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Source: Annals of Vascular Surgery
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Total 295 results found since Jan 2013.
Carotid Artery Free-Floating Thrombus Caused by Paradoxical Embolization From Greater Saphenous Vein Ascending Thrombophlebitis
We report a case of a young woman without cardiovascular risk factors who was admitted to our emergency department with listlessness and altered mental status. The clinical examination revealed right lower limb swelling. Magnetic resonance imaging and contrast-enhanced computed tomographic scans revealed a free floating thrombus of the left internal carotid artery (ICA) with a large bilateral frontal ischemic lesion. The diagnosis of a medium-sized PFO with moderate right-to-left contrast shunting was made after transesophageal echocardiography. No other cardiac sources for embolization were detected, while an ascending th...
Source: Annals of Vascular Surgery - April 28, 2013 Category: Surgery Authors: Luigi Irace, Roberto Gabrielli, Maria Sofia Rosati, Maria Fabrizia Giannoni, Anna Castiglione, Antonella Laurito, Bruno Gossetti Tags: Case Report Abstracts Source Type: research
Postoperative Cardiac Damage After Standardized Carotid Endarterectomy Procedures in Low- and High-Risk Patients
Conclusions: Carotid endarterectomy is followed by an increase in cTn-I value>0.5 ng/mL in 14% of all cases, although symptomatic cardiac ischemia is very low. However, high-risk patients as defined by the SAPPHIRE criteria do not show an increased risk of cardiac damage compared to low-risk patients. Larger studies using cTn-I as a marker of postoperative cardiac damage, after carotid endarterectomy or stenting, are needed.
Source: Annals of Vascular Surgery - April 28, 2013 Category: Surgery Authors: George Galyfos, Fragiska Sigala, Konstantinos Tsioufis, Christos Bakoyiannis, Emmanuel Lagoudiannakis, Andreas Manouras, George Zografos, Konstantinos Filis Tags: Clinical Research Source Type: research
New Endovascular Devices for Acute Ischemic Stroke: Summarizing Evidence by Multiple Treatment Comparison Meta-Analysis
In patients with acute ischemic stroke, mechanical endovascular revascularization has been assessed in a large number of single-arm studies and in a more limited series of controlled trials. In August 2012, 2 multicenter trials (TREVO2 and SWIFT) were published evaluating 2 innovative stent-like devices (namely TREVO Retriever [TR] and Solitaire Flow Restoration Device [SFRD]). Compared with the first device receiving FDA approval (Merci Retriever), the newest devices proved to be more effective and could therefore be proposed as the new standards. On the other hand, no head-to-head controlled study is underway to directly...
Source: Annals of Vascular Surgery - April 1, 2013 Category: Surgery Authors: Andrea Messori, Valeria Fadda, Dario Maratea, Sabrina Trippoli Tags: Letters to the Editor Source Type: research
Primary Extracranial Vertebral Artery Aneurysms
Conclusions: Primary extracranial vertebral artery aneurysms are rare and occur in patients with hereditary disorders. Operative intervention is warranted in symptomatic patients. Exclusion and reconstruction may be performed with open and hybrid techniques with low morbidity and mortality.
Source: Annals of Vascular Surgery - March 27, 2013 Category: Surgery Authors: Mark D. Morasch, Sachin V. Phade, Peter Naughton, Manuel Garcia-Toca, Guillermo Escobar, Ramon Berguer Tags: Clinical Research Source Type: research
Impact of Adding Aspirin to Beta-Blocker and Statin in High-Risk Patients Undergoing Major Vascular Surgery
In this study we evaluated the benefits of adding aspirin (A) to BB and S (ABBS), with/without angiotensin-converting enzyme inhibitor (ACE-I) on postoperative outcome in high-risk patients undergoing major vascular surgery.Methods: Analysis of consecutive patients undergoing elective vascular surgery at the University of Michigan Cardiovascular Center was performed. Univariate and multivariate analyses were done using cardiac risk index [Revised Cardiac Risk Index (RCRI), coronary artery disease (CAD), insulin-dependent diabetes mellitus (IDDM), cerebral vascular disease, renal dysfunction, congestive heart failure, and m...
Source: Annals of Vascular Surgery - March 25, 2013 Category: Surgery Authors: Wei C. Lau, James B. Froehlich, Elizabeth S. Jewell, Daniel G. Montgomery, Kristina M. Eng, Theresa A. Shields, Peter K. Henke, Kim A. Eagle Tags: Basic Data Underlying Clinical Decision-Making in Endovascular Therapy Source Type: research
Time Is Brain? — Surgical Revascularization of Acute Symptomatic Occlusion of the Internal Carotid Artery up to One Week
Conclusions: In patients who undergo surgery after 72 hr from symptom onset, the risk seems to outweigh the benefit.
Source: Annals of Vascular Surgery - February 11, 2013 Category: Surgery Authors: Barbara Theresia Weis-Müller, Asya Spivak-Dats, Bernd Turowski, Mario Siebler, Kai Michael Balzer, Klaus Grabitz, Erhard Godehardt, Wilhelm Sandmann Tags: Clinical Research Source Type: research
Acute Aortoiliac Thrombosis Due to Cocaine Intake
We report a case of acute aortoiliac thrombosis in a young male patient with no underlying medical records.
Source: Annals of Vascular Surgery - February 1, 2013 Category: Surgery Authors: Carmen Maria Paulin Vera, Alfonso Mateos Colin, Gabriela Calvo Arrojo, Jose M. Colodro García Tags: Case Report Abstracts Source Type: research
Anesthesia-Based Evaluation of Outcomes of Lower-Extremity Vascular Bypass Procedures
Conclusion: These results provide no evidence to support the systematic avoidance of general anesthesia for lower-extremity bypass procedures. These data suggest that anesthetic choice should be governed by local expertise and practice patterns.
Source: Annals of Vascular Surgery - September 3, 2012 Category: Surgery Authors: Racheed J. Ghanami, Justin Hurie, Jeanette S. Andrews, Robert N. Harrington, Matthew A. Corriere, Philip P. Goodney, Kimberley J. Hansen, Matthew S. Edwards Tags: Clinical Research Source Type: research
Natural History of Carotid Artery Occlusion
Carotid artery occlusion (CAO) is a risk factor for stroke ipsilateral to the occlusion and puts patients in a high-risk category when contralateral endarterectomy is performed. The purpose of this study was to evaluate the long-term outcomes of patients with internal CAO and to determine risk factors predictive of subsequent neurological event, contralateral carotid intervention, or death. Patients with internal CAO shown by duplex ultrasonography were retrospectively identified and followed between January 2002 and June 2010 (follow-up: 1–101 months, mean: 52 months) at a tertiary care hospital. All had multiple duple...
Source: Annals of Vascular Surgery - August 29, 2012 Category: Surgery Authors: Darren S. Bryan, John Carson, Heather Hall, Qi He, Khalil Qato, Laurie Lozanski, Susan McCormick, Christopher L. Skelly Tags: Clinical Research Source Type: research
Aortic Mural Thrombus in the Normal or Minimally Atherosclerotic Aorta
Background: Aortic mural thrombus in a nonaneurysmal minimally atherosclerotic or normal aorta is a rare clinical entity and an uncommon cause of peripheral arterial embolization. Both anticoagulation therapy and aortic surgery are commonly used as primary treatment, but there are no consensuses or clinical guidelines to outline the best management strategy for this unusual problem. This systematic review compares the outcomes of these different strategies for the treatment of aortic mural thrombus.Methods: An extensive search of the literature was conducted, and all relevant publications were reviewed, with individual pat...
Source: Annals of Vascular Surgery - August 27, 2012 Category: Surgery Authors: Ziad Y. Fayad, Elie Semaan, Bashar Fahoum, Matt Briggs, Anthony Tortolani, Marcus D’Ayala Tags: Clinical Research Source Type: research
