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Procedure: Carotid Endarterectomy

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Total 1996 results found since Jan 2013.

Do the technical features of carotid eversion affect early restenosis? Design of a prospective multicenter study
Myointimal hyperplasia restenosis remains a concern following carotid endarterectomy. It occurs in about 6% of people. The 3-year rate of stroke after restenosis is 5.2%. Several risk factors for restenosis have been identified, such as smoking, hypertension, female gender, diabetes, dyslipidemia, or small carotid diameter. The primary objective of this prospective multicenter study was to determine whether the technical characteristics of the eversion technique influence the 1-year rate of restenosis.
Source: Annals of Vascular Surgery - September 20, 2023 Category: Surgery Authors: Cl émentine Crepon, Cindy Vannier, Bahaa Nasr, Tom Le Corvec, Robert Martinez, Gregory Dessertenne, Christophe Robin, Nicolas Bague, Eva Deveze, Gautier Haupert, Jean Picquet Source Type: research

Female and Male Patients Have Similar Outcomes After TransCarotid Artery Revascularization in Prospective Trials
Sex disparities in outcomes after carotid revascularization have long been a concern, with several studies demonstrating increased post-operative death and stroke for female patients after either carotid endarterectomy (CEA) or transfemoral stenting (TF-CAS). Adverse events after TF-CAS are higher in female patients, particularly in symptomatic cases. Our objective was to investigate outcomes after transcarotid revascularization (TCAR) stratified by patient sex hypothesizing that the results would be similar between males and females.
Source: Journal of Vascular Surgery - September 14, 2023 Category: Surgery Authors: Justin A. Smith, Jane M. Chung, Peter A. Schneider, Christopher J. Kwolek, Frank R. Arko, Steve Henao, Jessica Titus, Paul DiMuzio, Sean Roddy, Mark A. Farber, Vikram S. Kashyap, ROADSTER trial investigators Source Type: research

O25/232 Endovascular versus best medical treatment for Acute Carotid Occlusions BelOw the circle of Willis (ACOBOW): results from the ACOBOW Study
ConclusionIn patients with primary isolated occlusions of the carotid artery below the circle of willis, EVT did not reveal a substantial treatment effect over BMT in this retrospective multicenter study.Disclosure of InterestJF: Consulting fees from Cerenovus, Medtronic, Phenox, Penumbra, Roche, Tonbridge; Participation on a Data Safety Monitoring Board of Stryker, and Phenox; stock holdings for Tegus and Vastrax, Associate Editor for JNIS.
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Meyer, L., Elsharkawy, M., Fiehler, J., Stracke, C. P., On behalf of the ACOBOW Study Group Tags: 2.3 ISCHEMIC - Treatment Source Type: research

Acute ischemic stroke: The role of emergency carotid endarterectomy in isolated extracranial internal carotid artery occlusion
CONCLUSIONS: Emergency CEA in isolated eICA occlusion has proved to be a safe and effective treatment option in selected patients. CT perfusion, imaging the ischemic penumbra and quantifying the tissue suitable for reperfusion, offers a valid support in the diagnostic-therapeutic workup. Indeed, we can infer that the area of the ischemic penumbra is directly proportional to the margin of clinical improvement after revascularization, supposing that the appropriate intervention timing is respect.PMID:37594376 | DOI:10.1177/17085381231192712
Source: Vascular - August 18, 2023 Category: Surgery Authors: Pierfilippo Acciarri Alice Camagni Maddalena Bressan Gladiol Zenunaj Ilaria Casetta Andrea Bernardoni Vincenzo Gasbarro Luca Traina Source Type: research

What Is the Role of Transcarotid Artery Revascularization?
Adv Surg. 2023 Sep;57(1):115-140. doi: 10.1016/j.yasu.2023.04.010. Epub 2023 May 26.ABSTRACTCarotid endarterectomy (CEA) is the gold-standard method of carotid revascularization in symptomatic patients with ≥50% and in asymptomatic patients with ≥70% stenosis. Transfemoral carotid artery stenting (TFCAS) has been associated with higher perioperative stroke rates compared to CEA in several studies. On the other hand, transcarotid artery revascularization (TCAR) has outperformed TFCAS in patients who are considered high risk for surgery. There is increasing data that supports TCAR as a safe and efficient technique with o...
Source: Adv Data - August 3, 2023 Category: Epidemiology Authors: Sina Zarrintan Mahmoud B Malas Source Type: research

Postoperative disability and one-year outcomes for patients suffering a stroke after carotid endarterectomy
Objective: Although post-carotid endarterectomy (CEA) strokes are rare, they can be devastating. The degree of disability that patients develop after such events and its effects on long-term outcomes are unclear. Our goal was to assess the extent of postoperative disability in patients suffering strokes after CEA and evaluate its association with long-term outcomes.
Source: European Journal of Vascular and Endovascular Surgery - August 1, 2023 Category: Surgery Authors: Scott R. Levin, Alik Farber, Anna Kobzeva-Herzog, Elizabeth G. King, Mohammad H. Eslami, Karan Garg, Virendra I. Patel, Caron B. Rockman, Denis Rybin, Jeffrey J. Siracuse Tags: Clinical research study Source Type: research

E-107 Carotid artery stenting in patients with symptomatic non-stenotic carotid artery disease - a case series
ConclusionsIn this case series performed over a 10-year period at a high-volume stroke center we show that CAS is safe and efficient in patients with SyNC. Previous studies have established safety and effectiveness of CES in patients presenting with SyNC, however there is a paucity of reports in the literature regarding the effect of CAS in this patient population. Recent guidelines have brought specific attention to high-risk plaque characteristics which suggest that plaque instability plays a major role in the onset of ischemic events, regardless of lumen narrowing. Advanced imaging techniques, such as Optical Coherence ...
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: Nedelcu, S., Kuhn, A., Singh, J., Puri, A. Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research

Long Term Outcomes After Invasive Treatment of Carotid Artery Stenosis: a Longitudinal Study of German Health Insurance Claims
CONCLUSION: The current study revealed striking differences between previous landmark trials and real world practice. It further suggested excess mortality of invasively treated asymptomatic patients.PMID:37490978 | DOI:10.1016/j.ejvs.2023.07.030
Source: PubMed: Eur J Vasc Endovasc ... - July 25, 2023 Category: Surgery Authors: Matthias Zimmermann Axel Larena-Avellaneda Ulrich Rother Fabien Lareyre Mette S øgaard Riikka Tulamo Maarit Venermo Christian-Alexander Behrendt Source Type: research

Discharge prescription patterns for antiplatelet and statin therapy following carotid endarterectomy: an analysis of the vascular quality initiative
Conclusions Although statin use has substantially improved following CEA, more than half of individuals not on a statin preprocedure remained this way at discharge. In addition, DAPT at discharge was frequent, a quarter of whom were on SAPT preprocedure. Further efforts are needed to improve rates of new statin prescriptions, ensure appropriate APT intensity at discharge and determine how different discharge APT regimens impact outcomes.
Source: BMJ Open - July 25, 2023 Category: General Medicine Authors: Eppler, M., Singh, N., Ding, L., Magee, G., Garg, P. Tags: Open access, Cardiovascular medicine Source Type: research

Correlation Between Intracranial Calcification and Extracranial Stenosis of the Internal Carotid Artery
We examined a population not selected for cerebral disease. This retrospective study contained 179 subjects aged 18 years and older from the Hawaii Diagnostic Radiology database. Extracranial internal carotid artery stenosis was determined using the absolute diameter, North American Symptomatic Carotid Endarterectomy Trial, and common carotid artery methods. Calcification was scored using the modified Woodcock method. A positive correlation between intracranial calcification and extracranial carotid stenosis was found using all three methods. Individuals with intracranial calcification were more likely to be older, have a ...
Source: Atherosclerosis - July 12, 2023 Category: Cardiology Authors: Julia R Jahansooz Andrew Ko Ryoko Hiroi Masako Matsunaga Enrique Carrazana Jason Viereck Source Type: research