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Source: European Journal of Vascular and Endovascular Surgery
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Total 289 results found since Jan 2013.
Thrombolysis in carotid-related stroke patients: what about plaque hemorrhage and disruption?
Source: European Journal of Vascular and Endovascular Surgery - September 30, 2014 Category: Surgery Authors: Laura Capoccia, Enrico Sbarigia, Danilo Menna, Pasqualino Sirignano, Francesco Speziale Tags: Correspondence Source Type: research
Editor's Choice - Safety of Carotid Endarterectomy After Intravenous Thrombolysis for Acute Ischaemic Stroke: A Case-Controlled Multicentre Registry Study
Few studies have been published on the safety of carotid endarterectomy (CEA) after intravenous thrombolysis (IVT). Registry reports have been recommended in order to gather large study groups.
Source: European Journal of Vascular and Endovascular Surgery - September 18, 2014 Category: Surgery Authors: L.K. Rathenborg, M. Venermo, T. Troëng, L.P. Jensen, P. Vikatmaa, C. Wahlgren, P. Ijäs, M. Björck, B. Kragsterman Source Type: research
Safety of Carotid Endarterectomy After Intravenous Thrombolysis for Acute Ischaemic Stroke: A Case-Controlled Multicentre Registry Study
Few studies have been published on the safety of carotid endarterectomy (CEA) after intravenous thrombolysis (IVT). Registry reports have been recommended in order to gather large study groups.
Source: European Journal of Vascular and Endovascular Surgery - September 18, 2014 Category: Surgery Authors: L.K. Rathenborg, M. Venermo, T. Troëng, L.P. Jensen, P. Vikatmaa, C. Wahlgren, P. Ijäs, M. Björck, B. Kragsterman Source Type: research
Clinical and Imaging Features Associated with an Increased Risk of Late Stroke in Patients with Asymptomatic Carotid Disease
The 2011 American Heart Association Guidelines on the management of asymptomatic carotid disease recommends that carotid endarterectomy (CEA) (with carotid artery stenting (CAS) as an alternative) may be considered in highly selected patients with 70–99% stenoses. However, no guidance was provided as to what “highly selected” meant. This caveat is, however, important as up to 95% of asymptomatic individuals undergoing prophylactic CEA or CAS will ultimately undergo an unnecessary procedure. Even if the procedural risk following CEA or CAS could be reduced to 0%; 93% of patients would still undergo an unnecessary intervention.
Source: European Journal of Vascular and Endovascular Surgery - September 3, 2014 Category: Surgery Authors: A.R. Naylor, T.V. Schroeder, H. Sillesen Tags: Review Source Type: research
Commentary Regarding “Predicting Carotid Artery Disease and Plaque Instability from Cell-derived Microparticles”
Better understanding of mechanisms behind carotid stenosis has challenged the traditional approach to carotid endarterectomy (CEA) as the gold standard for stroke prevention in symptomatic and asymptomatic carotid disease. For symptomatic patients, the high risk of new early embolic recurrence suggested not delaying surgical removal of the carotid embolic plaque for more than 2 weeks after the acute neurological event. For symptom-free patients management of the carotid stenosis by surgery has been even more debated because of the high likelihood of decreased stroke risks with systematic and intensive use of modern medical...
Source: European Journal of Vascular and Endovascular Surgery - August 30, 2014 Category: Surgery Authors: P. De Rango Tags: Invited Commentary Source Type: research
Commentary on: “Predicting Carotid Artery Disease and Plaque Instability from Cell-derived Microparticles”
Better understanding of mechanisms behind carotid stenosis has challenged the traditional approach to carotid endarterectomy (CEA) as the gold standard for stroke prevention in symptomatic and asymptomatic carotid disease. For symptomatic patients, the high risk of new early embolic recurrence suggested not delaying surgical removal of the carotid embolic plaque for more than 2 weeks after the acute neurological event. For symptom-free patients management of the carotid stenosis by surgery has been even more debated because of the high likelihood of decreased stroke risks with systematic and intensive use of modern medical...
Source: European Journal of Vascular and Endovascular Surgery - August 30, 2014 Category: Surgery Authors: P. De Rango Tags: Invited Commentary Source Type: research
Safety of Carotid Intervention following Thrombolysis in Acute Ischaemic Stroke
Indications for carotid endarterectomy (CEA) have evolved as stroke services have improved. Hyperacute stroke units are referring more patients with a significant carotid stenosis, some within hours of thrombolysis. In their meta-analysis, Mandavia et al. pooled the evidence to date to attempt to assess 30-day safety of urgent CEA for these patients.1 However, care must be taken with the interpretation and contextualization of these results.
Source: European Journal of Vascular and Endovascular Surgery - August 26, 2014 Category: Surgery Authors: C.P. Twine Tags: Invited Commentary Source Type: research
Commentary on: “Safety of Carotid Intervention following Thrombolysis in Acute Ischaemic Stroke”
Indications for carotid endarterectomy (CEA) have evolved as stroke services have improved. Hyperacute stroke units are referring more patients with a significant carotid stenosis, some within hours of thrombolysis. In their meta-analysis, Mandavia et al. pooled the evidence to date to attempt to assess 30-day safety of urgent CEA for these patients.1 However, care must be taken with the interpretation and contextualization of these results.
Source: European Journal of Vascular and Endovascular Surgery - August 26, 2014 Category: Surgery Authors: C.P. Twine Tags: Invited Commentary Source Type: research
Urgent Carotid Artery Stenting Does Not Increase the Risk for Peri-procedural Complications – A Nationwide Population-based Registry Study
Introduction: Current ESVS guidelines recommend that patients with a significant symptomatic stenosis should be operated within 14 days of onset of symptoms. However, recent reports indicate that carotid endarterectomy (CEA) within 2 days after a neurologic event may be associated with a higher peri-procedural risk of stroke. If urgent carotid artery stenting (CAS) carries a similar high risk is unclear.
Source: European Journal of Vascular and Endovascular Surgery - August 19, 2014 Category: Surgery Authors: M. Jonsson, D. Lindström, A. Wanhainen, P. Gillgren Tags: ESVS Abstracts: Stockholm 2014 Source Type: research
A New Carotid 3D MRI Sequence for Stenosis Measurement and Plaque Characterization at the Same Time
Introduction: Risk of stroke related to carotid atherosclerosis depends on degree of stenosis and carotid plaque vulnerability. We propose a new 3D MRI sequence (3D-T1) allowing measurement of these parameters at the same time without gadolinium injection.
Source: European Journal of Vascular and Endovascular Surgery - August 19, 2014 Category: Surgery Authors: A. Millon, S. Bros, L. Boussel, P.M. Robson, Z. Fayad, M. Sigovan, P. Douek Tags: ESVS Abstracts: Stockholm 2014 Source Type: research
The Role of Transcranial Doppler Ultrasound in the Management of Patients with Carotid Disease: A Meta-analysis
Introduction: Carotid endarterectomy (CEA) is a well-established surgical treatment for symptomatic carotid disease. The number of CEA procedures being performed is rapidly increasing. Current methodology of identifying patients is based on stenosis of the carotid artery which suffers methodological and conceptual problems meaning patient identification is suboptimal. Adjuvant markers of stroke risk could therefore provide clinical benefit to patients. Microembolic signals (MES) in the middle cerebral artery (MCA) reported by transcranial Doppler ultrasound (TCD) is a potential marker however its predictive role in stroke ...
Source: European Journal of Vascular and Endovascular Surgery - August 19, 2014 Category: Surgery Authors: L. Best Tags: ESVS Abstracts: Stockholm 2014 Source Type: research
Safety of Carotid Intervention Following Thrombolysis in Acute Ischaemic Stroke
This study aims to assess the safety of carotid intervention post-thrombolysis for acute ischaemic stroke.
Source: European Journal of Vascular and Endovascular Surgery - August 12, 2014 Category: Surgery Authors: R. Mandavia, M.I. Qureshi, B. Dharmarajah, K. Head, A.H. Davies Tags: Review Source Type: research
Statins Reduce Peri-procedural Complications in Carotid Stenting
In primary and secondary prevention, statins significantly reduce cardiovascular and cerebrovascular events. Pre-interventional statin medication shows a benefit in carotid artery stenosis patients treated with endarterectomy; however, there are few data available for patients treated with stent-angioplasty. The aim of this study was to investigate whether pre-interventional statin therapy is associated with decreased peri-interventional risk of stroke, myocardial infarction, and mortality in patients undergoing stent-angioplasty for internal carotid stenosis.
Source: European Journal of Vascular and Endovascular Surgery - August 9, 2014 Category: Surgery Authors: T. Reiff, H. Amiri, S. Rohde, W. Hacke, P.A. Ringleb Source Type: research
Pathology Specific Early Outcome after Thoracic Endovascular Aortic Repair
Conclusions: There was no difference in the incidence of in-hospital mortality, stroke, and spinal cord ischaemia between aneurysm and dissection. The higher rate of aortic related death in the dissection group may indicate the need to refine the clinical management of these patients, including procedural planning, endograft design, and operative technique.
Source: European Journal of Vascular and Endovascular Surgery - June 23, 2014 Category: Surgery Authors: R.E. Clough, A.S. Patel, O.T. Lyons, R.E. Bell, H.A. Zayed, T.W. Carrell, P.R. Taylor Tags: Aortic Disease Source Type: research
Identification of Patients with a Histologically Unstable Carotid Plaque Using Ultrasonic Plaque Image Analysis
Objectives: In patients with carotid stenosis the risk of stroke is highest in the first few days after onset of symptoms and it is low in asymptomatic patients. The ability to identify patients with a high (or low) probability of having a histologically unstable plaque might become a complimentary method that can refine the indications for surgical intervention.Methods: Two histopathologists, using validated American Heart Association criteria, independently graded plaques harvested during carotid endarterectomy. Preoperative Duplex images were independently assessed for juxtaluminal black area, plaque type, plaque area, ...
Source: European Journal of Vascular and Endovascular Surgery - June 18, 2014 Category: Surgery Authors: M.K. Salem, M.J. Bown, R.D. Sayers, K. West, D. Moore, A. Nicolaides, T.G. Robinson, A.R. Naylor Tags: Carotid Disease Source Type: research
