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Condition: Stroke
Procedure: Carotid Endarterectomy

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Total 2934 results found since Jan 2013.

Prognostic Value of Preoperative Border-zone (Watershed) Infarcts on the Early Postoperative Outcomes of Carotid Endarterectomy after Acute Ischemic Stroke
Conclusion: CBZIs, compared to TCIS, were associated with a higher neurological complication rate during the postoperative period after CEA for SCS in cases of AIS. Further studies are required to better define the timing and the best treatment modality for patients with CBZI related to an SCS in order to reduce associated procedural complications.
Source: European Journal of Vascular and Endovascular Surgery - January 10, 2013 Category: Surgery Authors: E. Jean-Baptiste, P. Perini, L. Suissa, S. Lachaud, S. Declemy, M.H. Mahagne, A. Mousnier, R. Hassen-Khodja Tags: Carotid Disease Source Type: research

Comprehensive and Rapid Assessment of Carotid Plaques in Acute Stroke Using a New Single Sweep Method for Three‐Dimensional Carotid Ultrasound
We describe a 68‐year‐old man with acute stroke in whom the newly developed single sweep method for three‐dimensional (3D) carotid ultrasound provided a rapid and comprehensive assessment of atherosclerotic plaque burden in the internal carotid artery. The two‐dimensional duplex carotid scan diagnosed 50–69% stenosis, and with the three‐dimensional method, the markedly hypoechogenic plaque (total volume 1.42 mL) was shown to occupy 77% of the total arterial volume (1.84 mL), consistent with severe lesion. The ultrasound findings were confirmed by computed tomographic angiography and subsequent carotid endarte...
Source: Echocardiography - April 3, 2013 Category: Cardiology Authors: Harapet Kalashyan, Maher Saqqur, Ashfaq Shuaib, Helen Romanchuk, Navin C. Nanda, Harald Becher Tags: Research from or in Collaboration with the University of Alabama at Birmingham Source Type: research

Optimal medical treatment versus carotid endarterectomy: the rationale and design of the Aggressive Medical Treatment Evaluation for Asymptomatic Carotid Artery Stenosis (AMTEC) study
The objective is to compare the efficacy of carotid endarterectomy + optimal medical therapy versus optimal medical therapy alone in patients with asymptomatic (70–79%) extracranial carotid stenosis. DesignThe Aggressive Medical Treatment Evaluation for Asymptomatic Carotid Artery Stenosis study is a prospective, randomized, parallel, two‐arm, multicenter trial. Primary end‐points will be analyzed using standard time‐to‐event statistical modeling with adjustment for major baseline covariates. The primary analysis is on an intent‐to‐treat basis. Study OutcomesThe primary outcome is nonfatal stroke, nonfata...
Source: International Journal of Stroke - March 15, 2013 Category: Neurology Authors: Igor Kolos, Mikhail Loukianov, Nikolay Dupik, Sergey Boytsov, Alexandr Deev Tags: Protocols Source Type: research

Urgent Best Medical Therapy May Obviate the Need for Urgent Surgery in Patients With Symptomatic Carotid Stenosis Clinical Sciences
Conclusions— CEA can be performed in the subacute period without significantly increasing the operative risk. The urgent best medical treatment was associated with significant reduction in the risk of early NR in CEA patients. It seems that urgent aggressive best medical treatment may obviate the need for urgent CEA.
Source: Stroke - July 22, 2013 Category: Neurology Authors: Shahidi, S., Owen-Falkenberg, A., Hjerpsted, U., Rai, A., Ellemann, K. Tags: Secondary prevention, Antiplatelets, Carotid endarterectomy, Transient Ischemic Attacks Clinical Sciences Source Type: research

Standardized Protocols Enable Early Stroke Recognition and Treatment of Carotid Stenosis
To examine the impact of acute stroke care coordination between vascular surgery and stroke neurology services with primary focus on acute patient stabilization and expeditious carotid endarterectomy (CEA).
Source: Journal of Vascular Surgery - August 28, 2013 Category: Surgery Authors: R. Clement Darling, Philip S.K. Paty, Gary Bernardini, Manish Mehta, Dhiraj M. Shah, Benjamin B. Chang, Sean P. Roddy, Paul B. Kreienberg Tags: Abstracts from the 2013 New England Society for Vascular Surgery Annual Meeting Source Type: research

Non-ST-Elevation Myocardial Infarction in Patients Undergoing Carotid Endarterectomy or Carotid Artery Stent Placement Brief Reports
Conclusions— Our results contradict the notion that NSTEMI is a relatively benign entity after carotid endarterectomy or carotid artery stent placement.
Source: Stroke - January 27, 2014 Category: Neurology Authors: Khan, A., Adil, M. M., Qureshi, A. I. Tags: Carotid Stenosis, Carotid endarterectomy, Angioplasty and Stenting Brief Reports Source Type: research

Does improving misery cerebral perfusion improve misery cognition?
Vascular cognitive impairment may be related to clinically apparent stroke, silent smaller strokes, or perhaps zones of incomplete infarction related to cerebral hypoperfusion.1,2 Flow limiting carotid stenosis or complete occlusion is associated with hemodynamic failure and poorer cognition.3,4 Improving cerebral blood flow in such patients via revascularization procedures such as carotid endarterectomy, carotid stenting, or extracranial-intracranial (EC-IC) bypass surgery has inconsistently been associated with improved cognition.5,6
Source: Neurology - March 3, 2014 Category: Neurology Authors: Jacobs, B. S., Nichols, F. T. Tags: Other cerebrovascular disease/ Stroke, All Cerebrovascular disease/Stroke EDITORIALS Source Type: research

Activities of Daily Living Is a Critical Factor in Predicting Outcome After Carotid Endarterectomy in Asymptomatic Patients Clinical Sciences
Conclusions— In this national data set, patient’s inability to perform basic activities of independent living is associated with adverse postoperative outcomes after CEA. Hence, FNS should be vigilantly assessed in clinic for risk stratification along with other objective factors for gauging risk of adverse outcomes after CEA.
Source: Stroke - May 27, 2014 Category: Neurology Authors: Dayama, A., Pimple, P., Badrinathan, B., Lee, R., Reeves, J. G. Tags: Carotid endarterectomy Clinical Sciences Source Type: research

CT Perfusion Imaging in the Selection of Acute Stroke Patients to Undergo Emergent Carotid Endarterectomy
Severe acute stroke patients with critical carotid stenosis or occlusion without intracranial thrombus typically do not undergo emergent carotid thromboendarterectomy (CEA) because of the risk of reperfusion-related intracranial hemorrhage. Past studies have not consistently demonstrated benefit of early operative intervention. Cerebral computed tomography (CT), cervical and cerebral CT angiography (CTA), and cerebral CT perfusion (CTP) imaging may identify a subset of acute stroke patients without intracranial thrombus who may benefit from emergent CEA.
Source: Annals of Vascular Surgery - September 3, 2014 Category: Surgery Authors: Thomas G. Devlin, Sachin V. Phade, R. Kent Hutson, Mark W. Fugate, G. Ralston Major, Gregory W. Albers, Abdelazim A. Sirelkhatim, Biggya L. Sapkota, Steven D. Quartfordt, Blaise W. Baxter Source Type: research

Safety of Carotid Intervention following Thrombolysis in Acute Ischaemic Stroke
Indications for carotid endarterectomy (CEA) have evolved as stroke services have improved. Hyperacute stroke units are referring more patients with a significant carotid stenosis, some within hours of thrombolysis. In their meta-analysis, Mandavia et al. pooled the evidence to date to attempt to assess 30-day safety of urgent CEA for these patients.1 However, care must be taken with the interpretation and contextualization of these results.
Source: European Journal of Vascular and Endovascular Surgery - August 26, 2014 Category: Surgery Authors: C.P. Twine Tags: Invited Commentary Source Type: research

Comparative Effectiveness of Carotid Revascularization Therapies: Evidence From a National Hospital Discharge Database Clinical Sciences
Conclusions— Among individuals undergoing carotid artery revascularization from a large sample of US hospitals, CAS was associated with higher risk of perioperative mortality, stroke, and unfavorable discharges compared with CEA for all ages and clinical presentations.
Source: Stroke - October 27, 2014 Category: Neurology Authors: McDonald, R. J., McDonald, J. S., Therneau, T. M., Lanzino, G., Kallmes, D. F., Cloft, H. J. Tags: Health policy and outcome research, Carotid Stenosis, Carotid endarterectomy, Angioplasty and Stenting Clinical Sciences Source Type: research

Computed Tomography Perfusion Imaging in the Selection of Acute Stroke Patients to Undergo Emergent Carotid Endarterectomy
Severe acute stroke patients with critical carotid stenosis or occlusion without intracranial thrombus typically do not undergo emergent carotid thromboendarterectomy (CEA) because of the risk of reperfusion-related intracranial hemorrhage. Past studies have not consistently demonstrated benefit of early operative intervention. Cerebral computed tomography (CT), cervical and cerebral CT angiography (CTA), and cerebral CT perfusion (CTP) imaging may identify a subset of acute stroke patients without intracranial thrombus who may benefit from emergent CEA.
Source: Annals of Vascular Surgery - September 3, 2014 Category: Surgery Authors: Thomas G. Devlin, Sachin V. Phade, Rodney K. Hutson, Mark W. Fugate, Grant R. Major, Gregory W. Albers, Abdelazim A. Sirelkhatim, Biggya L. Sapkota, Steven D. Quartfordt, Blaise W. Baxter Tags: Case Report Source Type: research

Carotid artery stenting in nonagenarians: are there benefits in surgically treating this high risk population?
Conclusions CAS in nonagenarian patients carried increased risk of perioperative ischemic events, compared with contemporary trial results in symptomatic and asymptomatic patients. Further, mean survival time postprocedure fell short of guidelines for receiving procedural benefit. Although larger scale multicenter research is needed, we recommend careful consideration of overall health status when contemplating stenting in nonagenarians.
Source: Journal of NeuroInterventional Surgery - February 12, 2015 Category: Neurosurgery Authors: Wach, M. M., Dumont, T. M., Shakir, H. J., Snyder, K. V., Hopkins, L. N., Levy, E. I., Siddiqui, A. H. Tags: Editor''s choice, Ischemic stroke Source Type: research

Faster Surgery for Stroke and TIA Requires More Expedient Referral to the Vascular Service
This study aimed to assess and identify rate-limiting steps to performing CEA.
Source: Journal of Vascular Surgery - July 24, 2015 Category: Surgery Authors: Hong-Yau Tan, Phillip Puckridge, Conor Marron, James Ian Spark Tags: Abstract from the 2015 Annual Meetings of the Western Vascular Society and Australia and New Zealand Society for Vascular Surgery Source Type: research