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Source: European Journal of Vascular and Endovascular Surgery
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Total 289 results found since Jan 2013.
Carotid Endarterectomy After Intracranial Endovascular Thrombectomy for Acute Ischaemic Stroke in Patients with Carotid Artery Stenosis
Recent randomised controlled trials demonstrated the benefit of intracranial endovascular thrombectomy (EVT) in acute ischaemic stroke. There is no consensus, however, on how to treat concomitant extracranial carotid artery stenosis after EVT. The aim of this study was to evaluate the outcome in patients treated with carotid endarterectomy (CEA) after EVT, comparing complication rates among patients undergoing CEA for stroke without previous EVT.
Source: European Journal of Vascular and Endovascular Surgery - December 6, 2021 Category: Surgery Authors: Magnus Jonsson, Ellinoora Aro, Katarina Bj örses, Staffan Holmin, Petra Ijäs, Nicolas Martinez-Majander, Pirkka Vikatmaa, Carl-Magnus Wahlgren, Maarit Venermo, Martin Björck Source Type: research
Presentation, Outcome, and Evolution of Vertebral and Carotid Dissections: A Prospective Registry
Introduction: Dissection of carotid and vertebral arteries is a rare condition, which possibly leads to stroke; however, the ideal therapy for this condition is still a matter of debate. The aim of this study was to analyse the incidence, clinical presentation, treatment, and possible late recurrences of cervical artery dissections.
Source: European Journal of Vascular and Endovascular Surgery - December 1, 2021 Category: Surgery Authors: Rodolfo Pini, Gianluca Faggioli, Enrico Gallitto, Andrea Vacirca, Chiara Mascoli, Sara Fronterr é, Alessandro Pilato, Francesco Taglialatela, Salvatore Isceri, Luigi Simonetti, Mauro Gargiulo Source Type: research
Stroke After Endovascular Arch Procedures: Preliminary Clinical Results from the STEP Registry
The objective of this work was to quantify these lesions using the Stroke from Thoracic Endovascular Procedures Study (STEP) registry.
Source: European Journal of Vascular and Endovascular Surgery - December 1, 2021 Category: Surgery Authors: Philippe Charbonneau, Tilo K ölbel, Fiona Rohlffs, Wolf-Hans Eilenberg, Dominique Fabre, Roger Greenhalgh, Stephan Haulon Source Type: research
30 Day Outcomes After Carotid Interventions: An Updated Meta-analysis of Randomised Controlled Trials in Asymptomatic Patients
A 2019 systematic review identified seven randomised controlled trials (RCTs)1 –7 comparing carotid endarterectomy (CEA) with carotid artery stenting (CAS) in 3 467 patients with asymptomatic carotid stenoses.8 When CAS was compared with CEA, meta-analysis revealed no significant differences in 30 day death, disabling stroke, myocardial infarction (MI), and death/any stroke/ MI.8 There were insufficient data to meta-analyse 30 day rates of death/disabling stroke. CAS was, however, associated with significantly higher rates of 30 day “any” stroke and 30 day death/any stroke.
Source: European Journal of Vascular and Endovascular Surgery - November 25, 2021 Category: Surgery Authors: Athanasios Saratzis, Ross Naylor Tags: Research Letter Source Type: research
Low Incidence of Late Ipsilateral Ischaemic Stroke After Treatment for Symptomatic Carotid Stenosis in Sweden 2008 –2017: Increased Risk in the Elderly and After Carotid Stenting
Carotid stenosis is a major risk factor for stroke and surgical treatment is key in preventing recurrent ischaemic events. Previous randomised trials have demonstrated the net benefit of surgery for significant symptomatic carotid stenosis but, with present day medical treatment, there is limited evidence on the risk of late ipsilateral ischaemic stroke (IS) and its main risk factors.
Source: European Journal of Vascular and Endovascular Surgery - November 15, 2021 Category: Surgery Authors: Kimberley Hammar, Ann Charlotte Laska, Per Wester, Kevin Mani, Annika Lundstr öm, Magnus Jonsson Source Type: research
No Evidence for Long Term Blood Pressure Differences Between Eversion and Conventional Carotid Endarterectomy in Two Independent Study Cohorts
Blood pressure (BP) management is a vital aspect of stroke prevention and post-stroke care. Different surgical carotid endarterectomy (CEA) techniques may impact on BP control post-operatively. Specifically, the carotid sinus nerve, which innervates the carotid baroreceptors and carotid body, is commonly left intact during conventional CEA but is routinely transected as part of eversion CEA. The aim of this study was to assess long term BP control after eversion and conventional CEA.
Source: European Journal of Vascular and Endovascular Surgery - November 3, 2021 Category: Surgery Authors: Janis M. Nolde, Suk F. Cheng, Toby Richards, Markus P. Schlaich Source Type: research
Overview and Diagnostic Accuracy of Near Infrared Spectroscopy in Carotid Endarterectomy: A Systematic Review and Meta-analysis
Carotid endarterectomy is recommended for the prevention of ischaemic stroke due to carotid stenosis. However, the risk of stroke after carotid endarterectomy has been estimated at 2% – 5%. Monitoring intra-operative cerebral oxygenation with near infrared spectroscopy (NIRS) has been assessed as a strategy to reduce intra- and post-operative complications. The aim was to summarise the diagnostic accuracy of NIRS to detect intra-operative ischaemic events, the values associated with ischaemic events, and the relative contribution of external carotid contamination to the NIRS signal in adults undergoing carotid endarterectomy.
Source: European Journal of Vascular and Endovascular Surgery - October 6, 2021 Category: Surgery Authors: Jasmine M. Khan, Carter L. McInnis, Amanda Ross-White, Andrew G. Day, Patrick A. Norman, J. Gordon Boyd Tags: Systematic Review Source Type: research
Symptomatic Patients and Stroke Risk Before Carotid Endarterectomy or Stenting
Congratulations to Fisch et al. for providing additional evidence that the risk of recurrent stroke in symptomatic patients with carotid stenosis has fallen with medical intervention alone since the randomised trials of carotid endarterectomy (CEA) versus medical intervention were conducted decades ago.1,2
Source: European Journal of Vascular and Endovascular Surgery - September 28, 2021 Category: Surgery Authors: Anne L. Abbott Tags: Letter to the Editor Source Type: research
Response to ‘Re. Risk of Stroke before Revascularisation in Patients with Symptomatic Carotid Stenosis: A Pooled Analysis of Randomised Controlled Trials’
We thank Prof. Abbott for her interest in our paper.1 We agree fully that the benefit of carotid endarterectomy (CEA) for symptomatic carotid stenosis in randomised trials depends on the patient characteristics that Prof. Abbott listed. However, our study focused on the risk of stroke before revascularisation among patients with symptomatic carotid stenosis in clinical trials. Of note, the risk of early recurrent stroke immediately after the first ischaemic event as reported in contemporary observational studies is higher than the corresponding risk following randomisation as measured in the trials we investigated.
Source: European Journal of Vascular and Endovascular Surgery - September 10, 2021 Category: Surgery Authors: Urs Fisch, Leo Bonati Tags: Letter to the Editor Source Type: research
Carotid Plaque Phenotyping by Correlating Plaque Morphology from Computed Tomography Angiography with Transcriptional Profiling
Ischaemic strokes can be caused by unstable carotid atherosclerosis, but methods for identification of high risk lesions are lacking. Carotid plaque morphology imaging using software for visualisation of plaque components in computed tomography angiography (CTA) may improve assessment of plaque phenotype and stroke risk, but it is unknown if such analyses also reflect the biological processes related to lesion stability. Here, we investigated how carotid plaque morphology by image analysis of CTA is associated with biological processes assessed by transcriptomic analyses of corresponding carotid endarterectomies (CEAs).
Source: European Journal of Vascular and Endovascular Surgery - September 9, 2021 Category: Surgery Authors: Eva Karl öf, Andrew Buckler, Moritz L. Liljeqvist, Mariette Lengquist, Malin Kronqvist, Mawaddah A. Toonsi, Lars Maegdefessel, Ljubica P. Matic, Ulf Hedin Source Type: research
Long Term Restenosis Rate After Carotid Endarterectomy: Comparison of Three Surgical Techniques and Intra-Operative Shunt Use
Closure of the artery during carotid endarterectomy (CEA) can be done with or without a patch, or performed with the eversion technique, while the use of intra-operative shunts is optional. The influence of these techniques on subsequent restenosis is uncertain. Long term carotid restenosis rates and risk of future ipsilateral stroke with these techniques were compared.
Source: European Journal of Vascular and Endovascular Surgery - August 24, 2021 Category: Surgery Authors: Suk F. Cheng, Toby Richards, John Gregson, Martin M. Brown, Gert J. de Borst, Leo H. Bonati, International Carotid Stenting Study investigators Source Type: research
Clinical Response to Procedural Stroke Following Carotid Endarterectomy: A Delphi Consensus Study
No dedicated studies have been performed on the optimal management of patients with an acute stroke related to carotid intervention nor is there a solid recommendation given in the European Society for Vascular Surgery guideline. By implementation of an international expert Delphi panel, this study aimed to obtain expert consensus on the optimal management of in hospital stroke occurring during or following CEA and to provide a practical treatment decision tree.
Source: European Journal of Vascular and Endovascular Surgery - July 23, 2021 Category: Surgery Authors: Armelle J.A. Meershoek, Djurre D. de Waard, Jaap Trappenburg, Clark J. Zeebregts, Richard Bulbulia, Jaap L.J. Kappelle, Gert-Jan de Borst, Delphi consensus experts panel Source Type: research
Carotid Endarterectomy Following Intravenous Thrombolysis in the UK
The aim of this study was to evaluate the effect of pre-operative intravenous thrombolytic therapy (ivTT) on short term outcomes after carotid endarterectomy (CEA) among patients who presented with ischaemic stroke.
Source: European Journal of Vascular and Endovascular Surgery - June 2, 2021 Category: Surgery Authors: Amundeep S. Johal, A. Ross Naylor, Arun D. Pherwani, Qiuju Li, Panagiota Birmpili, Sam Waton, Richard O ’Neill, Jonathan R. Boyle, David A. Cromwell Source Type: research
Retrograde Open Mesenteric Stenting for Acute and Chronic Mesenteric Ischaemia: Results from an Intestinal Stroke Centre
To report the intra-operative adverse events (IOAEs) and the initial and one year outcomes of retrograde open mesenteric stenting (ROMS) using balloon expandable covered stents for acute and chronic mesenteric ischaemia.
Source: European Journal of Vascular and Endovascular Surgery - May 6, 2021 Category: Surgery Authors: Jean N. S énémaud, Arnaud Roussel, Quentin Pellenc, Catherine Chardigny, Pierre Cerceau, Olivier Corcos, Iannis Ben Abdallah, Yves Castier Source Type: research
Risk of Stroke before Revascularisation in Patients with Symptomatic Carotid Stenosis: A Pooled Analysis of Randomised Controlled Trials
Current guidelines recommending rapid revascularisation of symptomatic carotid stenosis are largely based on data from clinical trials performed at a time when best medical therapy was potentially less effective than today. The risk of stroke and its predictors among patients with symptomatic carotid stenosis awaiting revascularisation in recent randomised controlled trials (RCTs) and in medical arms of earlier RCTs was assessed.
Source: European Journal of Vascular and Endovascular Surgery - April 5, 2021 Category: Surgery Authors: Urs Fisch, Stefanie von Felten, Andrea Wiencierz, Olav Jansen, George Howard, Jeroen Hendrikse, Alison Halliday, Gustav Fraedrich, Hans-Henning Eckstein, David Calvet, Richard Bulbulia, Jean-Pierre Becquemin, Ale Algra, Peter Rothwell, Peter Ringleb, Jean Source Type: research
