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Source: European Journal of Vascular and Endovascular Surgery

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Total 289 results found since Jan 2013.

Editor's Choice – Incidence of Stroke Following Thoracic Endovascular Aortic Repair for Descending Aortic Aneurysm: A Systematic Review of the Literature with Meta-analysis
Stroke is an increasingly recognised complication following thoracic endovascular aortic repair (TEVAR). The aim of this study was to systematically synthesise the published data on perioperative stroke incidence during TEVAR for patients with descending thoracic aneurysmal disease and to assess the impact of left subclavian artery (LSA) coverage on stroke incidence.
Source: European Journal of Vascular and Endovascular Surgery - December 16, 2016 Category: Surgery Authors: R.S. von Allmen, B. Gahl, J.T. Powell Tags: Review Source Type: research

Incidence of Stroke Following Thoracic Endovascular Aortic Repair for Descending Aortic Aneurysm: A Systematic Review of the Literature with Meta-analysis
Stroke is an increasingly recognised complication following thoracic endovascular aortic repair (TEVAR). The aim of this study was to systematically synthesise the published data on perioperative stroke incidence during TEVAR for patients with descending thoracic aneurysmal disease and to assess the impact of left subclavian artery (LSA) coverage on stroke incidence.
Source: European Journal of Vascular and Endovascular Surgery - December 16, 2016 Category: Surgery Authors: R.S. von Allmen, B. Gahl, J.T. Powell Tags: Review Source Type: research

Systematic Review and Meta-analysis of Dual Versus Single Antiplatelet Therapy in Carotid Interventions
The importance of antiplatelet therapy for the management and prevention of ischaemic stroke cannot be overstated. Despite the established guidelines, there is no clear consensus on how to manage antiplatelet therapy during and after carotid interventions.
Source: European Journal of Vascular and Endovascular Surgery - November 25, 2016 Category: Surgery Authors: M. Barkat, S. Hajibandeh, S. Hajibandeh, F. Torella, G.A. Antoniou Tags: Review Source Type: research

Recurrent Embolic Stroke due to a Saccular Aneurysm of Left Subclavian Artery: Endovascular Treatment
A 78-year-old male was admitted for recurrent ischemic stroke in the left posterior cerebral artery territory. Computed tomography angiography (CTA) of supra-aortic trunks revealed a 28  × 25 mm saccular left subclavian artery aneurysm (LSAA) including the vertebral artery ostium. The LSA was catheterized via femoral access and a self-expanding covered stent (9 × 40 mm Fluency®, Bard) deployed. Subsequently LSAA embolisation was performed using microcoils (Hilal®, Cook) v ia a microcatheter (Progreat®, Terumo) pre-positioned in the aneurysm sac via brachial access.
Source: European Journal of Vascular and Endovascular Surgery - September 2, 2016 Category: Surgery Authors: C. Pantoja Peralta, A. Velescu Tags: Coup D'Oeil Source Type: research

Diastolic Blood Pressure as an Independent Risk Factor for Periprocedural Events Following Carotid Endarterectomy in Asymptomatic Patients (On Behalf Of the Acst-1 Collaborative Group)
Introduction: Benefits of carotid endarterectomy (CEA) in stroke prevention partly depend on periprocedural risks. Although systolic hypertension is thought of as a risk factor for periprocedural events, effects of diastolic blood pressure (dBP) are often ignored. In a recent post-hoc analysis of ICSS, diastolic blood pressure was associated with adverse outcome after CEA in symptomatic patients. We aimed to identify whether this was also a risk factor for periprocedural stroke or death in asymptomatic patients in the Asymptomatic Carotid Surgery Trial (ACST-1).
Source: European Journal of Vascular and Endovascular Surgery - August 27, 2016 Category: Surgery Authors: D.D. De Waard, G.-J. de Borst, R. Bulbulia, A. Halliday Source Type: research

Commentary on ‘Risk of Recurrent Stroke in Patients with Symptomatic Mild (20–49% NASCET) Carotid Stenosis’
The authors of this retrospective regional study report that patients with symptomatic mild carotid artery stenosis on current best medical management had a 7.4% cumulative incidence of recurrent ipsilateral stroke in 3-year follow-up.1 This was a significantly higher risk of ipsilateral stroke than that of a comparable set of asymptomatic patients with similar mild carotid stenosis, as well as that of patients with symptomatic moderate or severe stenosis in the 3 years after CEA. If these results are supported by future studies, a prospective randomized trial is needed to determine whether CEA or current best medical therapy is recommended.
Source: European Journal of Vascular and Endovascular Surgery - July 28, 2016 Category: Surgery Authors: J.P. Archie Tags: Invited Commentary Source Type: research

Not to be Missed
A 69-year-old woman presented with posterior circulatory stroke (visual symptoms). Magnetic resonance imaging suggested an infarct in the right occipital lobe. A computed tomography angiogram showed a 70% right internal carotid artery (RICA) stenosis. The image also showed an incomplete circle of Willis. The right posterior cerebral artery originated from the RICA rather than from the basilar artery and therefore has been the conduit for atheroembolism from the RICA. This anatomical variation is referred to as being of fetal origin (affecting 10–27% of population).
Source: European Journal of Vascular and Endovascular Surgery - July 18, 2016 Category: Surgery Authors: M. Elkawafi, S. Rajagopalan Tags: Coup D ’Oeil Source Type: research

Commentary on ‘Protamine Reduces Bleeding Complications Without Increasing the Risk of Stroke After Carotid Endarterectomy: A Meta-analysis’
Kakisis et  al. demonstrate in their meta-analysis that reversing the effect of heparin with protamine seems to reduce the number of major neck hematomas associated with CEA. One might fear that this would be at the cost of an increased level of cerebral thromboembolism. However, Kakisis et al. showed that a dministration of protamine does not seem to influence the rate of stroke.1
Source: European Journal of Vascular and Endovascular Surgery - July 13, 2016 Category: Surgery Authors: L.K. Rathenborg Tags: Invited Commentary Source Type: research

Transcranial Doppler Ultrasound Detection of Microemboli as a Predictor of Cerebral Events in Patients with Symptomatic and Asymptomatic Carotid Disease: A Systematic Review and Meta-Analysis
This study aimed at determining if microembolic signals (MES) detected by transcranial Doppler ultrasound (TCD) can provide clinically useful information regarding stroke risk in patients with carotid atherosclerosis.
Source: European Journal of Vascular and Endovascular Surgery - July 4, 2016 Category: Surgery Authors: L.M.J. Best, A.C. Webb, K.S. Gurusamy, S.F. Cheng, T. Richards Tags: Review Source Type: research

Protamine Reduces Bleeding Complications without Increasing the Risk of Stroke after Carotid Endarterectomy: A Meta-analysis
The aim was to evaluate the safety and efficacy of heparin reversal with protamine after completion of carotid endarterectomy (CEA), summarising the available data from both randomised and non-randomised studies.
Source: European Journal of Vascular and Endovascular Surgery - July 3, 2016 Category: Surgery Authors: J.D. Kakisis, C.N. Antonopoulos, K.G. Moulakakis, F. Schneider, G. Geroulakos, J.B. Ricco Tags: Review Source Type: research

Re: ‘Long-term Mortality in Patients with Asymptomatic Carotid Stenosis: Implications for Statin Therapy’
The systematic review of Giannopoulos et al.1 highlights the existence of increased all-cause and cardiac mortality in asymptomatic carotid disease (ACS) patients even though there is a unanimous use of best medical treatment. In the results of current trials on asymptomatic carotid disease (ACD) a particular concern exists in the interpretation of the impact of optimum medical treatment (OMT). For instance, in the ACST-1, successful carotid endarterectomy (CEA) in patients younger than 75 years of age offered significant benefits in 10-year stroke risk reduction even in those patients who were on statin and antihypertensive treatment.
Source: European Journal of Vascular and Endovascular Surgery - June 29, 2016 Category: Surgery Authors: K. Spanos, A.N. Nicolaides, A.D. Giannoukas Tags: Correspondence Source Type: research