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Source: Annals of Vascular Surgery

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Total 295 results found since Jan 2013.

Effect of Chronic Antiplatelet and Anticoagulant Medication in Neck Hematoma and Perioperative Outcomes after Carotid Endarterectomy
A retrospective analysis of neck hematoma, stroke, and mortality after symptomatic and asymptomatic carotid endarterectomy (CEA) was conducted, to determine the most appropriate perioperative medication for these patients. Thirty-day outcomes of moderate and severe neck bleeding were also investigated.
Source: Annals of Vascular Surgery - September 14, 2022 Category: Surgery Authors: Joana Cruz Silva, V ânia Constâncio, Pedro Lima, Gabriel Anacleto, Manuel Fonseca Tags: Clinical Research Source Type: research

Is revascularization of V1 Segment of vertebral artery combined with Ipsilateral carotid endarterectomy safe?
The recommendation of the European Society for Vascular Surgery (ESVS) is vertebral revascularization combined with Ipsilateral CEA (carotid endarterectomy)should not be performed in the same operation. ESVS believes that vertebral revascularization combined with Ipsilateral CEA increases perioperative death/stroke rates. In our opinion, revascularization of the first segment of vertebral artery (V1) combined with Ipsilateral CEA is safe compared with vertebral V1 revascularization in the perioperative period.
Source: Annals of Vascular Surgery - September 1, 2022 Category: Surgery Authors: Yuanrui Gu, Zeming Zhou, Yilang Qin, Mingyao Li, Yangxue Sun, Ke Zhang, Chenxi Ouyang Tags: Clinical Research Source Type: research

The impact of sex on outcomes following carotid endarterectomy
Previous studies have demonstrated significant sex differences in vascular surgery outcomes. We assessed stroke or death rates following carotid endarterectomy (CEA) in women vs. men.
Source: Annals of Vascular Surgery - August 24, 2022 Category: Surgery Authors: Ben Li, Naomi Eisenberg, Kathryn L. Howe, Thomas L. Forbes, Graham Roche-Nagle Tags: Clinical Research Source Type: research

Dual Antiplatelet Therapy Is Associated with Increased Risk of Bleeding and Decreased Risk of Stroke Following Carotid Endarterectomy
Despite many patients undergoing carotid endarterectomy (CEA) being on dual antiplatelet therapy (DAPT) for cardiac or neurologic indications, the impact of such therapy on perioperative outcomes remains unclear. We aim to compare rates of postoperative bleeding, stroke and major adverse events (stroke, death or MI) among patients on Aspirin alone (ASAA) versus DAPT (Clopidogrel and Aspirin).
Source: Annals of Vascular Surgery - July 31, 2022 Category: Surgery Authors: Rohini J. Patel, Rebecca Marmor, Hanaa Dakour, Nadin Elsayed, Mokhshan Ramachandran, Mahmoud B. Malas Tags: Clinical Research Source Type: research

TEVAR with Supra-Aortic Trunk Revascularization is Associated with Increased Risk of Periprocedural Ischemic Stroke
Ischemic stroke is a devastating complication of thoracic endovascular aortic repair (TEVAR). This risk may be higher in more proximal aneurysms that require arch manipulation. The purpose of this study was to (1) describe 30-day stroke and death rates in patients undergoing TEVAR, (2) compare stroke rates in patients undergoing TEVAR for arch versus descending aneurysm pathology, and (3) identify predictive factors associated with stroke after TEVAR.
Source: Annals of Vascular Surgery - July 11, 2022 Category: Surgery Authors: Ruojia Debbie Li, Matthew C. Chia, Mark K. Eskandari Tags: Clinical Research Source Type: research

Thoracic Endovascular Aortic Repair with Supra-Aortic Trunk Revascularization is Associated with Increased Risk of Periprocedural Ischemic Stroke
Ischemic stroke is a devastating complication of thoracic endovascular aortic repair (TEVAR). This risk may be higher in more proximal aneurysms that require arch manipulation. The purpose of this study is to (1) describe 30-day stroke and death rates in patients undergoing TEVAR, (2) compare stroke rates in patients undergoing TEVAR for arch versus descending aneurysm pathology, and (3) identify predictive factors associated with stroke after TEVAR.
Source: Annals of Vascular Surgery - July 11, 2022 Category: Surgery Authors: Ruojia Debbie Li, Matthew C. Chia, Mark K. Eskandari Tags: Clinical Research Source Type: research

Unplanned Shunting Is Associated with Higher Stroke Risk After Eversion Carotid Endarterectomy
Shunting during eversion carotid endarterectomy (eCEA) may be technically challenging. Whether shunting practice patterns modify perioperative stroke risk after eCEA is unclear. We aimed to compare eCEA outcomes based on shunting practice.
Source: Annals of Vascular Surgery - July 6, 2022 Category: Surgery Authors: Scott R. Levin, Elizabeth G. King, Alik Farber, Thomas W. Cheng, Denis Rybin, Jeffrey J. Siracuse Tags: Clinical Research Source Type: research

Predicting Transcarotid Artery Revascularization adverse outcomes by Imaging Characteristics
Approximately 20-30% of ischemic strokes are caused by internal carotid artery stenosis. Stroke is the leading cause of disability and the second leading cause of death in the United States. Second generation Trans Carotid Arterial Revascularization (TCAR) stenting, using the ENROUTE flow reversal technology to prevent embolic stroke during the stenting process, has demonstrated stroke and death outcomes equivalent to CEA with reduced cranial nerve injury. However, at present, it is not known whether imaging characteristics obtained pre-operatively can predict outcomes of TCAR procedures.
Source: Annals of Vascular Surgery - June 14, 2022 Category: Surgery Authors: Elizabeth Blears, Sefali Patel, Mark Doyle, Nicholas Lombardi, Satish Muluk Tags: Clinical Research Source Type: research

Short-term outcomes of transfemoral carotid artery stenting and carotid endarterectomy in symptomatic patients: data from a multicentric prospective registry in Brazil
Transfemoral carotid artery stenting (TF-CAS) and carotid endarterectomy (CEA) are alternative strategies for stroke prevention in patients with atherosclerotic carotid disease. Since their main objective is to prevent future ischemic events, regular reassessment of the outcomes is mandatory for providing the best therapy.
Source: Annals of Vascular Surgery - May 16, 2022 Category: Surgery Authors: Edwaldo Edner Joviliano, Maur ício Serra Ribeiro, Marcone Lima Sobreira, Regina Moura, Martin Andreas Geiger, Ana Terezinha Guillamon, Selma Regina de Oliveira Raymundo, Daniel Gustavo Miquelin, Ludvig Hafner, Marcelo Jose Almeida, Tércio Ferreira Olive Tags: Clinical Research Source Type: research

High stroke rate in patients with medically managed asymptomatic carotid stenosis at an academic center in the Southeastern United States
Since the publication of randomized clinical trials defining the benefit of carotid endarterectomy (CEA) for asymptomatic carotid stenosis, medical management of carotid stenosis has changed significantly. With antiplatelet agents and statins, some question whether these trials are still relevant, suggesting that asymptomatic patients with>70% internal carotid artery (ICA) stenosis may do better with medial management alone, lessening the need for CEA and carotid stenting. The Vascular Quality Initiative (VQI) registry has shown that there are wide practice variations regarding the degree of stenosis that prompts surgical ...
Source: Annals of Vascular Surgery - April 22, 2022 Category: Surgery Authors: Sarah Weiner, Mary Hunter Benton, Benjana Guraziu, Yue Yange, Jie He, Yi Tang Chen, William A. Marston, Katharine L. McGinigle Tags: General Review Source Type: research

common carotid artery endovascular clamping associated to flow inversion for neuroprotection improves the carotid stenting outcomes
Carotid artery stenosis causes up to 30% of ischemic strokes and it is a potentially life-threatening pathology1. For “higher risk” patients, carotid artery stenting (CAS) has demonstrated similar results in terms of 30-day stroke and death rates than carotid endarterectomy (CEA) 1. However, despite its less invasive nature, CAS embolic events can reach 90%1.
Source: Annals of Vascular Surgery - March 22, 2022 Category: Surgery Authors: Roberto Gabrielli, Castrucci Tommaso, Andrea Siani, Gianluca Smedile, Federico Accrocca, Anna Rita Rizzo, Stefano Bartoli Tags: Correspondence Source Type: research

Transcarotid Artery Revascularization (TCAR) in the Frail
Trans-femoral carotid stenting (TFCAS) fell dramatically out of favor with vascular surgeons after the results of the CREST trial showed higher rates of stroke compared to carotid endarterectomy (CEA)1. The emergence of TCAR presented a novel technology to stent carotid lesions in patients not suitable or considered high risk for a CEA. Multiple recent studies evaluating the outcomes of TCAR have been very encouraging 2-4. This has led to a fast and wide adoption of the technique.
Source: Annals of Vascular Surgery - March 4, 2022 Category: Surgery Authors: Halim Yammine, Charles Briggs, Arko Frank R Source Type: research

Outcomes of Preferential Early Carotid Endarterectomy Following Recent Stroke
With the risk of recurrent ischemic stroke being highest in first week following TIA or stroke, the current guidelines of “early” endarterectomy within two weeks still leaves potential vulnerability for patients with a significant bifurcation lesion and a new stroke. The intent of this analysis is to determine the safety of carotid endarterectomy even earlier than current guidelines, based on a single surgeon exper ience over 12 years.
Source: Annals of Vascular Surgery - March 4, 2022 Category: Surgery Authors: Niren Angle, Melissa Loja, Athena Angle, Mirza Alam DABNM, Jeffrey H. Gerstch Tags: Clinical Research Source Type: research

Multimodal recanalization for subacute symptomatic internal carotid artery occlusion due to atherosclerosis: Outcomes and notes on hybrid techniques
Subacute internal carotid artery occlusion (ICAO) is associated with ipsilateral recurrent stroke, and successful recanalization of ICAO can improve cerebral blood perfusion (CBP) and prevent stroke. However, the optimal treatment remains controversial.
Source: Annals of Vascular Surgery - March 2, 2022 Category: Surgery Authors: Chuan Chen, Cong Ling, Lun Luo, Yang Yang, Tengchao Huang, Lei Wei, Hui Wang Tags: Clinical Research Source Type: research

TEVAR With Supra-Aortic Trunk Revascularization Is Associated With Increased Risk Of Periprocedural Ischemic Stroke
Ischemic stroke is a devastating complication of thoracic endovascular aortic repair (TEVAR). This risk may be higher in more proximal aneurysms that require arch manipulation. The purpose of this study was to (1) describe 30-day stroke and death rates in patients undergoing TEVAR, (2) compare stroke rates in patients undergoing TEVAR for arch versus descending aneurysm pathology, and (3) identify predictive factors associated with stroke after TEVAR.
Source: Annals of Vascular Surgery - February 1, 2022 Category: Surgery Authors: Ruojia Debbie Li, Matthew C Chia, Mark K Eskandari Source Type: research