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Procedure: Carotid Endarterectomy

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Total 1996 results found since Jan 2013.

The Impact of Full Collapse on the Risk of Ischaemic Stroke in Patients with Carotid Near Occlusion
Carotid near occlusion (CNO) is a severe carotid stenosis associated with a reduction in the calibre of the extracranial internal carotid artery distal to the stenosis.1 The risk of ipsilateral stroke in patients with CNO is a controversial issue. While a post hoc analysis of the North American Symptomatic Carotid Endarterectomy Trial (NASCET) and the European Carotid Surgery Trial (ECST) reported a lower risk of ipsilateral stroke for medically treated patients with CNO compared with patients with severe (70 –99%) carotid stenosis2, more recent studies have shown that the CNO recurrence rate may be higher.
Source: European Journal of Vascular and Endovascular Surgery - April 20, 2023 Category: Surgery Authors: Andr és García-Pastor, Ana Iglesias-Mohedano, Antonio Gil-Núñez Tags: Editorial Source Type: research

Delaying Carotid Endarterectomy 3-4  Days From Admission Date Allows Lower Stroke Risk in Patients Who Had Carotid Endarterectomy for Symptomatic Carotid Stenosis With Moderate-to-Severe Disability
This study investigates this topic.
Source: Journal of Vascular Surgery - May 23, 2023 Category: Surgery Authors: Melina Recarey, Renxi Li, Emanuela Peshel, Jamie Thompson, Anton Sidawy, Bao-Ngoc Nguyen Tags: Interactive Poster Session Source Type: research

A comparative effectiveness study of carotid intervention for long-term stroke prevention in patients with severe asymptomatic stenosis from a large integrated health system
In this study, we compared the observed effectiveness of CEA and standard medical therapy versus standard medical therapy alone to prevent ipsilateral stroke in a contemporary cohort of patients with ACS.
Source: Journal of Vascular Surgery - July 3, 2023 Category: Surgery Authors: Robert W. Chang, Noel Pimentel, Lue-Yen Tucker, Kara A. Rothenberg, Andrew L. Avins, Alexander C. Flint, Rishad M. Faruqi, Mai N. Nguyen-Huynh, Romain Neugebauer Source Type: research

Characteristics of Ischemic Brain Lesions After Stenting or Endarterectomy for Symptomatic Carotid Artery Stenosis: Results From the International Carotid Stenting Study-Magnetic Resonance Imaging Substudy Original Contributions
Conclusions— Compared with patients undergoing CEA, patients treated with CAS had higher numbers of periprocedural ischemic brain lesions, and lesions were smaller and more likely to occur in cortical areas and subjacent white matter. These findings may reflect differences in underlying mechanisms of cerebral ischemia. Clinical Trial Registration— URL: http://www.isrctn.org. Unique identifier: ISRCTN25337470.
Source: Stroke - December 24, 2012 Category: Neurology Authors: Gensicke, H., Zumbrunn, T., Jongen, L. M., Nederkoorn, P. J., Macdonald, S., Gaines, P. A., Lyrer, P. A., Wetzel, S. G., van der Lugt, A., Mali, W. P. T. M., Brown, M. M., van der Worp, H. B., Engelter, S. T., Bonati, L. H., on behalf of the ICSS-MRI Subs Tags: Imaging, Carotid Stenosis, Carotid endarterectomy, Angioplasty and Stenting Original Contributions Source Type: research

Features of Unstable Carotid Plaque During and After the Hyperacute Period Following TIA/Stroke.
CONCLUSION: Patients undergoing surgery ≤14 days had a significantly higher overall burden of high risk plaque features compared with those undergoing delayed CEA. However, the secondary upsurge across a range of unstable plaque features in patients undergoing CEA after ≥29 days had elapsed suggests that the relationship between recency of symptoms and plaque histology is more complex than had been anticipated in previous studies. PMID: 23270859 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - December 24, 2012 Category: Surgery Authors: Salem MK, Sayers RD, Bown MJ, West K, Moore D, Robinson TG, Naylor AR Tags: Eur J Vasc Endovasc Surg Source Type: research

Clinical risk predictors for cerebral hyperperfusion syndrome after carotid endarterectomy
Conclusions Independent, prospective monitoring of a large cohort of CEA cases identified a brief time interval between ischaemic symptoms and endarterectomy as the clearest risk factor for CHS.
Source: Journal of Neurology, Neurosurgery and Psychiatry - April 8, 2013 Category: Neurosurgery Authors: Maas, M. B., Kwolek, C. J., Hirsch, J. A., Jaff, M. R., Rordorf, G. A. Tags: Epilepsy and seizures, Headache (including migraine), Pain (neurology), Stroke, Hypertension, Ophthalmology, Ischaemic heart disease, Disability Neurosurgery Source Type: research

Effects of carotid endarterectomy or stenting on hemodynamic complications in the International Carotid Stenting Study: a randomized comparison
ConclusionHemodynamic depression occurs more often after carotid artery stenting and severe hypertension more often after carotid endarterectomy, but these complications are not responsible for the excess of major perioperative events after carotid artery stenting.
Source: International Journal of Stroke - July 9, 2013 Category: Neurology Authors: Aysun Altinbas, Ale Algra, Martin M. Brown, Roland L. Featherstone, L. Jaap Kappelle, Gert Jan Borst, Willem P. Th. M. Mali, H. Bart der Worp, Tags: Research Source Type: research

Homocysteine Improves Risk Stratification in Patients Undergoing Endarterectomy for Asymptomatic Internal Carotid Artery Stenosis Brief Reports
Conclusions— High plasma homocysteine levels suggest that older patients with asymptomatic carotid stenosis might rather benefit from intensive medical therapy than from CEA.
Source: Stroke - July 22, 2013 Category: Neurology Authors: Duschek, N., Ghai, S., Sejkic, F., Falkensammer, J., Skrinjar, E., Huber, K., Wojta, J., Waldhor, T., Hubl, W., Assadian, A. Tags: Health policy and outcome research, Risk Factors, Carotid Stenosis, Other Stroke Treatment - Medical, Carotid endarterectomy Brief Reports Source Type: research

The Phenotype of Infiltrating Macrophages Influences Arteriosclerotic Plaque Vulnerability in the Carotid Artery
Conclusions: Our data show that M1 macrophage content of atherosclerotic plaques is associated with clinical incidence of ischemic stroke and increased inflammation or fibrinolysis. We also show the benefits of using ultrasound to evaluate vulnerability in the plaques.
Source: Journal of Stroke and Cerebrovascular Diseases - December 28, 2012 Category: Neurology Authors: Kyu Yong Cho, Hideaki Miyoshi, Satoshi Kuroda, Hiroshi Yasuda, Kenji Kamiyama, Joji Nakagawara, Masayoshi Takigami, Takuma Kondo, Tatsuya Atsumi Tags: Original Articles Source Type: research

Carotid artery stenting appears associated with increased stroke in elderly
Carotid artery stenting (CAS) was associated with an increased risk of stroke in elderly patients but the mortality risk appeared to be the same as for nonelderly patients, according to a review of the medical literature published Online First by JAMA Surgery, a JAMA Network publication. There is debate about the most appropriate treatment for carotid artery atherosclerosis and about the safety of CAS (using a stent to expand the carotid artery) and CEA (carotid endarterectomy, a procedure to remove plaque from the artery) in elderly patients, according to the study background...
Source: Health News from Medical News Today - October 23, 2013 Category: Consumer Health News Tags: Medical Devices / Diagnostics Source Type: news

Periprocedural Hemodynamic Depression Is Associated With a Higher Number of New Ischemic Brain Lesions After Stenting in the International Carotid Stenting Study-MRI Substudy Clinical Sciences
Conclusions— In patients treated by CAS, periprocedural hemodynamic depression is associated with an excess of new ischemic lesions on diffusion-weighted imaging. The findings support the hypothesis that hypoperfusion increases the susceptibility of the brain to embolism. Clinical Trial Registration— URL: http://www.controlled-trials.com. Unique identifier: ISRCTN25337470.
Source: Stroke - December 23, 2013 Category: Neurology Authors: Altinbas, A., Algra, A., Bonati, L. H., Brown, M. M., Kappelle, L. J., de Borst, G. J., Hendrikse, J., van der Tweel, I., van der Worp, H. B., on behalf of the ICSS Investigators Tags: Carotid Stenosis, Computerized tomography and Magnetic Resonance Imaging, Primary and Secondary Stroke Prevention, Carotid endarterectomy, Angioplasty and Stenting Clinical Sciences Source Type: research

Surgical Treatment for Carotid Stenoses with Highly Calcified Plaques
Background: The aim of this study was to clarify both the present status of treatment for carotid stenosis with highly calcified plaques and the appropriate treatment.Methods: A total of 140 consecutive treatments for carotid stenoses (carotid endarterectomy [CEA]:carotid artery stenting [CAS] 81:59) were enrolled in the study. We classified the patients into low-calcified plaque (LCP) and high-calcified plaque (HCP) groups by calcium score, determined by a receiver operating characteristic analysis, and we compared the results after both treatments.Results: The mean degree of residual stenosis and improvement rates of the...
Source: Journal of Stroke and Cerebrovascular Diseases - December 27, 2012 Category: Neurology Authors: Hiroyuki Katano, Mitsuhito Mase, Yusuke Nishikawa, Kazuo Yamada Tags: Original Articles Source Type: research

Practice Patterns of Carotid Endarterectomy as Performed by Different Surgical Specialties and the Impact on Perioperative Stroke and Cost
This study analyzes different surgical practice patterns and their impact on perioperative stroke and cost.
Source: Journal of Vascular Surgery - January 24, 2014 Category: Surgery Authors: Ali F. AbuRahma, Mohit Srivastava, Benny Y. Chong, Zachary AbuRahma, Stephen M. Hass, L. Scott Dean, Patrick A. Stone, Albeir Y. Mousa Tags: Abstracts from the 2014 Society for Clinical Vascular Surgery Annual Symposium Source Type: research

Predictors of Acute and Persisting Ischemic Brain Lesions in Patients Randomized to Carotid Stenting or Endarterectomy Brief Reports
Conclusions— Stenting caused more acute and persisting ischemic brain lesions than endarterectomy. However, the rate of conversion from acute to persisting lesions was lower in the stenting group, most likely attributable to lower acute lesion volumes. Clinical Trial Registration —URL: www.isrctn.org. Unique identifier: ISRCTN25337470.
Source: Stroke - January 27, 2014 Category: Neurology Authors: Rostamzadeh, A., Zumbrunn, T., Jongen, L. M., Nederkoorn, P. J., Macdonald, S., Lyrer, P. A., Kappelle, L. J., Mali, W. P. T. M., Brown, M. M., van der Worp, H. B., Engelter, S. T., Bonati, L. H., on behalf of the ICSS-MRI Substudy Investigators, The foll Tags: Carotid Stenosis, Computerized tomography and Magnetic Resonance Imaging, Carotid endarterectomy, Angioplasty and Stenting Brief Reports Source Type: research

Stroke Rounds: Early Surgery Looks Safe After tPA
(MedPage Today) -- Performing carotid endarterectomy or stenting in patients who were recently treated with thrombolytic therapy for an acute stroke appeared to be safe, an observational study showed.
Source: MedPage Today Cardiovascular - March 11, 2014 Category: Cardiology Source Type: news