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Source: Journal of Vascular Surgery
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Total 705 results found since Jan 2013.
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
Comprehensive Network Meta-Analysis of Outcomes for the Treatment of Extracranial Carotid Artery Aneurysms
Extracranial carotid artery aneurysms (ECCAs) are rare and associated with increased stroke and mortality if left untreated. Current studies have only evaluated surgical management; thus, our comprehensive review compared the outcomes between (1) conservative treatment, (2) open repair, and (3) endovascular repair.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Tiam Feridooni, Cesar Cuen-Ojeda, Michael Lee, Abdelrahman Zamzam, Mohammed Al-Omran Tags: IPC: International Poster Competition Source Type: research
Postoperative Disability and One-Year Outcomes for Patients Experiencing Stroke After Carotid Endarterectomy
Although, post-carotid endarterectomy (CEA) stroke is rare, it can be devastating. The impairment degree and 1-year effects are unclear. Our goal was to assess the postoperative and 1-year outcomes for patients experiencing a stroke after CEA without preoperative disability.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Scott R. Levin, Alik Farber, Elizabeth G. King, Mohammad H. Eslami, Karan Garg, Virendra Patel, Caron Rockman, Denis Rybin, Jeffrey J. Siracuse Tags: IPC: International Poster Competition Source Type: research
Physiologic Risk Factors Increase the Risk of Myocardial Infarction but Not Stroke or Death After Transcarotid Artery Revascularization in Prospective Trials
Current high-risk criteria to undergo transcarotid artery revascularization (TCAR) are categorized into anatomical (ANAT) and physiologic (PHYS) factors. Patients with physiologic criteria are deemed to have higher overall surgical risk due to more significant comorbidities. Our aim is to study the incidence of stroke, myocardial infarction (MI), death, and combined end points in patients who underwent TCAR comparing ANAT vs PHYS risk factors.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Jane Chung, Norman H. Kumins, Raghu L. Motaganahalli, Peter A. Schneider, Christopher Kwolek, Vikram S. Kashyap Tags: VESS Paper Session Source Type: research
48-Hour Aggressive Approach to Symptomatic Carotid Lesions in Patients With Stable Neurologic Exams Provides Optimal Results
Timing of treatment for symptomatic carotid disease has a controversial history with current guidelines recommending carotid surgery within 48 hours up to 2 weeks. Advocating for earlier carotid endarterectomy (CEA) after stroke (cerebrovascular accident [CVA]) or while a patient is having transient ischemic attacks (TIA) can potentially provide additional benefit to acute stroke patients resulting in improved stroke and death outcomes.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Nicholas Russo, Casey Hladik, Jeffrey Hnath, R. Clement Darling Tags: S2: Plenary Session 2 Source Type: research
Re-evaluating Current Postcarotid Endarterectomy Surveillance: Long-term Results From a Large Integrated Regional Health System
The appropriate postcarotid endarterectomy (CEA) surveillance protocol is actively debated. Current guidelines recommend five duplex ultrasound studies in the first two postoperative years, followed by annual scans. Yet, robust clinical trial data show low incidence of ≥70% restenosis after CEA and annual incidence of ipsilateral ischemic events of 0.5%-1.8% per year. We evaluated the long-term utility of surveillance after CEA in preventing stroke and identifying restenosis.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Colleen P. Flanagan, Lue-Yen Tucker, Elizabeth M. Lancaster, Kara A. Rothenberg, Andrew L. Avins, Mai N. Nguyen-Huynh, Robert W. Chang Tags: S2: Plenary Session 2 Source Type: research
Outcomes of Early Transcarotid Artery Revascularization Versus Carotid Endarterectomy After Acute Neurologic Events
Carotid revascularization within 14 days of a neurologic event is recommended by society guidelines. Transcarotid artery revascularization (TCAR) carries the lowest overall stroke rate for any carotid artery stenting technique; however, outcomes of TCAR within 14 days of a neurologic event have not been studied or directly compared with carotid endarterectomy (CEA).
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Adham Elmously, Nicole Rich, Andrew Lazar, Ambar Mehta, Priya Patel, Virendra Patel, Danielle Bajakian Tags: S1: William J. von Liebig Forum Source Type: research
Beta Blockers are Associated with Decreased 30-Day Postoperative Stroke Risk Following Both Carotid Stenting and Endarterectomy in Patients with Hypertension
Stroke is a significant complication associated with both carotid endarterectomy (CEA) and carotid artery stenting (CAS). Hypertension is a strong risk factor for development of carotid stenosis and is present in over 80% of patients undergoing carotid revascularization. Antihypertensive therapy is associated with reduced stroke risk in patients with carotid artery stenosis. Our aim was to determine whether antihypertensive medication regimens can impact stroke risk in patients following carotid revascularization.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Kiran A. Goyal, Jeremy Albright, Matthew Corriere, Nicholas Osborne, Peter Henke Tags: S8: Plenary Session 8 Source Type: research
The Relationship Between Physician and Center Case Volume on Outcomes of TransCarotid Artery Revascularization
It has been suggested that the annual hospital volume of cases may affect the number of adverse events following carotid endarterectomy (CEA). Transfemoral carotid stenting (TFCAS) was found to have an extended learning curve with an estimated minimum of 25 cases for the success of the stenting procedure. One prior study indicated that transcarotid artery revascularization (TCAR) is being performed with excellent stroke and mortality rates even in the early stages of the surgeons ’ learning curve.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Nadin Elsayed, Maryam Ali Khan, Claire B. Janssen, Mahmoud B. Malas Tags: IYSC: International Young Surgeons Competition Source Type: research
One-year Outcomes of Transcarotid Artery Revascularization vs Carotid Endarterectomy in Medicare Database
Carotid endarterectomy (CEA) has played a major part in reducing stroke in patients with significant carotid artery stenosis. Transcarotid artery revascularization (TCAR) was introduced as a minimally invasive hybrid procedure to treat patients who are considered anatomically and/or medically high risk for CEA. Prior studies reported no differences in perioperative stroke/death between TCAR and CEA. However, data regarding 1-year outcomes of TCAR vs CEA are scarce, and all prior studies had only about 50% follow up at 1 year.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Nadin Elsayed, Kevin Yei, Raghu L. Motaganahalli, Marc L. Schermerhorn, Mahmoud B. Malas Tags: IYSC: International Young Surgeons Competition Source Type: research
Effect of Carotid Endarterectomy on 20 Year Incidence of Recorded Dementia: A Randomised Trial
Stroke and carotid atherosclerosis are associated with dementia. Carotid endarterectomy (CEA) reduces stroke risk, although its effect on later dementia is uncertain. Participants in the Asymptomatic Carotid Surgery Trial (ACST-1), randomly allocated to immediate vs. deferral of CEA (i.e., no intervention unless or until triggered by ipsilateral transient ischaemic attack or stroke), were followed, to study effects on dementia.
Source: Journal of Vascular Surgery - April 26, 2022 Category: Surgery Authors: A. Halliday, M. Sneade, M. Bj örck, S.T. Pendlebury, R. Bulbulia, S. Parish, R. Llewellyn-Bennett, H. Pan, W. Whiteley, H. Pan, A. Gottsäter, ACST-1 Trial Investigators Tags: Randomised clinical trial Source Type: research
Late Outcomes of Carotid Artery Stenting for Radiation Therapy-Induced Carotid Stenosis
A retrospective review of 11 French academic institutions (University Association for Research in Vascular Surgery —AURC) from 2005 to 2017.
Source: Journal of Vascular Surgery - April 26, 2022 Category: Surgery Authors: B. Nasr, V. Crespy, E. Penasse, M. Gaudry, E. Rosset, P. Feugier Tags: Stenting for carotid artery stenosis due to radiation yields good long-term patency but is associated with high 30-day stroke and mortality rates Source Type: research
Severity of stenosis in symptomatic patients undergoing carotid interventions might influence perioperative neurologic events
We examined the association of carotid artery stenosis severity with the outcomes for symptomatic patients who had undergone carotid intervention, including carotid endarterectomy (CEA), transfemoral carotid artery stenting (TFCAS), and transcervical carotid artery revascularization (TCAR).
Source: Journal of Vascular Surgery - April 4, 2022 Category: Surgery Authors: Karan Garg, Heepeel Chang, Jeffrey J. Siracuse, Glenn R. Jacobowitz, Jose Torres, Frank J. Veith, Virendra I. Patel, Thomas S. Maldonado, Mikel Sadek, Neal S. Cayne, Caron B. Rockman Source Type: research
Plaque Contact Surface Area and Lumen Volume Predict Stroke Risk in Extracranial Carotid Artery Stenosis
The standard indication for intervention in asymptomatic disease is currently percent stenosis in the internal carotid artery as measured by the NASCET method, which remains limited in discriminating power. CT angiography (CTA) is widely used to calculate NASCET stenosis but also offers the opportunity to analyze carotid artery plaques from a morphological perspective that has not been widely utilized.
Source: Journal of Vascular Surgery - March 26, 2022 Category: Surgery Authors: Ryan Gedney, Ethan Kung, Veena Mehta, Adam Brown, Matthew Bridges, Ravi Veeraswamy Source Type: research
Intravascular Lithotripsy-Assisted Carotid Stent Expansion
Carotid artery stenting has been demonstrated to effectively reduce the risk of stroke in appropriately selected patients. Its application has remained limited in the setting of heavily calcified plaque. Atherectomy has been used in peripheral vascular beds to overcome this limitation; however, the embolic risks associated with atherectomy are too great for the carotid space. We have present the use of intravascular lithotripsy to safely overcome the complications associated with severely calcified carotid lesions.
Source: Journal of Vascular Surgery - March 18, 2022 Category: Surgery Authors: Mathew Wooster, Veena Mehta Source Type: research
