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Source: Annals of Vascular Surgery

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Total 295 results found since Jan 2013.

Surgical and Endovascular Treatment of Extracranial Carotid Artery Aneurysms: Early and Long-Term Results of a Single Center
Conclusions: Surgical treatment is feasible, with an acceptable rate of stroke and cranial nerve injuries, especially when the aneurysm is located on the common carotid artery and carotid bulb. Endovascular therapy is a fascinating option, with satisfactory early and long-term results, and should always be considered when treating aneurysms located in the distal internal carotid artery and when the patient is not a good candidate for open surgery.
Source: Annals of Vascular Surgery - January 31, 2014 Category: Surgery Authors: Domenico Angiletta, Raffaele Pulli, Davide Marinazzo, Pietro Frotino, Luisa Maiellaro, Guido Regina Tags: Clinical Research Source Type: research

Finding a Needle in the Common Carotid Artery 3 Years after Ingestion
A woman presented with an ischemic stroke involving the right middle cerebral artery. Investigations revealed a foreign body in the cervical area. It was identified as a metal needle, perforating the posterior pharyngeal wall and migrating into the right common carotid artery (CCA). Three years previously, this patient had complained of odynophagia, brought on by needle ingestion. Three days before her stroke, she had hematemesis, caused by migration of the needle into the CCA. The stroke was caused by migration of the thrombus. This type of event is rarely encountered in Europe. Early recognition could avoid dangerous vascular complications.
Source: Annals of Vascular Surgery - January 21, 2014 Category: Surgery Authors: Marie Gaudin, Geoffroy Couchet, Caroline Carrieres, Jean-Pierre Ribal, Eugenio Rosset Tags: Case Report Abstracts Source Type: research

The New Era of Anticoagulation
This article reviews the literature on these novel anticoagulants, including their pharmacokinetics and treatment indications.
Source: Annals of Vascular Surgery - January 10, 2014 Category: Surgery Authors: Nedaa Skeik, Kyle K. Rumery, Gabriel T. Rodriguez Tags: General Review Source Type: research

Combination of Flow Reversal and Distal Filter for Cerebral Protection during Carotid Artery Stenting
Conclusions: The additional use of a distal filter captures emboli in 17.3% of cases, and because the occlusion is only intermittent, the procedure is potentially applicable even in those who cannot tolerate prolonged balloon occlusion of the CCA.
Source: Annals of Vascular Surgery - December 30, 2013 Category: Surgery Authors: Kei Harada, Kousuke Kakumoto, Jun Morioka, Tarou Saito, Kouzou Fukuyama Tags: Clinical Research Source Type: research

Midterm Outcomes of Carotid-to-Carotid Bypass for Hybrid Treatment of Aortic Arch Disease
Conclusions: CCBs are durable at midterm follow-up. No relevant superiority was identified between the 2 types of CCB; subcutaneous and retropharyngeal routes proved to be equally safe.
Source: Annals of Vascular Surgery - December 24, 2013 Category: Surgery Authors: Filippo Benedetto, Gabriele Piffaretti, Matteo Tozzi, Narayana Pipito', Domenico Spinelli, Giovanni Mariscalco, Francesco Spinelli, Patrizio Castelli Tags: Clinical Research Source Type: research

Use of the Vascu-Guard Bovine Pericardium Patch for Arteriotomy Closure in Carotid Endarterectomy. Early and Long-Term Results
Conclusions: This series shows the efficacy, safety, and durability of CEA with BP patch closure, in both the short and long term. BP combines the advantages of vein and synthetic patches, representing a suitable option when performing CEA.
Source: Annals of Vascular Surgery - December 24, 2013 Category: Surgery Authors: John C. Papakostas, Stavros Avgos, Eleni Arnaoutoglou, Christos Nassis, Michalis Peroulis, Christina Bali, George Papadopoulos, Miltiadis I. Matsagkas Tags: Clinical Research Source Type: research

Discharge on the First Postoperative Day after Elective Carotid Endarterectomy
Conclusion: In this study, the majority of patients undergoing elective CEA were discharged safely on the first postoperative day. Social reasons, rather than medical reasons, underlied most cases of later discharge. There were no unplanned readmissions for complications of CEA.
Source: Annals of Vascular Surgery - December 23, 2013 Category: Surgery Authors: Pierre Van den Brande, Isolde Van Heymbeeck, Erik Debing, Dimitri Aerden, Karl von Kemp, Leslie Moerman, Chris Verborgh, Patrick Haentjens Tags: Clinical Research Source Type: research

Ischemic Stroke due to Paradoxical Embolism Arising from a Popliteal Vein Aneurysm
We present the case of a 63-year-old, right-handed man who presented to the emergency department with transitory ischemic accident (left superior extremity regressive monoplegia). Complete etiologic work-up led to the discovery of both a patent foramen ovale associated with an septum interauricular aneurysm, and of a PVA without mural thrombus. The diagnosis of brain paradoxical embolism was retained. The unique potentially embolic cause was the presence of the PVA. We decided to treat the PVA surgically to avoid a further cerebral vascular episode. Although uncommon, venous etiology must be considered for stroke.
Source: Annals of Vascular Surgery - December 20, 2013 Category: Surgery Authors: Laurent Auboire, Laura Palcau, Elise Mackowiak, Fausto Viader, Claire Le Hello, Ludovic Berger Tags: Case Report Abstracts Source Type: research

Relation between B-mode Gray-scale Median and Clinical Features of Carotid Stenosis Vulnerability
Conclusions: No relation was found between the GSM and any clinical, radiologic, or intra- and postoperative neurologic phenomena. These data showed no additional value of the use of GSM in evaluating plaque vulnerability.
Source: Annals of Vascular Surgery - December 18, 2013 Category: Surgery Authors: Joé L. Kolkert, Robbert Meerwaldt, Jan Loonstra, Miranda Schenk, Job van der Palen, Jan J. van den Dungen, Clark J. Zeebregts Tags: Clinical Research Source Type: research

Association between Carotid Artery Occlusion and Ultrasonographic Plaque Type
Background: Internal carotid artery (ICA) occlusion is associated with acute stroke and carries significant morbidity and mortality. The aim of this study was to examine whether ultrasonographic carotid plaque type may be associated with ICA occlusion.Methods: Two hundred eleven patients (85% men, mean age 66.0 ± 9.5 years, 28.9% asymptomatic) with ICA occlusion were included in this case-control study. Ultrasonographic Gray-Weale plaque type (I–IV, echolucent to echogenic) characterization was obtained in both the occluded and the contralateral ICA. Univariate and conditional logistic regression analyses with 1:1 pa...
Source: Annals of Vascular Surgery - December 11, 2013 Category: Surgery Authors: Constantine N. Antonopoulos, George S. Sfyroeras, Konstantinos G. Moulakakis, Triantafillos G. Giannakopoulos, Ioannis Vassilopoulos, Anastasios Papapetrou, John Kakisis, Christos D. Liapis Tags: Clinical Research Source Type: research

Carotid Endarterectomy National Trends Over A Decade: Does Sex Matter?
The objective was to evaluate the difference in timing (if any) of in-hospital carotid endarterectomy (CEA) or outcomes of CEA based on sex among men and women hospitalized for carotid artery disease.Methods: This was a retrospective cross-sectional study using the Nationwide Inpatient Sample Database. All patients from 2000–2009 who underwent CEA during their hospitalization were examined. International Classification of Diseases, 9th revision codes were used to identify patients who underwent CEA during hospitalization, stratify asymptomatic and symptomatic patients, determine time in days from admission to CEA, and ex...
Source: Annals of Vascular Surgery - December 9, 2013 Category: Surgery Authors: SreyRam Kuy, Anahita Dua, Sapan S. Desai, Peter J. Rossi, Gary R. Seabrook, Brian D. Lewis, Bhavin Patel, SreyReath Kuy, Cheong J. Lee, Rishi Subbarayan, Kellie R. Brown Tags: Clinical Research Source Type: research

There is No Benefit to Universal Carotid Artery Duplex Screening before a Major Cardiac Surgical Procedure
Conclusions: The majority of postoperative strokes after cardiac surgery are not related to extracranial carotid artery disease and they are not predicted by preoperative carotid artery duplex scan screening. Consequently, universal carotid artery duplex scan screening cannot be recommended and a selective approach should be adopted.
Source: Annals of Vascular Surgery - November 11, 2013 Category: Surgery Authors: Brian C. Adams, Ross M. Clark, Christina Paap, James M. Goff Tags: Papers Presented to the Peripheral Vascular Surgery Society - 23rd Annual Winter Meeting Source Type: research

Concomitant Unruptured Intracranial Aneurysms and Carotid Artery Stenosis: An Institutional Review of Patients Undergoing Carotid Revascularization
Conclusions: Concomitant carotid artery stenosis and UIAs is a rare entity. Carotid revascularization does not appear to increase the risk of rupture for small aneurysms (
Source: Annals of Vascular Surgery - November 4, 2013 Category: Surgery Authors: Matthew J. Borkon, Han Hoang, Caron Rockman, Firas Mussa, Neal S. Cayne, Thomas Riles, Jafar J. Jafar, Frank J. Veith, Mark A. Adelman, Thomas S. Maldonado Tags: Papers Presented to the Peripheral Vascular Surgery Society - 23rd Annual Winter Meeting Source Type: research

Longitudinal Evaluation of Neurobehavioral Outcomes After Carotid Revascularization
Conclusions: The relationship between carotid revascularization and cognitive function is complex, and cognitive deficits may occur in the presence of increased cerebral perfusion without detectable embolization.
Source: Annals of Vascular Surgery - November 4, 2013 Category: Surgery Authors: Matthew A. Corriere, Matthew S. Edwards, Carol P. Geer, Donna R. Keith, Dwight D. Deal, David A. Stump Tags: Clinical Research Source Type: research

National Experience with Extracranial Carotid Artery Aneurysms: Epidemiology, Surgical Treatment Strategy, and Treatment Outcome
Conclusions: CAAs are rare entities in vascular surgery. In terms of stroke-free survival, the Swedish national results approach reports from large volume centers. The relatively high risk for permanent cranial nerve injury advocates caution when performing surgery on CAAs.
Source: Annals of Vascular Surgery - November 4, 2013 Category: Surgery Authors: Joakim Nordanstig, Johan Gelin, Norman Jensen, Klas Österberg, Sofia Strömberg Tags: Clinical Research Source Type: research