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Source: Annals of Vascular Surgery

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Total 295 results found since Jan 2013.

The Indications of Carotid Artery Stenting in Symptomatic Patients May Need to Be Reconsidered
According to the 2011 and 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 to CEA in symptomatic patients with specific technical, anatomic, or physiological characteristics that render these individuals at “high risk” for surgery (e.g., contralateral carotid occlusion, previous neck irradiation, recurrent carotid stenosis, and so forth).
Source: Annals of Vascular Surgery - October 8, 2014 Category: Surgery Authors: Kosmas I. Paraskevas, Frank J. Veith Tags: General Review 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

Early Carotid Endarterectomy after Thrombolysis for Acute Ischemic Stroke
Source: Annals of Vascular Surgery - August 1, 2014 Category: Surgery Authors: Guy Lesèche, Mathieu Glorion, Quentin Pellenc, Mikael Mazighi, Pierre Amarenco Tags: 29th Annual Meeting, French Society for Vascular Surgery (SCV) Source Type: research

Thrombolysed Ischemic Strokes: Is there a Place for Early Carotid Surgery?
The recent creation of vascular neurology units (“stroke centers”) allowed the improvement of the management of the patients presenting a stroke (CVA), by decreasing the times of access to intravenous (IV) thrombolysis. The aim of this study was to show the feasibility, in the absence of specific recommendations, of the early surgical treatment of symptomatic carotid stenoses diagnosed after IV thrombolysis.
Source: Annals of Vascular Surgery - July 25, 2014 Category: Surgery Authors: Matthieu Peret, Thierry Merlini, Robert Martinez, Guillaume Marc, Sophie Godard, Mickael Daligault, Bernard Enon, Jean Picquet Tags: 29th Annual Meeting, French Society for Vascular Surgery (SCV) Source Type: research

Carotid Endarterectomy in Octogenarian: Short- and Midterm Results
Conclusion: The good immediate results and good probability of survival at 3 years after surgery conveys a real benefit of this surgery in this age group, but patients should be selected on a case by case basis. In our experience, the presence of bilateral lesions should be a significant influence criterion in the preoperative risk assessment. Other evaluation criteria, such as cardiac status, are needed to optimize the selection of asymptomatic patients in particular.
Source: Annals of Vascular Surgery - May 1, 2014 Category: Surgery Authors: Lucie Salomon du Mont, Mihary Ravelojaona, Marc Puyraveau, Mazen Al Sayed, Enzo Ritucci, Simon Rinckenbach Tags: Clinical Research Source Type: research

Minimal Thoracotomy Thoracic Bifemoral Bypass in the Endovascular Era
Conclusions: Mini-TBF bypass provides another alternative to successfully revascularize Trans-Atlantic Inter-Society Consensus II type D lesions in patients with prior abdominal revascularization, pelvic anatomy with a critical IMA, or calcification/thrombus of the infrarenal/juxtarenal aorta precludes control.
Source: Annals of Vascular Surgery - April 3, 2014 Category: Surgery Authors: Amy E. Reppert, Omid Jazaeri, Ashok Babu, Joshua I. Greenberg, Erica Deluka, Mark R. Nehler, Thomas B. Reece Tags: Clinical Research Source Type: research

Prospective Randomized Trial of ACUSEAL Versus Vascu-Guard Patching in Carotid Endarterectomy
Conclusions: Although CEA patching with ACUSEAL versus Vascu-Guard differed in hemostasis time, the frequency of reexploration for neck hematomas was more frequent in the pericardial patch group; however, only 1 patient had documented suture line bleeding and the surgical reexploration rate is not likely to be patch related. There were not any significant differences in perioperative/late neurologic events and late restenosis in the 2 groups.
Source: Annals of Vascular Surgery - February 20, 2014 Category: Surgery Authors: Patrick A. Stone, Ali F. AbuRahma, Albeir Y. Mousa, David Phang, Stephen M. Hass, Asmita Modak, David Dearing Tags: Clinical Research Source Type: research

Managing Recurrent Carotid Artery Disease with Redo Carotid Endarterectomy: A 10-year Retrospective Case Series
Conclusions: In our retrospective study, the stroke and restenosis rates after RCEAs were similar to those after primary CEA. Therefore, we consider RCEA to be a viable therapeutic option in patients with carotid disease that recurs after a primary CEA.
Source: Annals of Vascular Surgery - February 14, 2014 Category: Surgery Authors: A. George Akingba, Michael Bojalian, Changyu Shen, Jeffrey Rubin Tags: Clinical Research Source Type: research

Is Early Surgical Revascularization of Symptomatic Carotid Stenoses Safe?
Conclusions: This study confirms the interest of an early surgery for symptomatic carotid stenoses with a Rankin score of ≤3. The risk of recurrence of a cerebral ischemic accident during the preoperative period remains high.
Source: Annals of Vascular Surgery - February 13, 2014 Category: Surgery Authors: Thierry Merlini, Matthieu Péret, Pierre Lhommet, Séverine Debiais, Guillaume Marc, Sophie Godard, Robert Martinez, Bernard Enon, Jean Picquet Tags: Clinical Research Source Type: research

Regarding ‘Carotid Endarterectomy National Trends over a Decade: Does Gender Matter?’
We read with interest the results by Kuy et al. concluding that women show lower perioperative cardiac morbidity and mortality rates than men after carotid endarterectomy (CEA). These results seem to be opposing to other retrospective studies. According to Guzman et al., female gender does not influence 30-day stroke and mortality rates after CEA, regardless of preoperative symptom status. Likewise, Jim et al. conclude that women and men demonstrated similar results—including myocardial infarction (MI) and death—after carotid revascularization procedures. However, Bisdas et al. have found that asymptomatic women we...
Source: Annals of Vascular Surgery - February 13, 2014 Category: Surgery Authors: George Galyfos, Manolis Vavouranakis, Konstantinos Filis Tags: Letters to the Editor 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

Aortoiliac Occlusive Disease Presenting as Sudden Onset Paraplegia
Thromboembolism and atherosclerotic stenosis both can cause arterial occlusion. Aortoiliac occlusive disease involving bifurcation of the aortoiliac artery induces symptoms of ischemia such as claudication and pain of buttocks and thighs, decreased bilateral femoral pulses, and impotence. Here, we describe a 58-year-old woman with a past history of atrial fibrillation and lacuna stroke with minimal right side weakness. She presented to our emergency department with sudden onset bilateral pain in the legs and paraplegia. A comprehensive examination revealed paresthesia and decreasing bilateral distal pulses. Computed tomogr...
Source: Annals of Vascular Surgery - February 6, 2014 Category: Surgery Authors: Chien-Hung Lai, Cheng-Hsien Wang, Shih-Yun Wu, Hong-Mo Shih Tags: Case Report Abstracts Source Type: research

Diagnostic Imaging in Carotid Artery Dissection: A Case Report and Review of Current Modalities
Conclusions: Despite emerging noninvasive imaging techniques, conventional angiography should still be considered to establish a diagnosis of carotid artery dissection, particularly when other imaging modalities are negative or inconclusive but a high degree of clinical suspicion exists based on symptoms or mechanism of injury.
Source: Annals of Vascular Surgery - February 3, 2014 Category: Surgery Authors: Munier Nazzal, Nabeel A. Herial, Marcus W. MacNealy Tags: Case Report Abstracts Source Type: research