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Comparison of best medical management with carotid intervention procedures in the prevention of stroke recurrence in patients with symptomatic internal carotid artery stenosis
Conclusions: Overall, there was no statistically significant difference in the rate of recurrence between the best medical management and the carotid interventional procedures.
Source: Annals of Indian Academy of Neurology - September 4, 2018 Category: Neurology Authors: BV Deepa Rani Sandeep Gampa Deepika Sirineni KR Harshavardhana Satya Rama Krishna Subhash Kaul Source Type: research

Stenosis Length and Degree Interact With the Risk of Cerebrovascular Events Related to Internal Carotid Artery Stenosis
Conclusion: We found a statistically insignificant tendency for the ultrasound-measured length of sICAS<70% to be longer than that of sICAS≥70%. Moreover, the ultrasound-measured length of sICAS<90% was significantly longer than that of sICAS 90%. Among patients with sICAS≥70%, the degree and length of stenosis were inversely correlated. Larger studies are needed before a clinical implication can be drawn from these results. Introduction Internal carotid artery stenosis (ICAS) causes around one-fifth of ischemic cerebrovascular stroke and has the highest risk of early stroke recurrence...
Source: Frontiers in Neurology - April 8, 2019 Category: Neurology Source Type: research

Asymptomatic Carotid Stenosis Is Associated With Circadian and Other Variability in Embolus Detection
Conclusions: Embolism associated with asymptomatic carotid stenosis shows circadian variation with highest rates 4–6 h before midday. This corresponds with peak circadian incidence of stroke and other vascular complications. These and ASED Study results show that monitoring frequency, duration, and time of day are important in ES detection. Introduction Transcranial Doppler (TCD) detected microembolism in the ipsilateral middle cerebral artery (MCA) may help stratify the risk of stroke and other arterial disease complications in persons with advanced (≥60%) asymptomatic carotid stenosis. If so, this t...
Source: Frontiers in Neurology - April 15, 2019 Category: Neurology Source Type: research

Combining carotid endarterectomy with off-pump coronary artery bypass graft surgery is safe and effective
Conclusion: Combining CEA along with CABG is a safe and effective procedure.
Source: Annals of Indian Academy of Neurology - November 17, 2015 Category: Neurology Authors: Arun GargAtma Ram BansalDilip SinghManisha MishraPooja SharmaRavi Ratan KasliwalNaresh Trehan Source Type: research

Carotid plaque imaging: Strategies beyond stenosis
Darshana Sanghvi, Manish ShrivastavaAnnals of Indian Academy of Neurology 2022 25(1):11-14 Atherosclerosis at the carotid bifurcation in the neck is common and the result of turbulent hemodynamics in the bulb. Carotid bulb plaques cause disabling strokes. Carotid vessel wall imaging characterizes the atherosclerotic plaque, documents disease progression, and assesses lesion severity by plaque morphology in addition to the degree of stenosis. This in turn optimizes treatment selection for the individual patient. The aim of vessel wall imaging in patients of stroke is to distinguish stable plaques that may be conserved with...
Source: Annals of Indian Academy of Neurology - February 22, 2022 Category: Neurology Authors: Darshana Sanghvi Manish Shrivastava Source Type: research

Different Strategies in Simultaneous Coronary and Carotid Artery Revascularization - A Single Center Experience.
CONCLUSION: Synchronous PCI, CEA and CABG may be safe and effective in the management of patients with concomitant CAS and complicated multi-vessel CAD. The current data suggested that more studies and randomized controlled trials may be necessary to define whether this strategy is suitable for these patients. PMID: 31029069 [PubMed - in process]
Source: Archives of Iranian Medicine - February 28, 2019 Category: Middle East Health Authors: Zhang J, Dong Z, Liu P, Fan X, Chen J, Zheng X, Ma B, Ye Z Tags: Arch Iran Med Source Type: research