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Source: Journal of Vascular Surgery
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Total 705 results found since Jan 2013.
Association of upper extremity and neck access with stroke in endovascular aortic repair
Upper extremity and neck access is commonly used for complex endovascular aortic repairs. We sought to compare perioperative stroke and other complications of (1) arm/neck (AN) and femoral or iliac access versus femoral/iliac (FI) access alone, (2) right- versus left-sided AN, and (3) specific arm versus neck access sites.
Source: Journal of Vascular Surgery - April 5, 2020 Category: Surgery Authors: Anastasia Plotkin, Li Ding, Sukgu M. Han, Gustavo S. Oderich, Benjamin W. Starnes, Jason T. Lee, Mahmoud B. Malas, Fred A. Weaver, Gregory A. Magee Source Type: research
Association of Transcarotid Artery Revascularization vs Transfemoral Carotid Artery Stenting With Stroke or Death Among Patients With Carotid Artery Stenosis
Prospectively collected data from the Vascular Quality Initiative Transcarotid Artery Surveillance Project and Carotid Stent Registry between September 2016 and April 2019.
Source: Journal of Vascular Surgery - April 22, 2020 Category: Surgery Authors: M.L. Schermerhorn, P. Liang, J. Eldrup-Jorgensen, J.L. Cronenwett, B.W. Nolan, V.S. Kashyap Tags: Transcarotid artery revascularization is associated with significantly lower risk of stroke or death than transfemoral carotid stenting Source Type: research
The benefit of deferred carotid revascularization in patients with moderate-severe disabling cerebral ischemic stroke
Symptomatic carotid artery stenosis needs revascularization within 2 weeks by endarterectomy (CEA) in order to reduce the risk of symptoms recurrence, however the optimal timing of intervention is yet to be defined in patients with large volume cerebral ischemic lesion (LVCIL) and modified Rankin Scale (mRS)>3. Aim of the present study is to determine the most appropriate timing for CEA in patients with a recent stroke and LVCIL.
Source: Journal of Vascular Surgery - April 25, 2020 Category: Surgery Authors: Rodolfo Pini, Gianluca Faggioli, Andrea Vacirca, Mortalla Dieng, Martina Goretti, Enrico Gallitto, Chiara Mascoli, Jeane-Baptiste Ricc ò, Mauro Gargiulo Source Type: research
Carotid Web Is an Under-recognized and Devastating Cause of Ischemic Stroke
Carotid web is a rare form of fibromuscular dysplasia that can result in embolic stroke. Misdiagnosis is common and can lead to catastrophic neurologic events. Reports in the literature are scarce, and management remains controversial.
Source: Journal of Vascular Surgery - February 22, 2021 Category: Surgery Authors: Clayton J. Brinster, Gabriel Vidal, Hernan Bazan, Ross Parkerson, Charles Leithead, Samuel Money, W.C. Sternbergh Source Type: research
Risk of Stroke in Relation to Degree of Asymptomatic Carotid Stenosis: A Population-based Cohort Study, Systemic Review, and Meta-analysis
Prospective, population-based study (Oxford Vascular Study) between April 1, 2002, and April 1, 2017, and a systematic review using MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials between January 1, 1980, and October 1, 2020.
Source: Journal of Vascular Surgery - May 20, 2021 Category: Surgery Authors: D.J.P. Howard, L. Gaziano, P.M. Rothwell, Oxford Vascular Study Tags: Degree of carotid stenosis correlates with risk of ipsilateral stroke —it makes sense 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: Journal of Vascular Surgery - June 23, 2021 Category: Surgery Authors: U. Fisch, S. von Felten, A. Wiencierz, O. Jansen, G. Howard, J. Hendrikse, A. Halliday, G. Fraedrich, H.-H. Eckstein, D. Calvet, R. Bulbulia, J.-P. Becquemin, A. Algra, P. Rothwell, P. Ringleb, J.-L. Mas, M.M. Brown, T.G. Brott, L.H, Bonati, Carotid Steno Source Type: research
Transcarotid Artery Revascularization Might Offer a Lower Early Stroke Rate in Asymptomatic Female Patients: A Retrospective Study Using the Vascular Quality Initiative
Increasing evidence has shown that transcarotid artery revascularization (TCAR) offers lower stroke rates compared with transfemoral carotid artery stenting (TFCAS). However, the gender differences between the two modalities are poorly understood. We investigated the postoperative complication rates in TCAR and TFCAS stratified by gender.
Source: Journal of Vascular Surgery - August 24, 2021 Category: Surgery Authors: Amey Vrudhula, Ajit Rao, Rami Tadros, Windsor Ting, Daniel Han, David Finlay, Krishnasamy Soundararajan, John Phair, Michael Marin, Peter Faries Tags: IP: Interactive Poster Session Source Type: research
Carotid Endarterectomy During Index Hospital Admission for Patients With Acute Mild to Moderate Stroke
The timing of carotid endarterectomy (CEA) after acute stroke due to an infarct in the middle cerebral artery territory with ipsilateral internal carotid artery stenosis remains controversial. We evaluated the results of CEA in this group of patients during the index hospital admission.
Source: Journal of Vascular Surgery - August 24, 2021 Category: Surgery Authors: Vicki Sharma, Sachinder Hans Tags: IP: Interactive Poster Session Source Type: research
The Degree of Carotid Artery Stenosis Affects the Perioperative Stroke Rate in Symptomatic Patients Undergoing Carotid Intervention
In patients with carotid stenosis, both the severity of the stenosis as well as the plaque morphology influence the likelihood of future transient ischemic attack or stroke. In general, severely stenotic lesions are presumed to have a higher embolic potential than moderately stenotic lesions. Carotid intervention is indicated in patients with both moderate and severe stenosis with related cerebrovascular symptoms. However, the effect of the degree of carotid stenosis in symptomatic patients upon the outcome of carotid intervention has not been extensively studied.
Source: Journal of Vascular Surgery - August 24, 2021 Category: Surgery Authors: Karan Garg, Glenn R. Jacobowitz, Frank J. Veith, Virendra I. Patel, Jeffrey J. Siracuse, Thomas S. Maldonado, Mikel Sadek, Neal S. Cayne, Caron B. Rockman Tags: VESS Paper Session Source Type: research
Plaque Contact Surface Area and Flow Lumen Volume Predict Stroke Risk in Extracranial Carotid Artery Stenosis
The ability to predict culprit lesions in the extracranial carotid circulation remains limited. The standard indication for intervention in asymptomatic disease is currently percent stenosis in the internal carotid artery as measured by the North American Symptomatic Carotid Endarterectomy Trial (NASCET) method. Computed tomography angiography (CTA) offers the opportunity to analyze carotid artery plaques from a morphologic perspective. Here, we aim to improve stroke risk stratification of patients with carotid artery stenosis using plaque 3D modeling and analysis.
Source: Journal of Vascular Surgery - August 24, 2021 Category: Surgery Authors: Ryan Gedney, Veena Mehta, Matthew Bridges, Adam Brown, Ravi Veeraswamy Tags: S2: Plenary Session 2 Source Type: research
Carotid Lesion Length Independently Predicts Stroke and Death After Transcarotid Artery Revascularization and Transfemoral Carotid Artery Stenting
Prior data from CREST suggested that the higher perioperative stroke or death event rate among patients treated with transfemoral carotid artery stenting (TFCAS) appears to be strongly related to the lesion length. Nonetheless, data regarding the impact of lesion length on outcomes of transcarotid artery revascularization (TCAR) with flow reversal is lacking. Herein, we aimed to compare the outcomes of TCAR versus TFCAS stratified by the length of carotid lesion.
Source: Journal of Vascular Surgery - December 20, 2021 Category: Surgery Authors: Nadin Elsayed, Maryam Ali Khan, Munir Paul Moacdieh, Ann Gaffey, Jeffrey Siracuse, Mahmoud Malas Source Type: research
NIHSS score at admission can predict functional outcomes in patients with ischemic stroke undergoing carotid endarterectomy
The aim of present study was to evaluate the prognostic impact of National Institutes of Health Stroke Scale (NIHSS) score in patients undergoing acute CEA, and to assess clinical and morphological factors that could predict worse outcomes.
Source: Journal of Vascular Surgery - December 23, 2021 Category: Surgery Authors: Davide Mastrorilli, Luca Mezzetto, Mario D'Oria, Roberta Fiorini, Sandro Lepidi, Lorenzo Scorsone, Edoardo Veraldi, Gian Franco Veraldi Source Type: research
A systematic review and meta-analysis of stroke rates in patients undergoing Thoracic Endovascular Aortic Repair for descending thoracic aortic aneurysm and type B dissection.
We performed a systematic review and meta-analysis aiming to assess the stroke rates following thoracic endovascular aortic repair (TEVAR) for descending thoracic aortic aneurysms and/or dissections.
Source: Journal of Vascular Surgery - March 3, 2022 Category: Surgery Authors: Georgios I. Karaolanis, Constantine N. Antonopoulos, Philippe Charbonneau, Efstratios Georgakarakos, Demetrios Moris, Salvatore Scali, Drosos Kotelis, Konstantinos Donas Source Type: research
Physiologic Risk Factors Increase the Risk of Myocardial Infarction but Not Stroke or Death After Transcarotid Artery Revascularization in Prospective Trials
Current high-risk criteria to undergo transcarotid artery revascularization (TCAR) are categorized into anatomical (ANAT) and physiologic (PHYS) factors. Patients with physiologic criteria are deemed to have higher overall surgical risk due to more significant comorbidities. Our aim is to study the incidence of stroke, myocardial infarction (MI), death, and combined end points in patients who underwent TCAR comparing ANAT vs PHYS risk factors.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Jane Chung, Norman H. Kumins, Raghu L. Motaganahalli, Peter A. Schneider, Christopher Kwolek, Vikram S. Kashyap Tags: VESS Paper Session Source Type: research
Loss of Follow Up After Carotid Revascularization is Associated with Worse Long-Term Stroke and Death
In this retrospective analysis of 58,840 patients undergoing carotid revascularization, one year loss to follow-up (LTF) after carotid revascularization procedures was found to be associated with worse stroke free survival. Surgeons should emphasis the importance of postoperative follow-up to all patients who undergo carotid revascularization.
Source: Journal of Vascular Surgery - September 28, 2022 Category: Surgery Authors: Nadin Elsayed, Rohini Patel, Isaac Naazie, Caitlin W. Hicks, Jeffrey J. Siracuse, Mahmoud B. Malas Source Type: research
