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Source: Journal of Vascular Surgery
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Total 705 results found since Jan 2013.
Systematic Review and Meta-Analysis of the Treatment Strategies for Coronary Artery Bypass Graft Patients with Concomitant Carotid Artery Atherosclerotic Disease
Stroke is one of the devastating complications following coronary artery bypass graft (CABG). Underlying carotid artery atherosclerotic disease is reported to be an independent risk factor. The optimal treatment strategy for these patients remains under debate.
Source: Journal of Vascular Surgery - May 28, 2023 Category: Surgery Authors: Junji Tsukagoshi, Yujiro Yokoyama, Tomohiro Fujisaki, Hisato Takagi, Takuro Shirasu, Toshiki Kuno Source Type: research
Society for Vascular Surgery duplex ultrasound surveillance guidelines are safe and cost effective for transcarotid artery revascularization
The objective of this study was to evaluate the usefulness and cost effectiveness of post-TCAR CDUS surveillance regimens in monitoring for in-stent restenosis (ISR) and associated stroke risk at a single-center community institution.
Source: Journal of Vascular Surgery - May 28, 2023 Category: Surgery Authors: Richard Li, Abdur Jamal, Sharon Chao, Tessabella Magliochetti Cammarata, Brian R. Beeman Source Type: research
Risk of Reintervention Is Lower for Carotid Endarterectomy Than Carotid Artery Stenting
Perioperative outcomes for carotid endarterectomy (CEA) and carotid artery stenting (CAS) have been well-studied. Less is known about the durability and reintervention rates of each, particularly in the era of transcarotid artery revascularization (TCAR). We sought to compare real-world rates of ipsilateral reintervention, stroke, and death in patients undergoing CEA and CAS, with an additional analysis of CAS patients comparing reintervention between transfemoral stenting (TFCAS) and TCAR.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Shaunak Adkar, Xinyan Zheng, Sabina Sorondo, Elizabeth L. George, Jordan R. Stern Tags: Plenary Session 2 Source Type: research
Carotid Revascularization Improves Mood in Depressed Patients With Advanced Carotid Disease
Stroke prevention is the main objective of carotid revascularization in patients with atherosclerotic carotid disease. Ongoing research highlights the impact of carotid interventions on neurocognitive function in patients with advanced carotid atherosclerosis. However, little is known about the impact of carotid revascularization on mood. We aim to investigate the effects of carotid revascularization procedures on depression in a well-defined cohort of patients.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Bahaa Succar, Ying-hui Chou, Chiu-Hsieh Hsu, Steven Rapcsak, Theodore Trouard, Wei Zhou Tags: Plenary Session 1: William J. von Liebig Forum Source Type: research
Characterization of Strokes Following Gore Thoracic Branch Endografting Requiring Zone 2 Landing
The Gore thoracic branched endograft is the only currently approved branched device for the treatment of thoracic aortic pathology requiring landing in zone 2. While the overall stroke rate in the pivotal trial has previously been reported, a more granular description has not yet been published. This is a descriptive series detailing the neurologic sequelae from the pivotal trial, out to 12 months.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Grace J. Wang, Nimesh D. Desai, Joseph E. Bavaria, Scott E. Kasner, Himanshu J. Patel, Michael Dake Tags: Plenary Session 4 Source Type: research
Risk Factors for Stroke in Penetrating Cerebrovascular Injuries
Penetrating cerebrovascular injuries (PCVI) are associated with a high incidence of mortality and neurologic events. The optimal treatment strategy of PCVI, especially when damage control measures are required, remains controversial. The aim of this study is to describe the management of PCVI and patient outcomes at a level 1 trauma center where vascular injuries are predominantly managed by trauma surgeons.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Alexander D. DiBartolomeo, Brian Williams, Fred Weaver, Kazuhide Matsushima, Matthew Martin, Morgan Schellenberg, Kenji Inaba, Gregory A. Magee Tags: SVS-VESS Scientific Session @ VAM: Session 2 Source Type: research
General Anesthesia Does Not Increase Mortality and Morbidity in High-risk Patients Undergoing Carotid Endarterectomy
Myocardial infarction and stroke are known complications of general anesthesia, resulting in the effort to perform carotid endarterectomy (CEA) for high-risk patients under local/regional anesthesia. However, there are few data supporting this practice.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Emanuela C. Peshel, Renxi Li, Yan Cheng, Jamie Thompson, Salim Lala, Anton Sidawy, Bao-Ngoc Nguyen Tags: SVS-VESS Scientific Session @ VAM: Session 1 Source Type: research
Delaying Carotid Endarterectomy 3-4 Days From Admission Date Allows Lower Stroke Risk in Patients Who Had Carotid Endarterectomy for Symptomatic Carotid Stenosis With Moderate-to-Severe Disability
This study investigates this topic.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Melina Recarey, Renxi Li, Emanuela Peshel, Jamie Thompson, Anton Sidawy, Bao-Ngoc Nguyen Tags: Interactive Poster Session Source Type: research
Assessing for Regional Variation in Carotid Artery Stenting Outcomes —The Influence of Age and Cerebral Protection Modality
In a preliminary study using Virginias Vascular Study Group (VVSG) regional Vascular Quality Initiative (VQI) data, we found no difference in stroke odds or a difference related to protection devices across age groups (
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Matthew Cunningham-Hill, Samantha Danielle Minc, Dylan Thibault, Pamela Zimmerman, Lakshmikumar Pillai Tags: Interactive Poster Session Source Type: research
Open Versus Endovascular Left Subclavian Artery Revascularization Outcomes in Thoracic Endovascular Aortic Repair: A National Study
Left subclavian artery (LSA) revascularization is recommended in patients undergoing elective thoracic endovascular aortic repair (TEVAR) with LSA coverage. However, the outcomes of open vs endovascular techniques for LSA revascularization remain poorly studied due to lack of high-quality evidence. The aim of this study is to use a large national database to compare the effects of open vs endovascular LSA revascularization for LSA coverage during TEVAR on the perioperative outcomes of stroke, arm ischemia (AI), spinal cord ischemia (SCI), 30-day mortality, and reintervention.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Munir Paul Moacdieh, Sina Zarrintan, Daniel Willie-Permor, Shima Rahgozar, Mahmoud Malas Tags: Interactive Poster Session Source Type: research
Angiotensin-converting Enzyme Inhibitors and Angiotensin Receptor Blockers Are Associated With Improved Amputation-free Survival in Chronic Limb-threatening Ischemia
Angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) are known to decrease cardiovascular morbidity and mortality in patients with atherosclerotic disease. In the Heart Outcomes Prevention Evaluation (HOPE) study, investigators found that ramipril was associated with improved survival as well as decreased myocardial infarction (MI) and stroke rates in patients with peripheral arterial disease. Nonetheless, their effect on chronic limb-threatening ischemia (CLTI)-specific outcomes is unclear.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Nadin Elsayed, Darrin Clouse, Raghu L. Motaganahalli, Mahmoud Malas Tags: International Poster Competition Source Type: research
Delayed Repair is Associated With Lower Stroke Following Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury
Current societal recommendations regarding the timing of thoracic endovascular aortic repair (TEVAR) for blunt thoracic aortic injury (BTAI) vary. Prior studies have shown that delayed repair was associated with lower mortality following TEVAR for BTAI. However, these studies lacked accurate data on aortic injury grade and TEVAR-related postoperative outcomes. Therefore, we used the Vascular Quality Initiative (VQI) registry, which includes more granular anatomic and outcome data, to examine the impact of early ( ≤24 hours) vs delayed (>24 hours) TEVAR for BTAI.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Sai Divya Yadavalli, Vinamr Rastogi, Anne-Sophie Romijn, Christina L. Marcaccio, Emanuele Lagazzi, Steven P. Summers, Sara L. Zettervall, Ben Starnes, Hence J.M. Verhagen, Marc L. Schermerhorn Tags: Interactive Poster Session Source Type: research
Change in Peak Systolic Velocity Estimation in Internal Carotid Artery Following Contralateral Near Occlusive Carotid Endarterectomy
Carotid artery stenosis (CAS) is one of the main causes of stroke, as the internal carotid artery (ICA) is a major source of cerebral blood supply. A common surgical intervention for CAS is carotid endarterectomy (CEA), which carries a high risk of stroke and mortality. CEA is indicated for 50% to 99% stenosis in symptomatic patients and 60% to 99% stenosis in asymptomatic patients. Carotid duplex ultrasound is frequently used to estimate peak systolic velocity (PSV), end diastolic velocity (EDV), and ICA/common carotid artery (CCA) ratio to determine the extent of stenosis.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Vaishnavi Aradhyula, Lauren R. Workman, Fedor Lurie Tags: Interactive Poster Session Source Type: research
Perioperative Outcomes Following Carotid Revascularization for Stroke Stratified by Modified Rankin Scale and Time of Intervention
The relationship between modified Rankin Scale (mRS) and optimal timing of carotid revascularization in patients with prior stroke is unclear. Therefore, we compared outcomes of transfemoral carotid artery stenting (TFCAS), transcarotid artery revascularization (TCAR), and carotid endarterectomy (CEA) after prior stroke, stratified by and accounting for preoperative mRS and time-to-intervention.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Patrick D. Conroy, Yoel Solomon, Vinamr Rastogi, Steven P. Summers, Grace J. Wang, Peter A. Schneider, Mahmoud Malas, Gert J. De Borst, Marc L. Schermerhorn Tags: Poster Competition Source Type: research
Risk Stratified Outcomes of Carotid Endarterectomy vs Transcarotid Artery Revascularization
Transcarotid artery revascularization (TCAR) offers a minimally invasive alternative to carotid endarterectomy (CEA) in patients at high risk for CEA. Prior studies suggest nearly comparable stroke and mortality outcomes in asymptomatic patients, whereas CEA is associated with lower periprocedural stroke risk in symptomatic patients. Here, we compare TCAR and CEA in risk-stratified patients to assist with clinical decision-making.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Katharina Horn, Jose Antonio Munoz, Priya B. Patel, Panpan Chen, Danielle Bajakian, Nicholas Morrissey, Jeffrey J. Siracuse, Marc L. Schermerhorn, Thomas F.X. O'Donnell, Virendra I. Patel, Karan Garg Tags: Poster Competition Source Type: research
