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Source: Journal of Vascular Surgery

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Total 705 results found since Jan 2013.

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

The impact of age on in-hospital outcomes after transcarotid artery revascularization, transfemoral carotid artery stenting, and carotid endarterectomy
This study aimed to compare the association between age and outcomes after TCAR, TFCAS, and CEA.
Source: Journal of Vascular Surgery - February 4, 2020 Category: Surgery Authors: Hanaa Dakour-Aridi, Vikram S. Kashyap, Grace J. Wang, Jens Eldrup-Jorgensen, Marc L. Schermerhorn, Mahmoud B. Malas Source Type: research

Carotid Endarterectomy and Carotid Artery Stenting for Patients With Crescendo Transient Ischemic Attacks: A Systemic Review
Review of English-language articles published from PubMed (MEDLINE) and Google Scholar between January 1, 1985, and January 1, 2019.
Source: Journal of Vascular Surgery - January 22, 2020 Category: Surgery Authors: A. Fereydooni, J. Gorecka, J. Xu Tags: Crescendo transient ischemic attacks should be treated by carotid endarterectomy within two days – but with increased perioperative stroke risk Source Type: research

Stent Design, Restenosis and Recurrent Stroke after Carotid Artery Stenting in the International Carotid Stenting Study
Multicenter retrospective analysis of patients entered in the prospective, randomized International Carotid Stenting Study between May 2001 and October 2008.
Source: Journal of Vascular Surgery - January 22, 2020 Category: Surgery Authors: M.D. Muller, J. Gregson, D.J.H. McCabe, International Carotid Stenting Study Investigators Tags: Open-cell stents used for carotid artery stenting are less likely to develop recurrent stenosis than closed-cell stents Source Type: research

The asymptomatic octogenarian and carotid endarterectomy —While we await the results of CREST-2
Currently there is no definitive level I evidence regarding the appropriate management of asymptomatic moderate to severe carotid artery stenosis in the octogenarian patient. In this 5-year review of National Surgical Quality Improvement Program registry data, exceptional “real-world” results are reported with use of carotid endarterectomy (CEA) in this growing cohort.1 The combined stroke and death rate was 2% at 30-day follow-up (stroke rate 1%!), with the authors stating that “age alone should not interdict this modality.”
Source: Journal of Vascular Surgery - January 22, 2020 Category: Surgery Authors: Lakshmikumar Pillai Tags: Invited commentary Source Type: research

Magnetic Resonance Imaging Identified Brain Ischaemia in Symptomatic Patients Undergoing Carotid Endarterectomy Is Related to Histologically Apparent Intraplaque Haemorrhage
Intraplaque haemorrhage (IPH) has been independently associated with a higher risk of future ipsilateral stroke in patients with carotid artery stenosis. Evaluation of plaque characteristics may contribute to risk assessment of recurrent (silent) cerebrovascular events in order to prioritise patients for timing of treatment. It is unknown if patients showing histologically apparent IPH also have increased risk of silent ischaemic brain lesions in the waiting period between index event and revascularisation.
Source: Journal of Vascular Surgery - December 18, 2019 Category: Surgery Authors: M.L. Rots, N. Timmerman, D.P.V. de Kleijn, G. Pasterkamp, M.M. Brown, L.H. Bonati, G.J. de Borst Source Type: research

Rapid Progression of Carotid Stenosis Is Rare in a Large Integrated Health Care System During an 8-Year Period
Current Society for Vascular Surgery guidelines suggest screening for asymptomatic carotid stenosis in a select group of high-risk patients with certain risk factors. Previously, the Asymptomatic Carotid Stenosis and Risk of Stroke study observed 1121 patients with>50% stenosis for a mean of 4  years and found some degree of carotid stenosis progression in 19.8% of patients. Whereas these studies examined the natural progression of carotid stenosis, there is a paucity of data on rapid progression of carotid stenosis on a large scale.
Source: Journal of Vascular Surgery - December 18, 2019 Category: Surgery Authors: Carney Chan, Daniel Fort, Cruz Velasco-Gonzalez, Ryan Bedi, Thomas N. Hawken, Charles C. Leithead, Clayton J. Brinster, Waldemar C. Sternbergh, Hernan A. Bazan Source Type: research

Carotid Endarterectomy and Carotid Artery Stenting for Patients With Crescendo Transient Ischemic Attacks: A Systemic Review
Review of English-language articles published from PubMed (MEDLINE) and Google Scholar between January 1, 1985, and January 1, 2019.
Source: Journal of Vascular Surgery - December 18, 2019 Category: Surgery Authors: A. Fereydooni, J. Gorecka, J. Xu, J. Schindler, A. Dardik Tags: Crescendo transient ischemic attacks should be treated by carotid endarterectomy within 2 days —but with increased perioperative stroke risk Source Type: research

Stent Design, Restenosis and Recurrent Stroke After Carotid Artery Stenting in the International Carotid Stenting Study
Multicenter retrospective analysis of patients entered in the prospective, randomized International Carotid Stenting Study between May 2001 and October 2008.
Source: Journal of Vascular Surgery - December 18, 2019 Category: Surgery Authors: M.D. Muller, J. Gregson, D.J. McCabe, P.J. Nederkoorn, H.B. van der Worp, G.J. de Borst, International Carotid Stenting Study Investigators Tags: Open-cell stents used for carotid artery stenting are less likely to develop recurrent stenosis than closed-cell stents Source Type: research

Asymptomatic carotid stenosis: Revisionist history is usually wrong
In his landmark 1951 publication entitled “Occlusion of the Internal Carotid Artery,” C. Miller Fisher both described the pathogenesis of hemispheric stroke related to carotid bifurcation atherosclerosis and went on to speculate that “one day surgeons may even devise a way to remove the offending plaque and thereby prevent stroke.” His prophecy was soon realized when prophylactic carotid endarterectomy (CEA) was launched more or less simultaneously on three different continents in 1953. The fundamentals of this stroke preventive strategy remain clinically valid today, being supported by virtually every internation...
Source: Journal of Vascular Surgery - December 18, 2019 Category: Surgery Authors: Richard P. Cambria, Mark F. Conrad Tags: Editorial Source Type: research

Retinal artery occlusion does not portend an increased risk of stroke
The aim of this study was to determine the subsequent risk of stroke after a diagnosis of retinal artery occlusion (RAO). We hypothesized that the risk would be low and comparable to that of the general population. RAO is relatively rare and often incorrectly diagnosed. We believe our institution is in a unique position to investigate this relationship with both a high-volume eye center and vascular laboratory.
Source: Journal of Vascular Surgery - December 12, 2019 Category: Surgery Authors: David J. Laczynski, Joshua Gallop, Sean P. Lyden, Jim Bena, Alex Yuan, Christopher J. Smolock, Francis J. Caputo Source Type: research

Efficacy and Safety of Rivaroxaban Versus Aspirin in Embolic Stroke of Undetermined Source and Carotid Atherosclerosis
A subgroup analysis was conducted of patients with carotid atherosclerosis in the NAVIGATE (New Approach Rivaroxaban Inhibition of Factor Xa in a Global Trial Versus ASA to Prevent Embolism)-ESUS (Embolic Stroke of Undetermined Source) trial, which was an international, double-blinded, randomized phase 2 trial between December 2014 and September 2017.
Source: Journal of Vascular Surgery - November 22, 2019 Category: Surgery Authors: G. Ntaios, B. Swaminathan, S.D. Berkowitz, R.J. Gagliardi, W. Lang, J.E. Siegler, NAVIGATE ESUS Investigators. Tags: Anticoagulation is not better than aspirin to prevent stroke in patients with carotid atherosclerosis Source Type: research

Antiplatelet Therapy vs Anticoagulation Therapy in Cervical Artery Dissection: The Cervical Artery Dissection in Stroke Study (CADISS) Randomized Clinical Trial Final Results.
A randomized, prospective study from the United Kingdom and Australia was conducted between February 24, 2006 and June 17, 2013.
Source: Journal of Vascular Surgery - November 22, 2019 Category: Surgery Authors: H.S. Markus, C. Levi, A. King, J. Madigan, J. Norris, Cervical Artery Dissection in Stroke Study (CADISS) Investigators. Tags: There is no difference in treatment of carotid or vertebral artery dissection with antiplatelet vs anticoagulant therapy Source Type: research

Examination of the interaction between method of anesthesia and shunting with carotid endarterectomy
This study aims to evaluate whether the choice of anesthesia modifies the association between shunting and in-hospital stroke/death after CEA.
Source: Journal of Vascular Surgery - November 5, 2019 Category: Surgery Authors: Hanaa Dakour-Aridi, Mohamed G. Gaber, Mazhar Khalid, Robert Patterson, Mahmoud B. Malas Source Type: research

External validation of the Vascular Study Group of New England carotid endarterectomy risk predictive model using an independent U.S. national surgical database
Previously, we described a Vascular Study Group of New England (VSGNE) risk predictive model to predict composite adverse outcomes (postoperative death, stroke, myocardial infarction, or discharge to extended care facilities) after carotid endarterectomy (CEA). The goal of this study was to externally validate this model using an independent database.
Source: Journal of Vascular Surgery - October 28, 2019 Category: Surgery Authors: Mohammad H. Eslami, Zein Saadeddin, Alik Farber, Larry Fish, Efthymios D. Avgerinos, Michel S. Makaroun Source Type: research