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Source: Annals of Vascular Surgery

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Total 295 results found since Jan 2013.

Onset of Neurological Deficit During Carotid Clamping With Carotid Endarterectomy Under Regional Anesthesia Is Not a Predictor of Carotid Restenosis
A number of awake patients undergoing carotid endarterectomy (CEA) present from test clamp neurological deficits (NDs) during the procedure. Current guidelines advocate tighter Doppler ultrasound (DUS) surveillance in these patients because of probable higher likelihood of hemodynamic stroke (class 1 grade C), although evidence is lacking regarding benefit. The aim for the study is the assumption that patients who present ND have a higher risk of developing a complete stroke if the ipsilateral carotid artery becomes occluded, and for this reason, surveillance over restenosis of endarterectomy in this group is justifiable; ...
Source: Annals of Vascular Surgery - August 1, 2019 Category: Surgery Authors: Jos é D. Vieira-Andrade, João P. Rocha-Neves, Juliana P. Macedo, Marina F. Dias-Neto Tags: Clinical Research Source Type: research

Immediate Carotid Endarterectomy is Associated with Higher Risk in Symptomatic Patients
This study seeks to more fully evaluate the effect of timing of surgery on outcomes for Sx-CAS.
Source: Annals of Vascular Surgery - June 11, 2019 Category: Surgery Authors: James C. Andersen, Kristyn A. Mannoia, Sharon C. Kiang, Sheela T. Patel, Theodore H. Teruya, Christian Bianchi, Ahmed M. Abou-Zamzam, Vascular Quality Initiative Source Type: research

Rationale and Design for the Remote Ischemic Preconditioning for Carotid Endarterectomy Trial
While the perioperative stroke rate after carotid endarterectomy (CEA) is low, “silent” microinfarctions identified by magnetic resonance imaging (MRI) are common and have been correlated with postoperative neurocognitive decline. Our study will investigate the role of remote ischemic preconditioning (RIPC) as a potential neuroprotective mechanism. RIPC is a well-tolerated stimulus that, through neuronal and humoral pathways, generates a systemic environment of greater resistance to subsequent ischemic insults.
Source: Annals of Vascular Surgery - June 10, 2019 Category: Surgery Authors: Natalie D. Sridharan, Darve Robinson, Partha Thirumala, Ali Arak, Oladipupo Olafiranye, Edith Tzeng, Efthymios Avgerinos Tags: Clinical Research Source Type: research

Female Gender as a Risk Factor for Adverse Outcomes After Carotid Revascularization
We aim to identify gender differences in complications after carotid surgery. Our primary endpoint is the incidence of perioperative stroke, myocardial infarction, and mortality. Secondary endpoints include restenosis and reintervention rates.
Source: Annals of Vascular Surgery - June 10, 2019 Category: Surgery Authors: Makinderjit Dulai, Wael Tawfick, Niamh Hynes, Sherif Sultan Tags: Clinical Research Source Type: research

Impact of Femoral Ossification on Local and Systemic Cardiovascular Patients ’ Condition
Vascular calcifications are associated with a high cardiovascular morbi-mortality when located in the coronary territory, and with atheromatous plaque stability and stroke when located in carotid arteries. Previous studies have shown that femoral arteries were more prone to calcify and to develop osteoid metaplasia (OM). So far the impact of OM on local and systemic cardiovascular events remains unknown. The aim of this study was to assess the predictive value of OM in histological analysis of femoral plaque for the occurrence of mid- and long-term adverse cardiovascular events.
Source: Annals of Vascular Surgery - June 10, 2019 Category: Surgery Authors: Aurore Danvin, Thibaut Quillard, Olivier Espitia, C éline Charrier, Béatrice Guyomarch, Yann Gouëffic, Blandine Maurel Source Type: research

Acute Occlusion of Descending Thoracic Aorta
Acute aortic occlusion is a rare but potentially devastating clinical event, that requires a prompt diagnosis and emergency treatment.Only five cases of native thoracic aorta acute occlusion have so far been reported with different pathologic causes.The clinical features depend on the level of occlusion. Sometimes, the diagnosis could be misinterpreted as a stroke or other diseases of central nervous system.This could lead to a delay in the diagnosis and revascularization procedure, followed by a morbidity or mortality increase.
Source: Annals of Vascular Surgery - June 10, 2019 Category: Surgery Authors: Cesare Battocchio, Tommaso Dezi, Alessandro D ’andrea, Maurizio Taurino, Luigi Rizzo Tags: Case Report Source Type: research

Rationale and Design for the Remote Ischemic Preconditioning for Carotid Endarterectomy (RIP-CEA) Trial
While the perioperative stroke rate after carotid endarterectomy (CEA) is low, magnetic resonance imaging (MRI) “silent” microinfarctions are common and have been correlated with postoperative neurocognitive decline. Our study will investigate the role of remote ischemic preconditioning (RIPC) as a potential neuroprotective mechanism. RIPC is a well-tolerated stimulus that, through neuronal and humoral pa thways, generates a systemic environment of greater resistance to subsequent ischemic insults.
Source: Annals of Vascular Surgery - June 10, 2019 Category: Surgery Authors: Natalie D. Sridharan, Darve Robinson, Partha Thirumala, Ali Arak, Oladipupo Olafiranye, Edith Tzeng, Efthymios Avgerinos Tags: Clinical Research, Basic Science Source Type: research

Female Gender as a Risk Factor for Adverse Outcomes Following Carotid Revascularization.
We aim to identify gender differences in complications following carotid surgery. Our primary endpoint is the incidence of perioperative stroke, myocardial infarction and mortality. Secondary endpoints include restenosis and reintervention rates.
Source: Annals of Vascular Surgery - June 10, 2019 Category: Surgery Authors: Makinderjit Dulai, Wael Tawfick, Niamh Hynes, Sherif Sultan Tags: Clinical Research, Basic Science Source Type: research

Considerations Beyond Stenosis for Carotid Endarterectomy in Treating Free-Floating Thrombus of the Carotid Artery
Free-floating thrombus (FFT) of the carotid artery is an uncommon condition that can present with neurologic symptoms, often in the setting of ischemic stroke. The literature pertaining to the incidence and optimal treatment of this condition is limited. Herein we report our contemporary experience with FFT across a range of degrees of carotid stenosis.
Source: Annals of Vascular Surgery - May 7, 2019 Category: Surgery Authors: Besher Tolaymat, Karen Irizarry, Michaella Reif, Charles B. Drucker, Brittany O. Aicher, Rajabrata Sarkar, Shahab Toursavadkohi, Thomas S. Monahan Tags: Clinical Research, Basic Science Source Type: research

Impact of the Supra-Aortic Trunks And Circle of Willis Patency on the Neurological Compensation During Carotid Endarterectomy
One of the most critical phases of carotid endoarterectomy is the carotid cross-clamping test which is a concrete evaluation of efficacy of collateral cerebral perfusion. Some studies revealed a strong correlation between tolerance to carotid cross-clamping and post-operative TIA/stroke complications. The aim of the study is to make a global analysis of supra-aortic trunks and Circle of Willis patency in order to predict the tolerance to carotid cross-clamping pre-operatively.
Source: Annals of Vascular Surgery - May 6, 2019 Category: Surgery Authors: Lorenzo Gibello, Gianfranco Varetto, Flavia Spalla, Andrea Ferraris, Matteo Ripepi, Alessandra Trevisan, Fabrizio Bert, Paolo Fonio, Fabio Verzini, Pietro Rispoli Tags: Clinical Research, Basic Science Source Type: research

Novel approach to prevention of perioperative stroke in patients undergoing debranching thoracic endovascular aortic repair with mini-cardiopulmonary bypass support
This study was performed to evaluate the efficacy of mini-cardiopulmonary bypass (mini-CPB) support in debranching TEVAR to prevent perioperative stroke.
Source: Annals of Vascular Surgery - April 4, 2019 Category: Surgery Authors: Masaaki Ryomoto, Hiroe Tanaka, Masataka Mitsuno, Mitsuhiro Yamamura, Naosumi Sekiya, Hisashi Uemura, Ayaka Sato, Daisuke Ueda Source Type: research

A Novel Approach to Prevent Perioperative Stroke in Patients Undergoing Debranching Thoracic Endovascular Aortic Repair with a Mini-Cardiopulmonary Bypass Support
This study was performed to evaluate the efficacy of mini-cardiopulmonary bypass (mini-CPB) support in debranching TEVAR to prevent perioperative stroke.
Source: Annals of Vascular Surgery - April 4, 2019 Category: Surgery Authors: Masaaki Ryomoto, Hiroe Tanaka, Masataka Mitsuno, Mitsuhiro Yamamura, Naosumi Sekiya, Hisashi Uemura, Ayaka Sato, Daisuke Ueda Tags: Clinical Research Source Type: research

Carotid Endarterectomy Outcomes in the Elderly: A Canadian Institutional Experience
Carotid endarterectomy (CEA) is a well-established surgical intervention for stroke prevention in patients with carotid stenosis of all ages. However, the decision to proceed to operate in the elderly involves a more complicated risk-benefit assessment due in part, to increased comorbidities and reduced life expectancy. Some studies suggest that CEA is more risky in the elderly with worse outcomes, while others have found no difference. Our objective was to evaluate and compare outcomes of CEA between elderly and younger patients at our institution.
Source: Annals of Vascular Surgery - February 22, 2019 Category: Surgery Authors: R.J. Doonan, Abdullah Abdullah, Samantha Steinmetz-Wood, Sandra Mekhaiel, Oren K. Steinmetz, Daniel I. Obrand, Marc M. Corriveau, Kent S. Mackenzie, Heather L. Gill Tags: Clinical Research, Basic Science Source Type: research

Early Carotid Endarterectomy After Acute Stroke Yields Excellent Outcomes: An Analysis of The Procedure-Targeted ACS-NSQIP
Recurrent ischemic events have been associated with delayed carotid endarterectomy (CEA) for patients who present with acute strokes. As such earlier intervention has been advocated in order to preserve cerebral function and expedient rehabilitation. We sought to determine the differences in 30-day postoperative major adverse clinical events (MACEs) for patients who undergo early ( ≤ 7 days) and delayed (>7 days) CEA following acute stroke
Source: Annals of Vascular Surgery - January 25, 2019 Category: Surgery Authors: Eddie Blay, Yetunde Balogun, Michael J. Nooromid, Mark K. Eskandari Tags: Clinical Research, Basic Science Source Type: research

Optimal Timing of Carotid Endarterectomy in Symptomatic Patients
This study seeks out the optimal timing of CEA for Sx-CAS.
Source: Annals of Vascular Surgery - January 18, 2019 Category: Surgery Authors: James Andersen, Kristyn Mannoia, Sheela Patel, Sharon Kiang, Christian Bianchi, Theodore H. Teruya, Ahmed Abou-Zamzam Tags: Abstracts Presented to the Vascular and Endovascular Surgery Society - 2019 Annual Winter Meeting Source Type: research