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Source: Journal of Vascular Surgery

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Most patients experiencing 30-day postoperative stroke after carotid endarterectomy will initially experience disability
Although modern rates of stroke after carotid endarterectomy (CEA) have been low, the functional outcomes of stroke after CEA are unclear. Our goal was to assess the degree of initial disability in patients without baseline stroke-related impairment who had undergone CEA and experienced an early postoperative stroke.
Source: Journal of Vascular Surgery - May 4, 2019 Category: Surgery Authors: Scott R. Levin, Alik Farber, Thomas W. Cheng, Douglas W. Jones, Denis Rybin, Jeffrey A. Kalish, Kyla M. Bennett, Nkiruka Arinze, Jeffrey J. Siracuse Source Type: research

Neurologic outcomes of carotid and other emergent interventions for ischemic stroke over six years with dataset enhanced by machine learning
Current mainstays of ischemic stroke treatment include the use of thrombolysis (tissue plasminogen activator, tPA), urgent carotid endarterectomy (uCEA) or carotid artery stenting (uCAS), and mechanical endovascular reperfusion/thrombectomy (MER). Scarce data describe the presenting stroke severity and neurologic outcomes for these acute ischemic stroke interventions, alone or in combination. The authors hypothesize that patients undergoing carotid interventions experience better functional neurologic outcomes than other stroke interventions.
Source: Journal of Vascular Surgery - June 24, 2022 Category: Surgery Authors: P. Andrew Rivera, Jeffrey Burton, Aaron Hayson, Bethany Jennings, Gabriel Vidal, W.C. Sternbergh, Daniel Fort, Hernan A. Bazan Source Type: research

Neurologic outcomes of carotid and other emergent interventions for ischemic stroke over 6  years with dataset enhanced by machine learning
The current mainstays of ischemic stroke treatment include the use of thrombolysis (tissue plasminogen activator [tPA]), urgent carotid endarterectomy (uCEA) or urgent carotid artery stenting (uCAS), and mechanical endovascular reperfusion/thrombectomy (MER). Scarce data describe the presenting stroke severity and neurologic outcomes for these acute ischemic stroke interventions, alone or in combination. The authors hypothesize that patients undergoing carotid interventions experience better functional neurologic outcomes than other stroke interventions.
Source: Journal of Vascular Surgery - June 24, 2022 Category: Surgery Authors: P. Andrew Rivera, Jeffrey Burton, Aaron Hayson, Bethany Jennings, Gabriel Vidal, Waldemar C. Sternbergh, Daniel Fort, Hernan A. Bazan Source Type: research

In-hospital Outcomes Following Carotid Endarterectomy for Stroke Stratified by Modified Rankin Scale and Time of Intervention
While benefits of carotid endarterectomy (CEA) in treating symptomatic carotid stenosis are well known, optimal timing of intervention after acute stroke and whether optimal timing varies with preoperative stroke severity remains unclear. Therefore, we assessed the impact of stroke severity and timing of intervention on post-operative outcomes in patients undergoing CEA for stroke.
Source: Journal of Vascular Surgery - November 14, 2022 Category: Surgery Authors: Yoel Solomon, Christina L. Marcaccio, Vinamr Rastogi, Jinny J. Lu, Mahmoud B. Malas, Grace J. Wang, Peter A. Schneider, Gert J. de Borst, Marc L. Schermerhorn Source Type: research

In-hospital outcomes after carotid endarterectomy for stroke stratified by modified Rankin scale score and time of intervention
Although the benefits of carotid endarterectomy (CEA) for treating symptomatic carotid stenosis are well known, the optimal timing of intervention after acute stroke and whether the optimal timing will vary with preoperative stroke severity has remained unclear. Therefore, we assessed the effect of stroke severity and timing of the intervention on the postoperative outcomes for patients who had undergone CEA for stroke.
Source: Journal of Vascular Surgery - November 14, 2022 Category: Surgery Authors: Yoel Solomon, Christina L. Marcaccio, Vinamr Rastogi, Jinny J. Lu, Mahmoud B. Malas, Grace J. Wang, Peter A. Schneider, Gert J. de Borst, Marc L. Schermerhorn Source Type: research

Poststent Ballooning Increases Postoperative Stroke and Death Rate in Carotid Artery Stenting
Stroke remains the fourth leading cause of death and the leading cause of disability in the United States. Carotid endarterectomy (CEA) has been proven superior to medical therapy alone in decreasing the risk of stroke in patients with high-grade stenosis of the internal carotid artery. Although CEA remains the gold standard, with low perioperative stroke risk, carotid artery stenting (CAS) has seen progressively improved outcomes. Operators follow general guidelines in intraoperative techniques in CAS.
Source: Journal of Vascular Surgery - November 21, 2014 Category: Surgery Authors: Mahmoud Malas, Tammam Obeid, Isibor Arhuidese, Umair Qazi, Chris Abularrage, James Black, Bruce Perler Tags: Abstract from the Thirty-Ninth Annual Meeting of the Southern Association for Vascular Surgery Source Type: research

Risk of Early Recurrent Stroke in Symptomatic Carotid Stenosis
The risk of recurrent stroke in patients with symptomatic carotid artery stenosis is highest in the first weeks after a transient ischemic attack (TIA) or minor stroke and can be reduced with carotid endarterectomy (CEA). The optimal timing of CEA remains a controversial issue since very urgent CEA is associated with an increased procedural risk. The aim of this study was to determine the risk of very early recurrent stroke in a population with symptomatic high grade carotid stenosis.
Source: Journal of Vascular Surgery - January 23, 2015 Category: Surgery Authors: S. Strömberg, A. Nordanstig, T. Bentzel, K. Österberg, G.M.L. Bergström Source Type: research

Urgent carotid intervention is safe after thrombolysis for minor to moderate acute ischemic stroke
Carotid intervention shortly after an acute neurologic ischemic event is being performed more frequently in stroke centers to reduce the risk of recurrent stroke. Thrombolysis with recombinant tissue plasminogen activator (tPA) is offered to select patients with ischemic stroke symptoms who present within 4.5 hours. However, there is a paucity of data as to whether tPA followed by urgent carotid endarterectomy (CEA) or carotid artery stenting (CAS) has an increased risk of complications, particularly intracerebral hemorrhage (ICH).
Source: Journal of Vascular Surgery - September 24, 2015 Category: Surgery Authors: Hernan A. Bazan, Nicolas Zea, Bethany Jennings, Taylor A. Smith, Gabriel Vidal, W. Charles Sternbergh Tags: Clinical Paper Source Type: research

One-Year Risk of Stroke after Transient Ischemic Attack or Minor Stroke
There is a lower risk of cardiovascular events after transient ischemic attack (TIA) than previously reported. The ABCD2 score, findings and brain imaging, and presence of large-artery atherosclerosis help stratify the risk of recurrent stroke within 1  year after a TIA or minor stroke.
Source: Journal of Vascular Surgery - September 22, 2016 Category: Surgery Authors: P. Amarenco, P.C. Lavallee, J. Labreuche Tags: Abstract Source Type: research

Effects of Aspirin on Risk and Severity of Early Recurrent Stroke After Transient Ischemic Attack and Ischemic Stroke: Time-Course Analysis of Randomized Trials
Medical therapy substantially reduces risk of early recurrent stroke after TIA and minor stroke and aspirin is the key intervention.
Source: Journal of Vascular Surgery - November 18, 2016 Category: Surgery Authors: P.M. Rothwell, A. Algra, Z. Chen Tags: Abstract Source Type: research

Incidence of Stroke Following Thoracic Endovascular Aortic Repair for Descending Aortic Aneurysm: A Systematic Review of the Literature with Meta-analysis
Stroke is an increasingly recognised complication following thoracic endovascular aortic repair (TEVAR). The aim of this study was to systematically synthesise the published data on perioperative stroke incidence during TEVAR for patients with descending thoracic aneurysmal disease and to assess the impact of left subclavian artery (LSA) coverage on stroke incidence.
Source: Journal of Vascular Surgery - February 22, 2017 Category: Surgery Authors: R.S. von Allmen, B. Gahl, J.T. Powell Tags: Selected Abstract from the February Issue of the European Journal of Vascular and Endovascular Surgery Source Type: research

Urgent Carotid Intervention in Patients With Minor to Moderate Strokes (National Institutes of Health Stroke Scale Score ≤10) Performed After 48 Hours Results in Greater Functional Independence at Discharge
Increasing evidence suggests that urgent carotid intervention after transient ischemic attack (TIA) or nondisabling stroke is safe.1 However, functional outcome after urgent carotid intervention for various degrees of stroke severity has not yet been quantified. We aimed to determine whether increased stroke severity on presentation is associated with poor functional outcomes in patients undergoing urgent carotid endarterectomy (CEA) or carotid artery stenting (CAS).
Source: Journal of Vascular Surgery - December 18, 2017 Category: Surgery Authors: Esther Mihindu, Alaa Mohammed, Bethany Jennings, Mustafa Alhasan, James Milburn, Taylor Smith, Clayton Brinster, W.C. Sternbergh Tags: Abstract from the 2018 Southern Association for Vascular Surgery Annual Meeting Source Type: research

IP103. A Significant Number of Patients Who Suffer a Perioperative Stroke After Carotid Endarterectomy Experience Significant Disability
Although modern rates of perioperative stroke after carotid endarterectomy (CEA) have been shown to be low, the degree of disability after a stroke is unclear. Our goal was to assess the degree of disability of perioperative stroke after CEA in patients without perioperative impairment.
Source: Journal of Vascular Surgery - May 22, 2018 Category: Surgery Authors: Scott R. Levin, Alik Farber, Douglas W. Jones, Denis Rybin, Jeffrey Kalish, Kyla Bennett, Nkiruka Arinze, Jeffrey Siracuse Source Type: research

Unplanned and Planned Shunting During Carotid Endarterectomy After Acute Stroke Is Associated With Increased Risk of Perioperative Stroke
Whether recent stroke mandates shunting during carotid endarterectomy (CEA) is controversial. Our goal was to determine associations of various shunting practices with perioperative outcomes of CEAs performed after acute stroke.
Source: Journal of Vascular Surgery - August 21, 2019 Category: Surgery Authors: Scott R. Levin, Alik Farber, Philip P. Goodney, Marc L. Schermerhorn, Virendra I. Patel, Nkiruka Arinze, Douglas W. Jones, Jeffrey J. Siracuse Tags: Abstract from the 2019 New England Society for Vascular Surgery Annual Meeting Source Type: research

Retinal artery occlusion and risk of stroke
We read with interest the article of Laczynski et  al1 titled “Retinal artery occlusion does not portend an increased risk of stroke.” This retrospective study including 221 cases of ischemic retinal artery occlusion (RAO) showed an incidence of stroke of 2.3%. The authors concluded with the following statement: “The risk of stroke subsequen t to a confirmed episode of symptomatic RAO is very low.”1
Source: Journal of Vascular Surgery - October 21, 2020 Category: Surgery Authors: Matteo Fallico, Andrew Lotery, Michele Reibaldi Tags: Letter to the Editor Source Type: research