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Source: Annals of Vascular Surgery

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Total 295 results found since Jan 2013.

Direct Cervical Carotid Angioplasty with Flow Reversal
This report describes the technique and our experience with direct carotid stent angioplasty using flow reversal for embolic protection.
Source: Annals of Vascular Surgery - June 13, 2015 Category: Surgery Authors: Wesley S. Moore, Brian G. DeRubertis Source Type: research

Complete Resolution of Postoperative Hemiparesis following Carotid Endarterectomy with Therapeutic Hypothermia: A Case Study and Literature Review
We present the case of a 65-year-old woman with a clinical cerebrovascular accident following a right carotid endarterectomy who was treated with a 24-hr hypothermia protocol and had a full recovery.
Source: Annals of Vascular Surgery - June 11, 2015 Category: Surgery Authors: Irina Usach, Andreas Sakopoulos, Hossein Razavi Tags: Case Report Source Type: research

Complete Resolution of Post-Operative Hemiparesis following Carotid Endarterectomy with Therapeutic Hypothermia: A case study and literature review
We present the case of a 65-year-old woman with a clinical cerebrovascular accident (CVA) following a right carotid endarterectomy who was treated with a 24-hour hypothermia protocol and had a full recovery. The hypothermia protocol utilized on this patient and a review of the literature surrounding hypothermia in the setting of ischemic stroke are presented.
Source: Annals of Vascular Surgery - June 11, 2015 Category: Surgery Authors: Irina Usach, Andreas Sakopoulos, Hossein Razavi Source Type: research

Does the Technique of Carotid Endarterectomy Determine Postoperative Hypertension?
Hypertension (HT) after carotid endarterectomy (CEA) is a risk factor for postoperative myocardial infarction, stroke, and neck hematoma. We compared the incidence of postoperative HT within the week after eversion CEA (e-CEA) and patch closure CEA (p-CEA). Postoperative HT was defined as a systolic blood pressure (sBP) ≥ 160 mm Hg and/or the need for postoperative vasodilatators. The aim of our study was to determine if the technique of CEA had an effect on postoperative HT.
Source: Annals of Vascular Surgery - May 21, 2015 Category: Surgery Authors: Sabrina Ben Ahmed, Guillaume Daniel, Marie Benezit, Patrick Bailly, Bruno Aublet-Cuvelier, Aurélien Mulliez, Jean-Pierre Ribal, Eugenio Rosset Tags: Clinical Research Source Type: research

Does the Technique of Carotid Endarterectomy Determines Postoperative Hypertension?
Hypertension after carotid endarterectomy (CEA) is a risk factor for postoperative myocardial infarction, stroke and neck hematoma. We compared the incidence of postoperative hypertension within the week after eversion CEA (e-CEA) and patch closure CEA (p-CEA) . Postoperative hypertension was defined as a systolic blood pressure (sBP) ≥ 160 mmHg and/or the need for postoperative vasodilatators. The aim of our study was to determine if the technique of CEA had an effect on postoperative hypertension.
Source: Annals of Vascular Surgery - May 21, 2015 Category: Surgery Authors: Sabrina Ben Ahmed, Guillaume Daniel, Marie Benezit, Patrick Bailly, Bruno Aublet-Cuvelier, Aurélien Mulliez, Jean-Pierre Ribal, Eugenio Rosset Source Type: research

Female and obese patients might have higher risk from surgical repair of asymptomatic carotid artery stenosis
to investigate results after carotid endarterectomy performed for asymptomatic carotid stenosis in a single high volume centre and define factors that increase perioperative stroke and mortality rate.
Source: Annals of Vascular Surgery - May 21, 2015 Category: Surgery Authors: Lazar Davidovic, Igor Koncar, Marko Dragas, Miroslav Markovic, Nikola Ilic, Perica Mutavdzic, Igor Banzic, Natasa Ristanovic Source Type: research

26. Microembolic Risk of Carotid Artery Plaque Composition By MRI at the Time of Elective Revascularization
Current guidelines for management of carotid atherosclerosis, the predisposing factor for ischemic stroke, are based on degree of stenosis and presence of symptoms. Both carotid endarterectomy (CEA) and minimally invasive (CAS) procedures pose risks to the patient, including peri/post-operative stroke. Intracerebral microembolization is a major factor leading to stroke after surgical or percutaneous revascularization. The ability of transcranial Doppler (TCD) to detect intraoperative microembolization, diffusion-weighted brain MRI to detect microinfarct lesions, and carotid MRI to provide detailed information on plaque mor...
Source: Annals of Vascular Surgery - May 1, 2015 Category: Surgery Authors: Jennifer R. Li, Chiara Giannarelli, Venkatesh Mani, Errol Gordon, Prakash Krishnan, Jason Kovacic, George Dangas, Ziad Ali, Zahi Fayad, Juan Badimon, Peter Faries, Jose Wiley Source Type: research

6 (RF). Urban Blunt Carotid and Vertebral Artery Injury: A 12 Year Comparison
Blunt Cerebrovascular Injury (BCVI) occurs in 0.5-1.7% of trauma patients. These injuries result in an intimal flap, dissection, pseudoaneurysm or transection which can lead to stroke and death. We sought to evaluate the differences between extra-cranial carotid and vertebral artery BCVI and to evaluate a novel injury grading scale in regards to outcome and therapy.
Source: Annals of Vascular Surgery - May 1, 2015 Category: Surgery Authors: Mark E. Lytle, James West, Jason N. Burkes, Tammy Fisher, Yahya Daoud, William P. Shutze 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

Open retrograde endovascular stenting for left common carotid artery dissection secondary to surgical repair of acute aortic dissection: a case report and review of the literature
A 30-year-old male presented with an acute aortic artery dissection (Stanford Type A) and underwent total arch replacement using a stented elephant trunk technique. One month later, the patient developed dissections in the innominate and left common carotid artery (CCA). The innominate artery dissection caused occlusion in the right internal carotid artery (ICA) and a major stroke. Dissection of the left CCA progressed and extended to the bifurcation site. Antegrade access for a left carotid intervention was deemed as difficult because of the previously implanted stent and the additional risks of embolic events and dissection enlargement.
Source: Annals of Vascular Surgery - March 10, 2015 Category: Surgery Authors: Peng Gao, Yabing Wang, Yanfei Chen, Liqun Jiao 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

Transapical Endovascular Aortic Aneurysm Repair in a Patient with Shaggy Aorta Syndrome
We report a case of a 68-year-old man with a large saccular aneurysm (70 mm) of the aortic arch. Although abundant atherosclerotic plaques or mural thrombi are generally considered to be a contraindication for endovascular repair, the patient’s multiple comorbidities and anatomical limitations with a patent internal thoracic artery graft adjacent to the aneurysm made him unfit for open repair. Transapical deployment of the endograft through the less diseased ascending aorta, with a concomitant chimney graft and carotid-carotid bypass, was performed, without evident stroke or embolism.
Source: Annals of Vascular Surgery - February 11, 2015 Category: Surgery Authors: Takashi Murakami, Yohei Kawatani, Yoshitsugu Nakamura, Takaki Hori Source Type: research

Carotid Artery Pseudoaneurysm as a Complication of Carotid Artery Stenting
Carotid artery stenting has been adopted more in the treatment of carotid artery stenosis recently. The vast majority of studies about this procedure have concentrated mainly on the short and long-term clinical complications, i.e. stroke, myocardial infarction, and re-stenosis. However, mechanical complications including both stent fracture and carotid pseudoaneurysm are under-reported. In the current report, we present a patient with a common carotid artery psueodoaneurysm as a complication of carotid artery stenting.
Source: Annals of Vascular Surgery - November 13, 2014 Category: Surgery Authors: Mustafa Baldawi, Anas Renno, Jihad Abbas, Munier Nazzal Source Type: research

The Indications of Carotid Artery Stenting in Symptomatic Patients May Need To Be Reconsidered
According to the 2011, as well as the 2014 updated American Heart Association/American Stroke Association Guidelines, carotid artery stenting (CAS) is indicated as an alternative to carotid endarterectomy (CEA) for the management of symptomatic carotid patients. According to these recommendations, CAS is preferred over CEA in symptomatic patients with specific technical, anatomic or physiologic characteristics that render these individuals at “high risk” for surgery (e.g. contralateral carotid occlusion, previous neck irradiation, recurrent carotid stenosis, etc.).
Source: Annals of Vascular Surgery - October 8, 2014 Category: Surgery Authors: Kosmas I. Paraskevas, Frank J. Veith Source Type: research