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Source: Journal of Stroke and Cerebrovascular Diseases
Procedure: Carotid Endarterectomy
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Total 73 results found since Jan 2013.
Carotid Endarterectomy is often not Possible after an Unheralded Stroke: Unheralded Stroke in Carotid Artery Stenosis
The ongoing literature recommends carotid endarterectomy (CEA) primarily for patients with neurological symptoms, however CEA can be precluded by the onset of a severe stroke or a total carotid occlusion. The present study aims to evaluate the effect of unheralded strokes in patients with a previously asymptomatic carotid stenosis (ACS) possibly considered for CEA.
Source: Journal of Stroke and Cerebrovascular Diseases - January 8, 2021 Category: Neurology Authors: Rodolfo Pini, Gianluca Faggioli, Antonio Muscari, Cristina Rocchi, Sergio Palermo, Andrea Vacirca, Enrico Gallitto, Mauro Gargiulo Source Type: research
Contralateral Stenosis and Echolucent Plaque Morphology are Associated with Elevated Stroke Risk in Patients Treated with Asymptomatic Carotid Artery Stenosis within a Controlled Clinical Trial (SPACE-2)
Asymptomatic carotid artery stenosis (ACS) has a low risk of stroke. To achieve an advantage over noninterventional best medical treatment (BMT), carotid endarterectomy (CEA) or carotid artery stenting (CAS) must be performed with the lowest possible risk of stroke. Therefore, an analysis of risk-elevating factors is essential. Grade of ipsilateral and contralateral stenosis as well as plaque morphology are known risk factors in ACS.
Source: Journal of Stroke and Cerebrovascular Diseases - July 24, 2021 Category: Neurology Authors: Tilman Reiff, Hans-Henning Eckstein, Ulrich Mansmann, Olav Jansen, Gustav Fraedrich, Harald Mudra, Dittmar B öckler, Michael Böhm, Hartmut Brückmann, E. Sebastian Debus, Jens Fiehler, Klaus Mathias, E. Bernd Ringelstein, Jürg Schmidli, Robert Stingele Source Type: research
Sex Differences in Revascularization Interventions after Acute Ischemic Stroke
Conclusions: Over the last decade, women hospitalized for AIS in the United States were less likely than men to receive cerebrovascular and cardiac reperfusion therapies. However, the IV tPA treatment sex disparity may have been eliminated.
Source: Journal of Stroke and Cerebrovascular Diseases - May 8, 2013 Category: Neurology Authors: Amytis Towfighi, Daniela Markovic, Bruce Ovbiagele Tags: Original Articles Source Type: research
Open Heart Surgery Does Not Increase the Incidence of Ipsilateral Ischemic Stroke in Patients with Asymptomatic Severe Carotid Stenosis
We evaluated the incidence of perioperative stroke following the institution's 2007 practice change of discontinuing combined carotid endarterectomy and open heart surgery (OHS) for patients with severe carotid stenosis.
Source: Journal of Stroke and Cerebrovascular Diseases - June 13, 2017 Category: Neurology Authors: John E. Castaldo, Hussam A. Yacoub, Yuebing Li, Hope Kincaid, Donna Jenny Source Type: research
Factors associated with delay to carotid endarterectomy for acute ischaemic stroke in South Australia: A multicentre retrospective cohort study
The greatest benefits of carotid endarterectomy (CEA) accrue when performed within two weeks of acute ischaemic stroke (AIS) due to symptomatic carotid stenosis. Previous studies have identified multiple factors contributing to CEA delay.
Source: Journal of Stroke and Cerebrovascular Diseases - December 22, 2022 Category: Neurology Authors: Rudy Goh, Stephen Bacchi, Joshua G. Kovoor, Aashray K. Gupta, Minh-Son To, Christopher D. Ovenden, Joseph Dawson, Wilson Vallat, David Schultz, Jim Jannes, Timothy Kleinig Source Type: research
Outcome of 312 Japanese Patients with Carotid Endarterectomy and Factors Associated with Cardiovascular Events—A Single-center Study in Japan
Background: There have only been a few reports regarding the outcomes and risk factors after CEA. To clarify the factors associated with outcome in patients with carotid stenosis who underwent carotid endarterectomy (CEA), we investigated cardiovascular events and mortality in the Kyushu Medical Center in Japan.Methods: We consecutively registered patients with significant carotid stenosis who had CEA performed over 10 years and compared the incidences of stroke, myocardial infarction, and death. On admission, we evaluated medical records for stroke risk factors, including hypertension, diabetes mellitus, hypercholesterol...
Source: Journal of Stroke and Cerebrovascular Diseases - May 30, 2013 Category: Neurology Authors: Toshiyasu Ogata, Tooru Inoue, Yasushi Okada Tags: Original Articles Source Type: research
Red and White Thrombus Characteristics in Patients Undergoing Carotid Endarterectomy
Ischemic heart disease and stroke, which are associated with atherosclerosis in the coronary and carotid arteries, accounted for one-third of deaths worldwide.1 The stroke type can be ischemic or hemorrhagic. Hemorrhagic stroke is divided into intracerebral and subarachnoid hemorrhage types. Ischemic stroke occurs because of small vessel occlusion, large artery atherosclerosis, cardiogenic embolism, and other causes.2 Ischemic stroke and transient ischemic attack (TIA) usually arise from unstable carotid lesions, which cause thrombus formation or carotid artery occlusion.
Source: Journal of Stroke and Cerebrovascular Diseases - December 2, 2020 Category: Neurology Authors: Hatice Tosun, Suat Kam ışlı, Mehmet Tecellioğlu, Saadet Alan, Fahriye Seçil Tecellioğlu, Mustafa Namık Öztanır, Yüksel Kablan Source Type: research
Long-term Morbidity and Mortality of Carotid Endarterectomy in Patients with End-stage Renal Disease Receiving Hemodialysis
Conclusions: These data suggest that patients undergoing dialysis were at no greater risk for periprocedural complications when undergoing CEA. Thus, CEA may be effective for stroke prevention in hemodialysis patients.
Source: Journal of Stroke and Cerebrovascular Diseases - July 8, 2013 Category: Neurology Authors: Masakazu Okawa, Tetsuya Ueba, Toshiyasu Ogata, Hiroshi Abe, Toshio Higashi, Tooru Inoue Tags: Original Articles Source Type: research
Re Alarming Results for Carotid Artery Stenting in Patients with Contralateral Carotid Artery Occlusion
Thank you for the interest in our data. Although the 3-year stroke, Myocardial Infarction (MI), or death rates in the entire cohort of 49 patients was relatively high (18.4%), the majority of patients less than 75 years old had a stroke rate of 5% and a stroke-MI-death rate of 10.5% over 3 years. We agree that these data are not as good as carotid endarterectomy (CEA), but we stand by our conclusion that carotid artery stenting (CAS) in patients with contralateral carotid artery occlusion (CCO) is a safe and effective therapy.
Source: Journal of Stroke and Cerebrovascular Diseases - July 29, 2019 Category: Neurology Authors: Jianming Guo, Alan Dardik, Yongquan Gu Tags: Letter to the Editor Source Type: research
“Opening the Unopenable”: Endovascular Treatment in a Patient with Three Months' Internal Carotid Artery Occlusion and Hemispheric Symptomatic Hypoperfusion
We report the case of a patient admitted to our hospital with an atherothrombotic ischemic stroke due to symptomatic acute ICAO, who developed a recurrent stroke with hemispheric hypoperfusion and was treated in the emergency department with ICAO revascularization after 60 days of occlusion finding.
Source: Journal of Stroke and Cerebrovascular Diseases - May 26, 2016 Category: Neurology Authors: Guido Bigliardi, Maria Luisa Dell'Acqua, Stefano Vallone, Filippo Barbi, Roberta Pentore, Livio Picchetto, Paolo Carpeggiani, Paolo Nichelli, Andrea Zini Source Type: research
T-Configuration Stent Placement for Carotid Bifurcation Stenosis Co-Existing with Ipsilateral Intracranial Stenosis: A Case Report and Literature Review
Carotid bifurcation stenosis is an important cause of ischemic stroke particularly in patients with intracranial artery stenosis.1 In such a condition, combined treatment with carotid artery stenting (CAS)/carotid endarterectomy (CEA) and extracranial-to-intracranial (EC-IC) bypass may be a useful option to prevent future ischemic stroke events.2-5 Adequate antegrade flow in the ipsilateral external carotid artery (ECA) is required in EC-IC bypass. However, conventional CAS/CEA occasionally results in ipsilateral ECA occlusion.
Source: Journal of Stroke and Cerebrovascular Diseases - November 21, 2020 Category: Neurology Authors: Yuki Kubota, Yoshiki Hanaoka, Jun-ichi Koyama, Yu Fujii, Toshihiro Ogiwara, Kiyoshi Ito, Tetsuyoshi Horiuchi Tags: Case Report Source Type: research
Interventional compared with medical management of symptomatic carotid web: A systematic review
Carotid web (CaW) is non-atheromatous, shelf-like intraluminal projection, generally affecting the posterolateral wall of the proximal internal carotid artery, and associated with embolic stroke, particularly in younger patients without traditional stroke risk factors. Treatment options for symptomatic CaWs include interventional therapy with carotid endarterectomy or carotid stenting versus medical therapy with antiplatelet or anticoagulants. As safety and efficacy of these approaches have been incompletely delineated in small-to-moderate case series, we performed a systematic review of outcomes with interventional and medical management.
Source: Journal of Stroke and Cerebrovascular Diseases - August 20, 2022 Category: Neurology Authors: Smit D. Patel, Fadar Oliver Otite, Karan Topiwala, Hamidreza Saber, Naoki Kaneko, Eric Sussman, Tapan V. Mehta, Ramachandra Tummala, Jason Hinman, Raul Nogueira, Diogo C. Haussen, David S. Liebeskind, Jeffrey L. Saver Source Type: research
Cost-effectiveness of carotid artery stenting vs endarterectomy: A simulation
Clinical trials conducted before the introduction of modern medical management to prevent stroke demonstrated that carotid endarterectomy (CEA) and carotid artery stenting (CAS) prevent stroke following transient ischemic attack (TIA). We compared the cost-effectiveness of CEA, CAS, and modern medical management in two secular settings of medical management in individuals with incident TIA and type 2 diabetes.
Source: Journal of Stroke and Cerebrovascular Diseases - November 30, 2022 Category: Neurology Authors: Deanna J. Marriott, Shihchen Kuo, Wen Ye, Deborah A. Levine, William H. Herman Source Type: research
The Phenotype of Infiltrating Macrophages Influences Arteriosclerotic Plaque Vulnerability in the Carotid Artery
Conclusions: Our data show that M1 macrophage content of atherosclerotic plaques is associated with clinical incidence of ischemic stroke and increased inflammation or fibrinolysis. We also show the benefits of using ultrasound to evaluate vulnerability in the plaques.
Source: Journal of Stroke and Cerebrovascular Diseases - December 28, 2012 Category: Neurology Authors: Kyu Yong Cho, Hideaki Miyoshi, Satoshi Kuroda, Hiroshi Yasuda, Kenji Kamiyama, Joji Nakagawara, Masayoshi Takigami, Takuma Kondo, Tatsuya Atsumi Tags: Original Articles Source Type: research
