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Source: Journal of Vascular Surgery
Condition: Hypertension
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Total 18 results found since Jan 2013.
Beta Blockers are Associated with Decreased 30-Day Postoperative Stroke Risk Following Both Carotid Stenting and Endarterectomy in Patients with Hypertension
Stroke is a significant complication associated with both carotid endarterectomy (CEA) and carotid artery stenting (CAS). Hypertension is a strong risk factor for development of carotid stenosis and is present in over 80% of patients undergoing carotid revascularization. Antihypertensive therapy is associated with reduced stroke risk in patients with carotid artery stenosis. Our aim was to determine whether antihypertensive medication regimens can impact stroke risk in patients following carotid revascularization.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Kiran A. Goyal, Jeremy Albright, Matthew Corriere, Nicholas Osborne, Peter Henke Tags: S8: Plenary Session 8 Source Type: research
Surgical Management of Pediatric renin-mediated Hypertension seCONDARY TO RENAL ARTERY OCCLUSIVE DISEASE AND ABDOMINAL AORTIC COARCTATION
Renovascular hypertension (RVH) associated with renal artery and abdominal aortic narrowings is the third most common cause of pediatric hypertension. Untreated children may experience major cardiopulmonary complications, stroke, renal failure and death. The impetus of this study was to describe the increasingly complex surgical practice for such patients with an emphasis on anatomic phenotype and contemporary outcomes following surgical management, as a means of identifying those factors responsible for persistent or recurrent hypertension necessitating reoperation.
Source: Journal of Vascular Surgery - April 6, 2020 Category: Surgery Authors: Dawn M. Coleman, Jonathan L. Eliason, Robert Beaulieu, Tatum Jackson, Monita Karmakar, David B. Kershaw, Zubin J. Modi, Santhi K. Ganesh, Minhaj S. Khaja, David Williams, James C. Stanley, University of Michigan Pediatric Renovascular Hypertension Center Source Type: research
Endovascular Versus Open Surgical Intervention in Patients with Takayasu's Arteritis: A Meta-analysis
Although medical treatment has advanced, surgical treatment is needed to control symptoms of Takayasu's arteritis (TA), such as angina, stroke, hypertension, or claudication. Endovascular or open surgical intervention is performed; however, there are few comparative studies on these methods. This meta-analysis and systematic review aimed to examine the outcome of surgical treatment of TA.
Source: Journal of Vascular Surgery - June 21, 2018 Category: Surgery Authors: J.H. Jung, Y.H. Lee, G.G. Song, H.S. Jeong, J.-H. Kim, S.J. Choi Tags: Selected Abstract from the June Issue of the European Journal of Vascular and Endovascular Surgery Source Type: research
IF03. Preoperative Hypertension Is Associated With Atherosclerotic Plaque Vulnerability in Patients Undergoing Carotid Endarterectomy
Elevated blood pressure is associated with primary manifestations of cerebrovascular disease, such as stroke and myocardial infarction. Moreover, untreated hypertension contributes to atherosclerotic disease progression and is a risk factor for periprocedural complications in patients undergoing carotid endarterectomy (CEA). It is currently unknown how hypertension influences this underlying culprit of cerebrovascular disease, namely, the atherosclerotic plaque. Therefore, the aim of this study was to determine whether blood pressure influences vulnerable plaque characteristics in patients undergoing CEA.
Source: Journal of Vascular Surgery - May 22, 2018 Category: Surgery Authors: Leonie Fassaert, Ian van Koeverden, Gerard Pasterkamp, Gert J. de Borst Source Type: research
Intraoperative cone beam computed tomography-guided endovascular recanalization of an interrupted aorta
We report a case of real-time image-guided endovascular repair to highlight the value of preprocedural planning and intraprocedural cone beam computed tomography. Two-dimensional fluoroscopy enhanced with three-dimensional landmarks from cone beam computed tomography was used to direct a Nykanen radiofrequency wire (Baylis Medical, Montreal, Quebec, Canada) through the interruption, avoiding critical adjacent structures.
Source: Journal of Vascular Surgery - February 17, 2018 Category: Surgery Authors: Philip L. Auyang, Ponraj Chinnadurai, Thomas MacGillivray, Alan B. Lumsden, John P. Breinholt, C. Huie Lin Tags: Case report Source Type: research
Asymptomatic carotid stenosis is associated with cognitive impairment
Cerebrovascular risk factors (eg, hypertension, coronary artery disease) and stroke can lead to vascular cognitive impairment. The Asymptomatic Carotid Stenosis and Cognitive Function study evaluated the isolated impact of asymptomatic carotid stenosis (no prior ipsilateral or contralateral stroke or transient ischemic attack) on cognitive function. Cerebrovascular hemodynamic and carotid plaque characteristics were analyzed to elucidate potential mechanisms affecting cognition.
Source: Journal of Vascular Surgery - July 13, 2017 Category: Surgery Authors: Brajesh K. Lal, Moira C. Dux, Siddhartha Sikdar, Carly Goldstein, Amir A. Khan, John Yokemick, Limin Zhao Tags: Clinical paper Source Type: research
SS26 Surgical Management of Pediatric Renovascular Hypertension
Renovascular hypertension is the third most common cause of pediatric hypertension (HTN), and if left untreated, risks devastating cardiopulmonary complication, stroke, renal failure, and mortality. The impetus of this study was to identify risk factors responsible for persistent HTN necessitating reoperation.
Source: Journal of Vascular Surgery - May 17, 2017 Category: Surgery Authors: Dawn M. Coleman, Jonathan L. Eliason, Tatum Jackson, David B. Kershaw, David M. Williams, Santhi K. Ganesh, James C. Stanley Tags: S6: Plenary Session 6 Source Type: research
Predictors of Restenosis Following Carotid Angioplasty and Stenting
Restenosis after carotid angioplasty is associated with ipsilateral stroke occurrence. Hypertension, angioplasty without stent, and impaired vasoreactivity identify patients at high risk of restenosis and potentially could help select patients for follow-up ultrasound imaging.
Source: Journal of Vascular Surgery - January 23, 2017 Category: Surgery Authors: E. Zapata-Arriaza, F. Moniche, A. Gonzalez Source Type: research
Regional Anesthesia is Associated With Decreased Postoperative Hypertension in Patients Undergoing Eversion Carotid Endarterectomy
Eversion carotid endarterectomy (eCEA) has been effective in reducing stroke risk in patients with carotid artery stenosis. Recent literature shows that patients who undergo eCEA are at risk for development of postoperative hypertension requiring intravenous (IV) antihypertensive medication. The purpose of this study was to assess whether the type of anesthesia (regional or general) has an impact on the incidence of postoperative hypertension requiring IV antihypertensive medication in the surgical intensive care unit (SICU) in patients undergoing eCEA.
Source: Journal of Vascular Surgery - August 23, 2016 Category: Surgery Authors: Felecia Jinwala, Justin Oh, Viktor Dombrovskiy, Khanjan Nagarsheth, Saum Rahimi Tags: Abstract from the 2016 Eastern Vascular Society Annual Meeting Source Type: research
The Long-Term Effects of the Type of Carotid Endarterectomy on Blood Pressure
Carotid endarterectomy (CEA) has been one of the most studied and scrutinized operative procedures in vascular surgery. Retrospective series and randomized trials have shown no difference in perioperative stroke and long-term restenosis between conventional patch angioplasty (cCEA) and eversion (eCEA). A number of authors have shown acute hemodynamic disturbances in the immediate postoperative period leading to a temporary hypertensive state. eCEA may increase the risk of postoperative hypertension due to the more extensive dissection of the carotid bulb.
Source: Journal of Vascular Surgery - August 22, 2015 Category: Surgery Authors: Brian C. Adams, Mark R. Pedersen, Maen S. Hosn, Timothy F. Kresowik, Luigi Pascarella Tags: Abstract from the 2015 Midwestern Vascular Surgical Society Annual Meeting Source Type: research
Alcohol Consumption at Midlife and Risk of Stroke During 43 Years of Follow-Up Cohort and Twin Analyses
Stroke risk is associated with heavy drinking (>2 drinks/d) in midlife and seems more important than well known risk factors such as hypertension and diabetes, until the age of approximately 75 years.
Source: Journal of Vascular Surgery - June 23, 2015 Category: Surgery Authors: P. Kadlecová, R. Andel, R. Mikulik Tags: Abstract Source Type: research
Giant aneurysm of the abdominal aorta
A 79-year-old man with a history of smoking, hypertension, chronic pulmonary disease, and nondisabling stroke was admitted to the emergency department due to loss of consciousness and diffuse abdominal pain. At admission, the patient was vigil but hypotensive (90/60 mm Hg) and tachycardic (107 bpm). Physical examination revealed a tender, pulsatile mass occupying the entire abdomen (A). His hemoglobin level was 6.5 g/dL. Computed tomographic angiography revealed a giant infrarenal aortic aneurysm with a maximum transverse diameter of 256 mm (B and C). A small layer of blood was visible in the left retroperitoneal space. Co...
Source: Journal of Vascular Surgery - February 25, 2014 Category: Surgery Authors: Hugo Rodrigues, Frederico Bastos Gonçalves, Maria Emília Ferreira Tags: Vascular images Source Type: research
Gender-specific 30-day outcomes after carotid endarterectomy and carotid artery stenting in the Society for Vascular Surgery Vascular Registry
Objective: Although the optimal treatment of carotid stenosis remains unclear, available data suggest that women have higher risk of adverse events after carotid revascularization. We used data from the Society for Vascular Surgery Vascular Registry to determine the effect of gender on outcomes after carotid endarterectomy (CEA) and carotid artery stenting (CAS).Methods: There were 9865 patients (40.6% women) who underwent CEA (n = 6492) and CAS (n = 3373). The primary end point was a composite of death, stroke, and myocardial infarction at 30 days.Results: There was no difference in age and ethnicity between genders, b...
Source: Journal of Vascular Surgery - November 18, 2013 Category: Surgery Authors: Jeffrey Jim, Ellen D. Dillavou, Gilbert R. Upchurch, Nicholas H. Osborne, Christopher T. Kenwood, Flora S. Siami, Rodney A. White, Joseph J. Ricotta, SVS Outcomes Committee Tags: Clinical research studies Source Type: research
The need for treatment of hemodynamic instability following carotid endarterectomy is associated with increased perioperative and 1-year morbidity and mortality
The objective of this study was to evaluate the outcomes of patients after carotid endarterectomy (CEA) who developed postoperative hypertension or hypotension requiring the administration of intravenous vasoactive medication (IVMED).Methods: We examined consecutive, primary elective CEA performed by 128 surgeons within the Vascular Study Group of New England (VSGNE) database (2003-2010) and compared outcomes of patients who required postoperative IVMED to treat hyper- or hypotension with those who did not. Outcomes included perioperative death, stroke, myocardial infarction (MI), congestive heart failure (CHF), hospital l...
Source: Journal of Vascular Surgery - September 3, 2013 Category: Surgery Authors: Tze-Woei Tan, Mohammad H. Eslami, Jeffrey A. Kalish, Robert T. Eberhardt, Gheorghe Doros, Philip P. Goodney, Jack L. Cronenwett, Alik Farber, Vascular Study Group of New England Tags: Clinical research studies Source Type: research
Open repair of intact thoracoabdominal aortic aneurysms in the American College of Surgeons National Surgical Quality Improvement Program
Objective: Open surgical repair of thoracoabdominal aortic aneurysms (TAAAs) is uncommon. Mortality rates of 20% are reported in studies using national data and are 5% to 8% in single-institution studies. Clinical trials are currently evaluating branched and fenestrated endografts. The purpose of this study is to establish a benchmark for future comparisons with endovascular trials using open repair of TAAAs in the National Surgical Quality Improvement Program (NSQIP) database.Methods: We identified all patients undergoing open elective and emergency surgical repair of intact TAAAs in NSQIP (2005 to 2010) using Current Pro...
Source: Journal of Vascular Surgery - May 6, 2013 Category: Surgery Authors: Rodney P. Bensley, Thomas Curran, Rob Hurks, Ruby C. Lo, Mark C. Wyers, Allen D. Hamdan, Elliot L. Chaikof, Marc L. Schermerhorn Tags: Clinical research studies Source Type: research
