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Source: Journal of Vascular Surgery
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Total 705 results found since Jan 2013.
CAR 12. Emergent Carotid Revascularization for Acute Stroke Therapy: A Role for Open Surgery and Catheter-Based Therapy Based on Brain Imaging
Recent studies have expanded the window for the use of systemic and catheter-directed thrombolysis and mechanical thrombectomy for acute stroke management. The purpose of this review was to evaluate the impact that contemporary cerebral imaging has on the indications for emergent cervical carotid revascularization.
Source: Journal of Vascular Surgery - October 21, 2019 Category: Surgery Authors: Scott S. Berman Source Type: research
CAR 3. Neurologic Complication Rates of Intravenous Thrombolysis Combined With Early Carotid Endarterectomy for Treatment of Hyperacute Ischemic Stroke
Intravenous thrombolysis for treatment of acute carotid-associated stroke can be combined with carotid endarterectomy (CEA) either simultaneously or in a staged procedure. The aim of this single-center retrospective study was to analyze the short-term and long-term results of sequential lysis with CEA.
Source: Journal of Vascular Surgery - October 21, 2019 Category: Surgery Authors: Ewa Swiecka, Martin Storck, Roland Zippel Source Type: research
LEA 24. Synthetic Marijuana and Acute Lower Limb Thromboembolism and Ischemia —A Case Report
Synthetic marijuana use has been reported in the last years as a possible causative factor of different cardiovascular events, including myocardial infarction, ischemic stroke, intracranial bleeding, and cerebral vasospasm. One case of aortic thrombosis was also reported, but that was in a patient using cocaine and synthetic marijuana together. A case of lower limb thromboembolism and synthetic marijuana use has not been reported to date. Intoxication, material impurity, blood vessel reactivity, and chemical interaction with other drugs have been proposed as possible mechanisms of these events.
Source: Journal of Vascular Surgery - October 21, 2019 Category: Surgery Authors: Asaf Rabin Source Type: research
Outcomes for carotid endarterectomy in nonagenarians
This study investigated 30-day morbidity and mortality as well as late survival in symptomatic and asymptomatic nonagenarians with severe carotid stenosis undergoing CEA.
Source: Journal of Vascular Surgery - October 10, 2019 Category: Surgery Authors: Laura K. Hobbs, Andre Ramdon, Sean P. Roddy, Jeffrey C. Hnath, Chin-Chin Yeh, R. Clement Darling Source Type: research
Misconceptions regarding the adequacy of best medical intervention alone for asymptomatic carotid stenosis
Medical intervention (risk factor identification, lifestyle coaching, and medication) for stroke prevention has improved significantly. It is likely that no more than 5.5% of persons with advanced asymptomatic carotid stenosis (ACS) will now benefit from a carotid procedure during their lifetime. However, some question the adequacy of medical intervention alone for such persons and propose using markers of high stroke risk to intervene with carotid endarterectomy (CEA) and/or carotid angioplasty/stenting (CAS).
Source: Journal of Vascular Surgery - September 25, 2019 Category: Surgery Authors: Anne L. Abbott, Alejandro M. Brunser, Athanasios Giannoukas, Robert E. Harbaugh, Timothy Kleinig, Simona Lattanzi, Holger Poppert, Tatjana Rundek, Saeid Shahidi, Mauro Silvestrini, Raffi Topakian Source Type: research
Alternative ultrasound modalities to attempt to assess high risk asymptomatic carotid plaques
Duplex ultrasound examination, computed tomography scans, and magnetic resonance angiography have traditionally been used as noninvasive methods to assess carotid stenosis severity. The degree of stenosis in asymptomatic patients has often been used as the main criterion to assess risk for plaque embolization and stroke. There has been an effort to find alternate methods to assess vulnerable plaques. This has included many modalities, including magnetic resonance imaging and other ultrasound techniques.
Source: Journal of Vascular Surgery - September 19, 2019 Category: Surgery Authors: Jeffrey J. Siracuse Tags: Invited commentary 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
The Vascular Quality Initiative 30-day stroke/death risk score calculator after transfemoral carotid artery stenting
Carotid artery stenting (CAS) was introduced as an alternative carotid revascularization procedure in patients deemed to be at high risk for carotid endarterectomy. Although techniques and selection criteria for patients have dramatically improved, CAS continues to have higher risk of stroke and death in comparison to carotid endarterectomy. Several risk factors are known to be associated with worse outcomes. Whereas knowledge of these independent factors is helpful, clinical decision-making is further refined when these are considered in aggregate.
Source: Journal of Vascular Surgery - September 12, 2019 Category: Surgery Authors: Hanaa Dakour-Aridi, Muhammad Faateh, Pei-Lun Kuo, Devin S. Zarkowsky, Adam Beck, Mahmoud B. Malas Source Type: research
Concomitant ipsilateral carotid endarterectomy and stenting is an effective treatment for tandem carotid artery lesions
The objective of this study was to evaluate the technique and outcomes of this hybrid procedure at a single institution.
Source: Journal of Vascular Surgery - September 9, 2019 Category: Surgery Authors: Jocelyn M. Beach, Shashank Sharma, Jim Bena, Jeanwan Kang, Daniel G. Clair, Christopher J. Smolock Source Type: research
Carotid endarterectomy for asymptomatic carotid stenosis is safe in octogenarians
This study investigates real-world outcomes of CEA in asymptomatic octogenarians.
Source: Journal of Vascular Surgery - August 26, 2019 Category: Surgery Authors: Brandon Neil Glousman, Raul Sebastian, Robyn Macsata, Xiangyu Kuang, Alexander Yang, Darshan Patel, Richard Amdur, John Ricotta, Anton N. Sidawy, Bao-Ngoc Nguyen Source Type: research
Impact of plaque dilation before carotid artery stent deployment
This study analyzed the effect of maximum dilation of the carotid plaque before stent deployment (max-pre-SD) or after stent deployment (post-SD) on macroscopic plaque debris, hemodynamic depression (HD), and immediate major adverse events.
Source: Journal of Vascular Surgery - August 26, 2019 Category: Surgery Authors: Antonio Lauricella, Raffaella Berchiolli, Roberto Moratto, Michelangelo Ferri, Andrea Viazzo, Roberto Silingardi Source Type: research
Optimal closure technique of the arteriotomy after carotid endarterectomy
The optimal closure technique of the arteriotomy after carotid endarterectomy (CEA) has been the subject of extensive debate. A recent systematic review and meta-analysis compared outcomes after CEA with patch vs primary closure (N = 29 studies; 9 randomized controlled trials [RCTs] and 20 non-RCTs; n = 13,219 CEAs).1 Primary closure was associated with a higher 30-day stroke rate compared with patch closure when both RCTs and non-RCTs were pooled together (odds ratio [OR], 1.9; 95% confidence interval [CI], 1.2-2.9) as wel l as when non-RCTs alone were considered (OR, 1.9; 95% CI, 1.1-3.3).
Source: Journal of Vascular Surgery - August 21, 2019 Category: Surgery Authors: Kosmas I. Paraskevas Tags: Letter to the Editor Source Type: research
Discordant knowledge about atherosclerosis disease among French general practitioners and residents
We read with interest the paper entitled “Knowledge gap of peripheral artery disease starts in medical school” from AlHamzah and colleagues.1 In their study of 72 graduating medical students, the authors found that students have a suboptimal knowledge of coronary artery disease (CAD) and lower extremity peripheral artery disease (PAD). In view of the small number of students, readers may doubt the generality of these results. However, we would like to underscore that we found similar results in two studies in France using a national survey with three clinical cases: one about CAD, one about ischemic stroke, and one about PAD.
Source: Journal of Vascular Surgery - August 21, 2019 Category: Surgery Authors: Marie Charasson, Charles Le Brun, Loukman Omarjee, Emilie Rossignol, Damien Lan éelle, Guillaume Mahé 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
