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Source: European Journal of Vascular and Endovascular Surgery

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Total 289 results found since Jan 2013.

Commentary on ‘Plaque Echolucency and the Risk of Ischaemic Stroke in Patients with Asymptomatic Carotid Stenosis Within the First Asymptomatic Carotid Surgery Trial (ACST-1)’
In this issue, the investigators of the first Asymptomatic Carotid Surgery Trial (ACST-1) trial provide a post hoc analysis of a medical therapy group in a randomized trial looking at whether plaque echolucency can predict ipsilateral stroke within a 10 year follow up period.1 Huibers et al. have shown that patients with echolucent plaques had a significantly higher ischemic stroke event rate within 5 years compared with patients with non-echolucent plaques.1 Indeed, carotid plaque echo features have long been suggested to correlate with clinical events in patients with asymptomatic carotid stenosis.
Source: European Journal of Vascular and Endovascular Surgery - February 23, 2016 Category: Surgery Authors: J. Roy, U. Hedin Tags: Invited Commentary Source Type: research

Carotid Endarterectomy After Intravenous Thrombolysis: The Sooner the Better?
Current guidelines recommend carotid endarterectomy (CEA) within 2 weeks of a TIA or ischemic stroke in patients with a 70–99% ipsilateral carotid artery stenosis, and in subgroups of patients with a 50–69% stenosis (i.e. men, and with symptoms from the ipsilateral hemisphere). Early operation is warranted, because the risk of recurrent stroke is particularly high in the early period, between 11% and 25% in the 14 days after the qualifying event. However, there is an argument for expedited surgery beyond the very acute phase after stroke, as it is estimated that surgery within 2 days of the onset of symptoms compared w...
Source: European Journal of Vascular and Endovascular Surgery - February 15, 2016 Category: Surgery Authors: M. Koelemay, P. Nederkoorn Tags: Invited Commentary Source Type: research

Commentary on ‘Predictors of Stroke, Myocardial Infarction, or Death within 30 Days of Carotid Artery Stenting: Results from the International Carotid Stenting Study.’ An Old Story (Not for Old Patients)
I read with interest the study published in the current issue of the European Journal of Vascular and Endovascular Surgery regarding risk factors for peri-operative major complications after carotid stenting in the ICSS trial.1 The flavor is that of true old stories that increased our knowledge and changed our behavior in an irreversible way, but which cannot be repeated today.
Source: European Journal of Vascular and Endovascular Surgery - January 22, 2016 Category: Surgery Authors: F. Verzini Tags: Invited Commentary Source Type: research

Plaque Echolucency and the Risk of Ischaemic Stroke in Patients with Asymptomatic Carotid Stenosis Within the First Asymptomatic Carotid Surgery Trial (ACST-1)
In this study, whether a confident classification of echolucent plaque was a predictor of future ipsilateral ischaemic stroke in asymptomatic patients randomized to medical therapy in the Asymptomatic Carotid Surgery Trial-1 (ACST-1) was assessed.
Source: European Journal of Vascular and Endovascular Surgery - December 22, 2015 Category: Surgery Authors: A. Huibers, G.J. de Borst, R. Bulbulia, H. Pan, A. Halliday, the ACST-1 collaborative group Source Type: research

Very Early Carotid Endarterectomy After Intravenous Thrombolysis
The timing of carotid endarterectomy (CEA) after thrombolysis is still a matter of debate. The aim of this study was to analyse a cohort of patients undergoing urgent endarterectomy after intravenous thrombolysis for acute ischaemic stroke.
Source: European Journal of Vascular and Endovascular Surgery - December 19, 2015 Category: Surgery Authors: C. Azzini, M. Gentile, A. De Vito, L. Traina, E. Sette, E. Fainardi, F. Mascoli, I. Casetta Source Type: research

Predictors of Stroke, Myocardial Infarction or Death within 30 Days of Carotid Artery Stenting: Results from the International Carotid Stenting Study
Stroke, myocardial infarction (MI), and death are complications of carotid artery stenting (CAS). The effect of baseline patient demographic factors, processes of care, and technical factors during CAS on the risk of stroke, MI, or death within 30 days of CAS in the International Carotid Stenting Study (ICSS) were investigated.
Source: European Journal of Vascular and Endovascular Surgery - October 23, 2015 Category: Surgery Authors: D. Doig, E.L. Turner, J. Dobson, R.L. Featherstone, R.T.H. Lo, P.A. Gaines, S. Macdonald, L.H. Bonati, A. Clifton, M.M. Brown, the ICSS Investigators Source Type: research

Risk Factors For Stroke, Myocardial Infarction, or Death Following Carotid Endarterectomy: Results From the International Carotid Stenting Study
This study investigated risk factors for these procedural complications occurring within 30 days of endarterectomy in the International Carotid Stenting Study (ICSS).
Source: European Journal of Vascular and Endovascular Surgery - October 9, 2015 Category: Surgery Authors: D. Doig, E.L. Turner, J. Dobson, R.L. Featherstone, G.J. de Borst, G. Stansby, J.D. Beard, S.T. Engelter, T. Richards, M.M. Brown, the ICSS Investigators Source Type: research

Commentary on ‘Stroke/Death Rates Following Carotid Artery Stenting and Carotid Endarterectomy in Contemporary Administrative Dataset Registries: A Systematic Review’
The aim of the study by Paraskevas et al.1 was to compare stroke/death rates after CAS/CEA in contemporary dataset registries, to determine whether they fall within the AHA thresholds and if they had declined over time.
Source: European Journal of Vascular and Endovascular Surgery - September 11, 2015 Category: Surgery Authors: J.-B. Ricco Tags: Invited Commentary Source Type: research

Intra-arterial Therapy in the Early Treatment of Acute Ischaemic Stroke
In 1995, intravenously administered recombinant tissue-type plasminogen activator (rtPA) was demonstrated to be effective as a treatment for acute ischaemic stroke provided it was commenced within 3 hours of stroke onset.1 In 2008, the ECASS-2 trial demonstrated that the time window for intravenous thrombolysis could be increased to 4.5 hours.2 More recently, intra-arterial thrombectomy (IAT), in addition to intravenous rtPA, has been shown to be highly beneficial when administered within 6 hours after acute stroke onset in six randomized clinical trials.
Source: European Journal of Vascular and Endovascular Surgery - September 9, 2015 Category: Surgery Authors: L.J. Kappelle, G.J. de Borst Tags: Editorial Source Type: research

Stroke/Death Rates Following Carotid Artery Stenting and Carotid Endarterectomy in Contemporary Administrative Dataset Registries: A Systematic Review
Randomised trials have reported higher stroke/death rates after carotid artery stenting (CAS) versus carotid endarterectomy (CEA). Despite this, the 2011 American Heart Association (AHA) guidelines expanded CAS indications, partly because of the Carotid Revascularization Endarterectomy versus Stenting Trial, but also because of improving outcomes in industry sponsored CAS Registries. The aim of this systematic review was: (i) to compare stroke/death rates after CAS/CEA in contemporary dataset registries, (ii) to examine whether published stroke/death rates after CAS fall within AHA thresholds, and, (iii) to see if there ha...
Source: European Journal of Vascular and Endovascular Surgery - September 5, 2015 Category: Surgery Authors: K.I. Paraskevas, E.L. Kalmykov, A.R. Naylor Tags: Review Source Type: research

Definite Plaque Echolucency is Associated with a Higher Risk of Ipsilateral Ischaemic Stroke during Early Follow up in the Asymptomatic Carotid Surgery Trial-1 (ACST-1)
Introduction: Several carotid plaque characteristics, including a thin fibrous cap, lipid necrotic core and intraplaque haemorrhage, have been suggested as potential markers to select patients at high risk for future stroke. On ultrasound, these “high risk” characteristics appear echolucent. The Asymptomatic Carotid Surgery Trial-1 (ACST-1) is the largest randomised controlled trial comparing carotid endarterectomy (CEA) with deferral of CEA in patients with severe asymptomatic carotid artery stenosis.
Source: European Journal of Vascular and Endovascular Surgery - August 25, 2015 Category: Surgery Authors: A. Huibers, G.J. de Borst, R. Bulbulia, A. Halliday, ACST-1 Collaborative Group Source Type: research

Stroke/Death Rates Following Carotid Artery Stenting and Carotid Endarterectomy in Contemporary Administrative Dataset Registries: A Systematic Review.
Introduction: Randomized trials have reported contradictory findings regarding outcomes after carotid artery stenting (CAS) versus carotid endarterectomy (CEA). Despite this, the 2011 American Heart Association (AHA) guidelines expanded CAS indications, partly because of data from the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST), but also because of improving outcomes in Industry-sponsored ‘high risk for CEA’ CAS Registries. The aim of the current systematic review was to see whether there was a parallel reduction in procedural risk after CAS in contemporary administrative dataset registries.
Source: European Journal of Vascular and Endovascular Surgery - August 25, 2015 Category: Surgery Authors: K.I. Paraskevas, E.L. Kalmykov, A.R. Naylor Source Type: research

When the Best isn't Good Enough: Venous Thoracic Outlet Syndrome Resistant to Standard Therapy
A 34 year old physiotherapist developed right sided arm pain, swelling and superficial venous dilatation after performing the butterfly stroke while training for a triathalon. His medical history was significant for a previous fracture of his right clavicle requiring plate fixation; a subsequent break in the plate required repeat internal fixation. CT angiography revealed an occlusion of the right subclavian vein at the location where a screw from his plate fixation was impinging on his thoracic outlet, consistent with venous thoracic outlet syndrome (VTOS).
Source: European Journal of Vascular and Endovascular Surgery - August 25, 2015 Category: Surgery Authors: G. Handelman, A. Ryan, E. Quinn, M. McMonagle, K.S. Cross Source Type: research

Comparative Results of Conventional and Eversion Carotid Endarterectomy
Introduction: Conventional carotid endarterectomy (cCEA), performed through a longitudinal arteriotomy is the most frequently described technique. Eversion carotid endarterectomy (eCEA), employing division at the origin of the internal carotid artery and reanastomosis, is reported to be associated with low perioperative stroke and restenosis rates. In our institution eCEA was introduced in January 2012. Our aim was to compare the outcome of eCEA to cCEA in our patients.
Source: European Journal of Vascular and Endovascular Surgery - August 25, 2015 Category: Surgery Authors: A. Nazar, F.M. Shaikh, J.F. Dowdall, M.C. Barry, S.J. Sheehan Source Type: research

Carotid Duplex Ultrasound Performed Immediately Post Carotid Endarterectomy Predicts Outcome at Two Years
Introduction: Carotid endarterectomy (CEA) has proven benefit in stroke prevention. The aim of this study was to determine the long-term benefit of the post-operative colour duplex ultrasound (CDU) in a follow-up programme.
Source: European Journal of Vascular and Endovascular Surgery - August 25, 2015 Category: Surgery Authors: E. Mc Partland, C.O. McDonnell, K. O'Malley, M.K. O'Donohoe, S.A. Badger, C. Gray Source Type: research