 others argue that it is currently premature to conclude that CAS is as effective as CEA.6 Even in the best academic centers, CAS is consistently associated with significantly higher rates of stroke or death compared with CEA.6 The CAS supporters counterattack by saying that the RCTs3-5 demonstrating that CEA is superior to CAS had seriously flawed designs, nam...
Source: Annals of Vascular Surgery - September 8, 2015 Category: Surgery Authors: Kosmas I. Paraskevas, Frank J. Veith Source Type: research

Extended Eversion Carotid Endarterectomy: Computation of Hemodynamics
Stroke prevention includes surgery for significant stenosis of internal carotid artery. Consensus on a standard approach lacks and one alternative approach is eversion carotid endarterectomy (eCEA). In order to overcome disadvantages of eCEA, we developed extended eversion carotid endarterectomy (exeCEA). Aiming to investigate hemodynamics after different surgical approaches, we created computational fluid dynamics models of exeCEA and eCEA with included progressing lumen narrowing - representation of artery restenosis at the incision line.
Source: Annals of Vascular Surgery - August 26, 2015 Category: Surgery Authors: Tomislav Istvanić, Zvonimir Vrselja, Hrvoje Brkić, Radivoje Radić, Igor Lekšan, Goran Curic Source Type: research

Carotid Endarterectomy in the Face of a Persistent Hypoglossal Artery
A 68 year-old woman presented with signs and symptoms suggestive of a cerebrovascular accident. Her workup revealed left internal carotid artery stenosis, consistent with her presentation of a left middle cerebral artery distribution stroke. Imaging also incidentally revealed a persistent hypoglossal artery. She underwent carotid endarterectomy. Our intraoperative strategy for management of this persistent fetal anomaly is reviewed.
Source: Annals of Vascular Surgery - August 21, 2015 Category: Surgery Authors: Issam Koleilat, Tod Hanover Source Type: research

Carotid Endarterectomy in the Face of a Persistent Hypoglossal Artery
A 68-year-old woman presented with signs and symptoms suggestive of a cerebrovascular accident. Her work-up revealed left internal carotid artery stenosis consistent with her presentation of a left middle cerebral artery distribution stroke. Imaging also incidentally revealed a persistent hypoglossal artery. She underwent carotid endarterectomy. Our intraoperative strategy for management of this persistent fetal anomaly is reviewed.
Source: Annals of Vascular Surgery - August 21, 2015 Category: Surgery Authors: Issam Koleilat, Tod Hanover Tags: Case Report Source Type: research

Inadvertent Arterial Placement of Central Venous Catheters: Diagnostic and Therapeutic Strategies
Central venous catheterization (CVC) is among the most ubiquitous medical procedures. Inadvertent arterial placement of the catheter presents a challenging dilemma to the interventionalist. Treatment options include: removal and manual compression, off-label use of percutaneous closure devices and/or stent grafts, and open surgical removal. Potential sequelae include bleeding, thrombosis, stroke, limb ischemia, neurologic deficit, and death. Our aim is to evaluate the use of open and endovascular techniques for the management of iatrogenic carotid, subclavian, and brachiocephalic arterial injuries related to inadvertent ar...
Source: Annals of Vascular Surgery - August 6, 2015 Category: Surgery Authors: Dustin Y. Yoon, Suman Annambhotla, Scott A. Resnick, Mark K. Eskandari, Heron E. Rodriguez Source Type: research

Carotid Endarterectomy versus Carotid Artery Stenting: No Difference in 30-Day Post-Procedure Readmission Rates
In the United States, ischemic stroke is a major cause of morbidity and mortality, precipitated by carotid artery stenosis in one out of every five individuals who suffer a stroke. Carotid endarterectomy (CEA) and carotid artery stenting (CAS) are two proven means of intervening on this disease process, with similar patient outcomes. Little is known about the burden of readmission following each of these procedures. We hypothesized that no difference in readmission rates within 30 days would exist for these two procedures, in spite of baseline differences that might exist between the two patient populations.
Source: Annals of Vascular Surgery - July 10, 2015 Category: Surgery Authors: Erin K. Greenleaf, David C. Han, Christopher S. Hollenbeak Source Type: research

Carotid Endarterectomy versus Carotid Artery Stenting: No Difference in 30-Day Postprocedure Readmission Rates
In the United States, ischemic stroke is a major cause of morbidity and mortality, precipitated by carotid artery stenosis in 1 of every 5 individuals who suffer a stroke. Carotid endarterectomy (CEA) and carotid artery stenting (CAS) are 2 proven means of intervening on this disease process, with similar patient outcomes. Little is known about the burden of readmission after each of these procedures. We hypothesized that no difference in readmission rates within 30 days would exist for these 2 procedures, in spite of baseline differences that might exist between the 2 patient populations.
Source: Annals of Vascular Surgery - July 10, 2015 Category: Surgery Authors: Erin K. Greenleaf, David C. Han, Christopher S. Hollenbeak Tags: Clinical Research Source Type: research

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