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Source: Journal of Vascular Surgery

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Total 705 results found since Jan 2013.

Loss of follow-up after carotid revascularization is associated with worse long-term stroke and death
Society for Vascular Surgery practice guidelines recommend surveillance with duplex ultrasound scanning at baseline (within 3  months from discharge), every 6 months for 2 years, and annually afterward following carotid endarterectomy or carotid artery stenting. There is a growing concern regarding the significance of postoperative follow-up after several vascular procedures. We sought to determine whether 1-year loss t o follow-up (LTF) after carotid revascularization was associated with worse outcomes in the Vascular Quality Initiative (VQI) linked to Vascular Implant Surveillance and Interventional Outcomes Network (VISION) database.
Source: Journal of Vascular Surgery - September 28, 2022 Category: Surgery Authors: Nadin Elsayed, Rohini Patel, Isaac Naazie, Caitlin W. Hicks, Jeffrey J. Siracuse, Mahmoud B. Malas Source Type: research

Comprehensive Network Meta-analysis of Outcomes for the Treatment of Extracranial Carotid Artery Aneurysms
Untreated extracranial carotid artery aneurysms (ECCAs) increase stroke and mortality risk. Current studies have only evaluated surgical management. We compared the outcomes between (1) conservative treatment, (2) open repair, and (3) endovascular repair of ECCAs through a network meta-analysis.
Source: Journal of Vascular Surgery - September 20, 2022 Category: Surgery Authors: Tiam Feridooni, Cesar Cuen-Ojeda, Michael Ho-Yan Lee, Abdelrahman Zamzam, Mohammed Al-Omran Source Type: research

Treatment Of An Extracranial Carotid Artery Aneurysm With Flow Diverter Stents And Coil Embolization
Extracranial carotid artery aneurysms (ECAAs) are uncommon. Although the true incidence and natural history of ECAAs are largely unknown, case series report a high risk of transient ischemic attack, stroke, or rupture if left untreated. Open surgical repair and endovascular therapy are both reasonable options depending on the size and location of the aneurysm.
Source: Journal of Vascular Surgery - September 20, 2022 Category: Surgery Authors: Brian Wheatley Source Type: research

The Contemporary Impact of Body Mass Index on Open Aortic Aneurysm Repair
The Centers for Disease Control and Prevention has deemed obesity a national epidemic and contributor to other leading causes of death including heart disease, stroke, and diabetes. Accordingly, the impact of body mass index (BMI) has been a focus of investigation. The BMI surgical literature remains conflicted pertaining to open abdominal aortic aneurysm repair (oAAA). The purpose of this study was to quantify the effect of BMI on oAAA outcomes in contemporary practice.
Source: Journal of Vascular Surgery - September 20, 2022 Category: Surgery Authors: Kirthi S. Bellamkonda, Salvatore T. Scali, Jennifer A. Stableford, Philip P. Goodney, Richard J. Powell, Benjamin N. Jacobs, Michol A. Cooper, Gilbert R. Upchurch, David H. Stone Source Type: research

Modern Analysis of Stroke After Carotid Stenting in Octogenarians Using the Virginia Vascular Study Group Vascular Quality Initiative Data
Carotid artery stenting (CAS) is a safe and effective alternative to carotid endarterectomy in appropriate patients. However, there remains debate over the safety of stenting in octogenarians. This is due to previous studies demonstrating higher stroke risk in this population. Since those studies were published, transcarotid artery revascularization (TCAR) has become available, allowing surgeons to stent without crossing the aortic arch. Using a modern database, we sought to evaluate whether CAS is associated with increased odds of stroke in octogenarians compared to younger patients and to determine whether there is a dif...
Source: Journal of Vascular Surgery - August 20, 2022 Category: Surgery Authors: Samantha Minc, Matthew Cunningham-Hill, Dylan Thibault, Luke Marone, Lakshmikumar Pillai Tags: Carotid Artery Interventions Source Type: research

The Effect of Proximal Landing Zone on Stroke and Mortality in Thoracic Endovascular Aortic Repair
Stroke limits the widespread adoption of thoracic endovascular repair (TEVAR) in the aortic arch. More proximal stent deployment can increase the opportunity for stroke due to disruption of cerebral circulation and embolization. We performed a systematic meta-analysis on the impact of proximal landing zone (PLZ) location on stroke and 30-day mortality following TEVAR.
Source: Journal of Vascular Surgery - August 20, 2022 Category: Surgery Authors: Yuchi Ma, Mishal Siddiqui, Syed Farhan, Francisco Albuquerque, Robert Larson, Mark Levy, Josue Chery, Daniel Newton Tags: Open and Endovascular Aortic Repair Source Type: research

Outcomes of Thoracic Endovascular Aortic Repair for Uncomplicated Type B Dissections Based Upon Chronicity
For uTBAD the timing of TEVAR does note appear to be independently predictive of 30-day or 1-year mortality. However, interventions for hyperacute dissections there is an increased risk of stroke, SCI, and reintervention as shown by this multicenter retrospective study of 1,476 TEVAR for uTBAD.
Source: Journal of Vascular Surgery - August 6, 2022 Category: Surgery Authors: Jaideep Das Gupta, Isaac N. Naazie, Sina Zarrintan, Adam W. Beck, Gregory A. Magee, Mahmoud B. Malas Source Type: research

Carotid Endarterectomy is Safe in Octogenarians
This study aims to provide high volume single institution data with long term follow up examining risk factors for post-operative stroke and stroke free survival based on age in asymptomatic and symptomatic patients undergoing CEA.
Source: Journal of Vascular Surgery - August 5, 2022 Category: Surgery Authors: Yazen Qumsiyeh, Sammy Siada, Yueqi Yan, Rachel Dirks, Amna Ali, Meelod Daneshvar, Leigh Ann O ’Banion Source Type: research

Carotid endarterectomy is safe for octogenarians
Carotid endarterectomy (CEA) has demonstrated superior results in stroke risk reduction for patients with symptomatic and asymptomatic high-grade carotid stenosis. However, this benefit has long been questioned for the elderly and high-risk populations. In the present study, we aimed to provide high-volume, single-institution data with long-term follow-up examining the risk factors for postoperative stroke and stroke-free survival stratified by age for asymptomatic and symptomatic patients undergoing CEA.
Source: Journal of Vascular Surgery - August 5, 2022 Category: Surgery Authors: Yazen Qumsiyeh, Sammy Siada, Yueqi Yan, Rachel Dirks, Amna Ali, Meelod Daneshvar, Leigh Ann O ’Banion Source Type: research

TEVAR in TBAD with high-risk features? Not so quickly!!!
For decades, the vascular community has debated the concept of vulnerable plaque to predict the risk of a devastating stroke in patients with asymptomatic carotid disease. It was, at times, rigorous and generated high-quality publications and led, in part, to randomized trials and nested registries.
Source: Journal of Vascular Surgery - July 20, 2022 Category: Surgery Authors: Firas F. Mussa Tags: Invited commentary Source Type: research

Carotid Stenosis Patients with a Remote History of Cerebrovascular Events have Increased Risk of Major Adverse Events Over Asymptomatic Patients
This retrospective review of prospectively collected Vascular Quality Initiative (VQI) data elucidated that asymptomatic patients with a remote history of TIA/stroke do not have the same outcomes as asymptomatic patients without a history of TIA/stroke and are at higher risk of adverse in-hospital events. The study suggests that patients with a remote history of TIA/stroke have increased risk of in-hospital death after TFCAS and may benefit from TCAR.
Source: Journal of Vascular Surgery - July 19, 2022 Category: Surgery Authors: Anthony D. Turner, Jerry Zhu, Ajit Rao, Windsor Ting, Daniel Han, Rami Tadros, David Finlay, Ageliki Vouyouka, John Phair, Michael Marin, Peter Faries Source Type: research

Carotid Lesion Length Independently Predicts Stroke and Death After TransCarotid Artery Revascularization and TransFemoral Carotid Artery Stenting
In this retrospective review of 29,967 patients undergoing carotid artery stenting (CAS) for treatment of carotid artery stenosis, lesion length negatively impacted the outcomes of TCAR and TFCAS. TCAR was associated with favorable outcomes compared to TFCAS in patients with long lesions ( ≥25mm). Studies with longer follow-up are warranted to better understand the outcomes of CAS in this patient population.
Source: Journal of Vascular Surgery - July 10, 2022 Category: Surgery Authors: Nadin Elsayed, Maryam Ali Khan, Munir Paul Moacdieh, Ann C. Gaffey, Ahmed Abou-Zamzam, Mahmoud B. Malas Source Type: research

Outcomes and role of shunting during carotid endarterectomy for symptomatic patients
In this retrospective study of 4,652 patients with symptomatic carotid stenosis undergoing CEA and patch angioplasty, shunt placement was associated with two-fold increased risk of cranial nerve injury without reduction in postoperative stroke risk, irrespective of symptom severity.
Source: Journal of Vascular Surgery - July 7, 2022 Category: Surgery Authors: Antoine J. Ribieras, Marwan Tabbara, Jorge Rey, Omaida C. Velazquez, Arash Bornak 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