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Source: Journal of Vascular Surgery

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Total 705 results found since Jan 2013.

The imperative need to identify stroke risk stratification models for patients with asymptomatic carotid artery stenosis
The optimal management of patients with asymptomatic carotid stenosis (ACS) is controversial. The study by Klarin et  al1 provides important novel information that challenges the theory claiming that medical treatment (MT) alone is adequate for the management of all patients with ACS and that prophylactic carotid endarterectomy is not justified in any of these patients.2 Klarin et al1 showed that 112 of 219 pat ients (50%) with radiographically confirmed first-ever carotid-related strokes did actually receive antiplatelet therapy before their stroke, and 121 of 219 patients (55%) received lipid-lowering therapy (most ...
Source: Journal of Vascular Surgery - September 20, 2018 Category: Surgery Authors: Kosmas I. Paraskevas, Jean-Baptiste Ricco Tags: Letter to the Editor Source Type: research

Long-Term Stroke Risk With Carotid Endarterectomy in Patients With Severe Carotid Stenosis
In this study, we report long-term stroke and death risk after CEA in a large integrated health care system.
Source: Journal of Vascular Surgery - August 21, 2019 Category: Surgery Authors: Kara A. Rothenberg, Lue-Yen Tucker, Andrew L. Avins, Hui C. Kuang, Rishad M. Faruqi, Alexander C. Flint, Mai N. Nguyen-Huynh, Robert W. Chang Tags: Abstract from the 2019 Western Vascular Society Annual Meeting Source Type: research

Delayed Carotid Endarterectomy After Admission in Symptomatic Carotid Artery Disease Is Associated With Lower Postoperative Stroke Rates in the Medicare Population
The appropriate timing of carotid endarterectomy (CEA) in symptomatic carotid artery disease is still controversial. Despite guideline recommendations to perform CEA within 14 days, recent studies have favored delayed CEA to decrease the risk of postoperative stroke. The goal of this study was to evaluate the timing of CEA for symptomatic disease in the Medicare population and its effects on postoperative stroke rates.
Source: Journal of Vascular Surgery - August 21, 2019 Category: Surgery Authors: Nathan Itoga, Pavlos Tsantilas, Manuel Garcia-Toca, John Harris Tags: Abstract from the 2019 Western Vascular Society Annual Meeting Source Type: research

Carotid endarterectomy after systemic thrombolysis in a stroke population
Vascular specialists are increasingly being requested to perform carotid endarterectomy (CEA) after intravenous thrombolysis (IVT) for stroke patients, raising concerns about hemorrhagic complications. Few case series and registry reports have assessed the question, and even fewer studies have included a control group. The aim of this study was to evaluate the overall outcome of patients undergoing CEA after IVT and to compare them with contemporary patients with CEA after simple stroke (non-IVT group).
Source: Journal of Vascular Surgery - September 12, 2019 Category: Surgery Authors: William Fortin, Miguel Chaput, Stephane Elkouri, Nathalie Beaudoin, Jean-Fran çois Blair Source Type: research

Shunt intention during carotid endarterectomy in the early symptomatic period and perioperative stroke risk
Whether recent stroke mandates planned shunting during carotid endarterectomy (CEA) is controversial. Our goal was to determine associations of various shunting practices with postoperative outcomes of CEAs performed after acute stroke.
Source: Journal of Vascular Surgery - February 4, 2020 Category: Surgery Authors: Scott R. Levin, Alik Farber, Philip P. Goodney, Marc L. Schermerhorn, Virendra I. Patel, Nkiruka Arinze, Thomas W. Cheng, Douglas W. Jones, Denis Rybin, Jeffrey J. Siracuse Source Type: research

Long-term Stroke Risk with Carotid Endarterectomy in Patients with Severe Carotid Stenosis
In this study, we report long-term stroke and death risk after CEA in a large integrated healthcare system.
Source: Journal of Vascular Surgery - July 20, 2020 Category: Surgery Authors: Kara A. Rothenberg, Lue-Yen Tucker, Rebecca C. Gologorsky, Andrew L. Avins, Hui C. Kuang, Rishad M. Faruqi, Alexander C. Flint, Mai N. Nguyen-Huynh, Robert W. Chang Source Type: research

Simultaneous Treatment of Common Carotid Lesions Increases the Risk of Stroke and Death After Carotid Artery Stenting
Tandem carotid artery lesions that involve simultaneous internal carotid artery (ICA) and common carotid artery (CCA) stenoses present a complex clinical problem. The addition of a retrograde proximal intervention to treat a CCA lesion during a carotid endarterectomy increases the risk of stroke and death. However, the stroke and death risk associated with totally endovascular treatment of tandem lesions is unknown and is the subject of this study.
Source: Journal of Vascular Surgery - August 20, 2020 Category: Surgery Authors: Charles DeCarlo, Adam Tanious, Laura T. Boitano, Jahan Mohebali, David H. Stone, W. Darrin Clouse, Mark F. Conrad Source Type: research

Vascular Quality Initiative Risk Score for 30-day Stroke or Death Following TransCarotid Artery Revascularization
Transcarotid artery revascularization (TCAR) using a flow-reversal neuroprotection system has gained popularity for the endovascular treatment of carotid artery atherosclerotic disease due to its lower risk of stroke or death compared with transfemoral carotid artery stenting. However, specific risk factors associated with stroke or death complications following TCAR have yet to be defined.
Source: Journal of Vascular Surgery - October 19, 2020 Category: Surgery Authors: Patric Liang, Thomas F.X. O ’Donnell, Jack L. Cronenwett, Mahmoud B. Malas, Jens Eldrup-Jorgensen, Vikram S. Kashyap, Grace J. Wang, Raghu L. Motaganahalli, Brian W. Nolan, Marc L. Schermerhorn Source Type: research

Primary Mechanism of Stroke Reduction in Transcarotid Artery Revascularization is Dynamic Flow Reversal
Recent studies have suggested that the low risk of stroke and death associated with TransCarotid Artery Revascularization (TCAR) is partially attributable to a robust dynamic flow reversal system as well as the avoidance of the atherosclerotic aortic arch during the stenting procedure. However, the benefit of flow reversal compared to distal embolic protection (DEP) in reducing stroke or death in transcarotid revascularization has not been studied.
Source: Journal of Vascular Surgery - December 1, 2020 Category: Surgery Authors: Isaac N. Naazie, Gregory A. Magee, Asma Mathlouthi, Nadin Elsayed, Hanaa Dakour-Aridi, Mahmoud B. Malas Source Type: research

Simultaneous Treatment of Common Carotid Lesions Increases the Risk of Stroke and Death after Carotid Artery Stenting
Tandem carotid artery lesions that involve simultaneous internal carotid artery (ICA) and common carotid artery (CCA) stenoses present a complex clinical problem. Some studies have shown that the addition of a retrograde proximal intervention to treat a CCA lesion during a carotid endarterectomy (CEA) increases the risk of stroke and death. However, the stroke and death risk associated with a totally endovascular approach to tandem lesions is unknown and is the subject of this study.
Source: Journal of Vascular Surgery - February 2, 2021 Category: Surgery Authors: Charles DeCarlo, Adam Tanious, Laura T. Boitano, Jahan Mohebali, David H. Stone, W. Darrin Clouse, Mark F. Conrad Source Type: research

Composite Dialysis, Paralysis, Stroke, or Mortality After Endovascular Aortic Interventions in the Society for Vascular Surgery Vascular Quality Initiative
Thoracoabdominal aortic aneurysm life-altering events, which include a combination of permanent dialysis, permanent spinal cord ischemia, stroke, and/or death, have devastating effects after complex endovascular repair. However, the occurrence of these life-altering events after endovascular abdominal aortic aneurysm repair (EVAR) and thoracic endovascular aortic repair (TEVAR) has not been studied. Therefore, we examined the effects of procedural and anatomic characteristics on a composite outcome of postoperative dialysis, stroke, paralysis, and/or mortality after any endovascular aortic repair.
Source: Journal of Vascular Surgery - August 24, 2021 Category: Surgery Authors: Priya Patel, Christina Marcaccio, Livia de Guerre, Nicholas J. Swerdlow, Thomas F. O'Donnell, Sara L. Zettervall, Virendra I. Patel, Marc L. Schermerhorn Tags: IP: Interactive Poster Session Source Type: research

The Natural History and Stroke Risk of Carotid Artery Occlusion
We report our long-term stroke outcomes in patients with CAO in an integrated health system.
Source: Journal of Vascular Surgery - August 24, 2021 Category: Surgery Authors: Elizabeth Lancaster, Lue-Yen Tucker, Mai Nguyen-Huynh, Joel L. Ramirez, Kara Rothenberg, Andrew Avins, Robert W. Chang Tags: S2: Plenary Session 2 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: Journal of Vascular Surgery - January 27, 2022 Category: Surgery Authors: K. Hammar, A.C. Laska, P. Wester, K. Mani, A. Lundstr öm, M. Jonsson Tags: Selected Abstracts from the January Issue of the European Journal of Vascular and Endovascular Surgery Source Type: research

National Institutes of Health stroke scale 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 effect of the National Institutes of Health stroke scale (NIHSS) score for patients who had undergone acute carotid endarterectomy (CEA) and assess the clinical and morphologic factors that could predict for 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

The Effect of More Proximal Landing Zone on Stroke and Mortality in Thoracic Endovascular Aortic Repair: A Meta-Analysis
Stroke remains a significant limitation to the widespread adoption of thoracic endovascular repair (TEVAR) in current practice. The risk is believed to increase further with more proximal stent deployment owing to disruption of cerebral circulation. The aim of this study was to systematically analyze the literature on the impact of proximal landing zone (PLZ) placement on stroke and 30-day mortality after TEVAR.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Yuchi Ma, Mishal S. Siddiqui, Syed A. Farhan, Francisco C. Albuquerque, Robert Larson, Mark M. Levy, Katherine M. Klein, Daniel H. Newton Tags: IP: Interactive Poster Session Source Type: research