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Source: European Journal of Vascular and Endovascular Surgery
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Total 289 results found since Jan 2013.
Postoperative disability and one-year outcomes for patients suffering a stroke after carotid endarterectomy
Objective: Although post-carotid endarterectomy (CEA) strokes are rare, they can be devastating. The degree of disability that patients develop after such events and its effects on long-term outcomes are unclear. Our goal was to assess the extent of postoperative disability in patients suffering strokes after CEA and evaluate its association with long-term outcomes.
Source: European Journal of Vascular and Endovascular Surgery - August 1, 2023 Category: Surgery Authors: Scott R. Levin, Alik Farber, Anna Kobzeva-Herzog, Elizabeth G. King, Mohammad H. Eslami, Karan Garg, Virendra I. Patel, Caron B. Rockman, Denis Rybin, Jeffrey J. Siracuse Tags: Clinical research study Source Type: research
Rates of Stroke in Patients With Different Presentations of Carotid Artery Stenosis
Carotid artery stenosis may present without the classical symptoms of transient ischaemic attack or stroke but the rates of stroke for these presentations is unknown. The aim of this study was to examine the rates of stroke in patients with different presentations of carotid artery stenosis.
Source: European Journal of Vascular and Endovascular Surgery - June 6, 2023 Category: Surgery Authors: Dylan R. Morris, Tejas P. Singh, Tahmid Zaman, Ramesh Velu, Francis Quigley, Jason Jenkins, Jonathan Golledge Source Type: research
Optimising Secondary Prevention: a One Year Review of Lipid Lowering Therapy (LLT) and Cholesterol Monitoring in Patients Undergoing Carotid Surgery
Objective: Stroke is common (100 000 new cases annually in the UK), with carotid atherosclerotic disease a recognised cause.1 In such cases patients may require either surgical or endovascular carotid intervention but they should also receive optimal medical therapy including lipid lowering therapy (LLT).2 Statins have been shown to reduce the 10 year risk of stroke/death (17.9% vs. 7.6%) after carotid endarterectomy.3 Current European Society for Vascular Surgery (ESVS) Guidelines advise high intensity statin (HIS) treatment with a target LDL C level of
Source: European Journal of Vascular and Endovascular Surgery - May 1, 2023 Category: Surgery Authors: J.Y. Kwan, M. Sood, F. Stocco, N. Orozov, K. Spencer-jones, M. Bailey, P. Coughlin, J. Scott Source Type: research
Effect of the Pre-Operative Systemic Inflammatory Response on Outcomes Following Carotid Endarterectomy for Symptomatic Carotid Stenosis
Objective: Stroke accounts for over 100 000 acute hospital presentations per year in the UK, and approximately 4 500 carotid endarterectomies are performed annually in the UK.1 This is despite a relative paucity of cases performed for asymptomatic carotid stenosis, in comparison with other countries.1 Periprocedural stroke and death rates have fallen in recent years,2 although these remain notable risks necessitating careful patient selection and counselling. Chronic activation of the systemic inflammatory response (SIR) is prevalent in patients with atherosclerotic disease and influences both the pathogenesis and prognosis.
Source: European Journal of Vascular and Endovascular Surgery - May 1, 2023 Category: Surgery Authors: K. Dosanj, N. Bradley, C. Roxburgh, D. Mcmillan, G. Guthrie Source Type: research
Endarterectomy Achieves Lower Stroke and Death Rates Compared With Stenting in Patients With Asymptomatic Carotid Stenosis: a Systematic Review and Meta-Analysis of the Literature
Objective: It is currently unclear whether carotid artery stenting (CAS) is as safe as carotid endarterectomy (CEA) for patients with notable asymptomatic stenosis. The aim of this study was to update a systematic review and meta-analysis of trials comparing CAS with CEA previously performed, showing a moderate certainty of evidence in favour of CEA regarding 30 day stroke or death rates.1
Source: European Journal of Vascular and Endovascular Surgery - May 1, 2023 Category: Surgery Authors: L. Alexopoulou-Prounia, S.K. Kakkos, I. Kakisis, G. Geroulakos Source Type: research
Similar 30 Day Clinical Outcomes After Carotid Artery Stenting By Different Medical Specialities: Analysis From a Large, Multicentre, European Roadsaver Study
Objective: Carotid artery disease treatment options include optimal medical therapy, surgical carotid endarterectomy (CEA), and endovascular carotid artery stenting (CAS). Clinical trials from the past two decades, comparing CEA with CAS reveal higher periprocedural (up to 30 days) risk of stroke or death with CAS. The higher risk is primarily noted in symptomatic patients (> 70 years old), while in younger and/or asymptomatic patients CEA and CAS outcomes are more comparable.1 Contemporary CAS is carried out by operators of different specialties, including angiologists, (neuro)radiologists, cardiologists, and vascular sur...
Source: European Journal of Vascular and Endovascular Surgery - May 1, 2023 Category: Surgery Authors: A. Schwindt, The Roadsaver Investigators O.B.O. Source Type: research
The Impact of Full Collapse on the Risk of Ischaemic Stroke in Patients with Carotid Near Occlusion
Carotid near occlusion (CNO) is a severe carotid stenosis associated with a reduction in the calibre of the extracranial internal carotid artery distal to the stenosis.1 The risk of ipsilateral stroke in patients with CNO is a controversial issue. While a post hoc analysis of the North American Symptomatic Carotid Endarterectomy Trial (NASCET) and the European Carotid Surgery Trial (ECST) reported a lower risk of ipsilateral stroke for medically treated patients with CNO compared with patients with severe (70 –99%) carotid stenosis2, more recent studies have shown that the CNO recurrence rate may be higher.
Source: European Journal of Vascular and Endovascular Surgery - April 20, 2023 Category: Surgery Authors: Andr és García-Pastor, Ana Iglesias-Mohedano, Antonio Gil-Núñez Tags: Editorial Source Type: research
The Impact of Full Collapse on the Risk of Ischaemic Stroke in Patients with Carotid Near-Occlusion
Source: European Journal of Vascular and Endovascular Surgery - April 20, 2023 Category: Surgery Authors: Andr és García-Pastor, Ana Iglesias-Mohedano, Antonio Gil-Núñez Tags: Editorial Source Type: research
Long Term Mortality in Patients Treated with Carotid Endarterectomy
Carotid endarterectomy (CEA) is an effective surgical method for stroke prevention in selected patients with carotid stenosis. Few contemporary studies report on long term mortality in CEA treated patients, despite continuous changes in medication, diagnostics, and patient selection. Here, the long term mortality is described in a well characterised cohort of asymptomatic and symptomatic CEA patients, sex differences evaluated, and mortality ratio compared with the general population.
Source: European Journal of Vascular and Endovascular Surgery - March 3, 2023 Category: Surgery Authors: Katarina Wad én, Rebecka Hultgren, Maria Ioanna Kotopouli, Peter Gillgren, Joy Roy, Ulf Hedin, Ljubica Matic Source Type: research
Long Term Mortality Rate in Patients Treated with Carotid Endarterectomy
Carotid endarterectomy (CEA) is an effective surgical method for stroke prevention in selected patients with carotid stenosis. Few contemporary studies report on the long term mortality rate in CEA treated patients, despite continuous changes in medication, diagnostics, and patient selection. Here, the long term mortality rate is described in a well characterised cohort of asymptomatic and symptomatic CEA patients, sex differences evaluated, and mortality ratio compared with the general population.
Source: European Journal of Vascular and Endovascular Surgery - March 3, 2023 Category: Surgery Authors: Katarina Wad én, Rebecka Hultgren, Maria Ioanna Kotopouli, Peter Gillgren, Joy Roy, Ulf Hedin, Ljubica Matic Source Type: research
Vascular Surgery Scientific Productivity in Latin America: Where Are We?
Cardiovascular diseases such as myocardial infarction, systemic arterial hypertension, heart failure, stroke, aortic aneurysm, and peripheral artery disease (PAD) remain the primary cause of death and morbidity worldwide. Consequently, vascular research is of the utmost importance for developing preventive strategies and improving diagnostic test and treatment options for patients with these conditions. Specifically, PAD has had increased research interest as it is the third leading cause of atherosclerotic morbidity.
Source: European Journal of Vascular and Endovascular Surgery - February 4, 2023 Category: Surgery Authors: Mauricio Gonzalez-Urquijo, David E. Hinojosa-Gonzalez, Diana P. Padilla-Armendariz, Mario Alejandro Fabiani Tags: Research Letter Source Type: research
Multicentre International Registry of Open Surgical Versus Percutaneous Upper Extremity Access During Endovascular Aortic Procedures
To investigate access failure (AF) and stroke rates of aortic procedures performed with upper extremity access (UEA), and compare results of open surgical vs. percutaneous UEA techniques with closure devices.
Source: European Journal of Vascular and Endovascular Surgery - February 2, 2023 Category: Surgery Authors: Luca Bertoglio, Gustavo Oderich, Andrea Melloni, Mauro Gargiulo, Tilo K ölbel, Donald J. Adam, Luca Di Marzo, Gabriele Piffaretti, Christopher J. Agrusa, Wouter Van den Eynde, the SUPER-AXA Registry Collaborators Source Type: research
Activated Clotting Time Guided Heparinisation During Open Abdominal Aortic Aneurysm Repair (ACTION-1) - Rationale and Design of a Randomised Trial
Unfractionated heparin has been used by vascular surgeons worldwide for more than 70 years during non-cardiac arterial procedures (NCAP) to prevent clot formation and reduce thromboembolic complications (TEC), for example, arterial thrombosis, peripheral emboli, myocardial infarction, colonic ischaemia, deep venous thrombosis, and stroke.1,2 In this Research Letter, shortcomings and high variation in current intra-operative heparin use, the need for scientific evidence, and the design of a randomised controlled trial (RCT) are discussed.
Source: European Journal of Vascular and Endovascular Surgery - January 12, 2023 Category: Surgery Authors: Max Hoebink, Liliane C. Roosendaal, Arno M. Wiersema, Vincent Jongkind, the ACTION-1 research collaborative Tags: Research Letter Source Type: research
Bleeding Issues During Thrombolysis for Acute Leg Ischaemia
When we started testing catheter directed low dose thrombolysis (CDT) for acute leg ischaemia (ALI) in the 1980s, it was the first time endovascular intervention advanced beyond simple balloon angioplasty. In many respects, CDT kick started the endovascular revolution. Clots could be removed without surgery, and from arteries too small for embolectomy catheters to reach. But there was a price to pay: thrombolytic drugs caused bleeding, mainly from catheter puncture sites, but also from distant areas, such as haemorrhagic stroke.
Source: European Journal of Vascular and Endovascular Surgery - January 6, 2023 Category: Surgery Authors: Jonothan Earnshaw Tags: Invited Commentary Source Type: research
Carotid endarterectomy is safe for octogenarians
Background: Carotid endarterectomy (CEA) has demonstrated superior results in stroke risk reduction for patients with symptomatic and asymptomatic high-grade carotid stenosis. However, this benefit has long been questioned for the elderly and high-risk populations. In the present study, we aimed to provide high-volume, single-institution data with long-term follow-up examining the risk factors for postoperative stroke and stroke-free survival stratified by age for asymptomatic and symptomatic patients undergoing CEA.
Source: European Journal of Vascular and Endovascular Surgery - January 1, 2023 Category: Surgery Authors: Yazen Qumsiyeh, Sammy Siada, Yueqi Yan, Rachel Dirks, Amna Ali, Meelod Daneshvar, Leigh Ann O ’Banion Source Type: research
