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Procedure: Carotid Endarterectomy

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Total 1996 results found since Jan 2013.

The effect of postoperative stroke and myocardial infarction on long-term survival after carotid revascularization
Introduction: The largest randomized controlled trial that compared the efficacy of carotid endarterectomy (CEA) with carotid artery stenting (CAS) showed equivalent outcomes for the composite end point of postoperative stroke, myocardial infarction (MI), or death. However, CAS had a higher risk of postoperative stroke, and CEA had a higher risk of MI. We hypothesize that there is a differential association of postoperative stroke, compared with that of postoperative MI, with reduced long-term survival after carotid revascularization when compared with neither complication.Methods: The Vascular Study Group of New England d...
Source: Journal of Vascular Surgery - February 11, 2013 Category: Surgery Authors: Jessica P. Simons, Philip P. Goodney, Donald T. Baril, Brian W. Nolan, Nathanael D. Hevelone, Jack L. Cronenwett, Louis M. Messina, Andres Schanzer, Vascular Study Group of New England Tags: Clinical research studies Source Type: research

A Systematic Literature Review of Patients with Carotid Web and Acute Ischemic Stroke. (P5.286)
Conclusions:CW is a rare disease leading to ischemic stroke in younger patients without typical CV risk factors. CW patients in our SLR were at extremely high risk for recurrent stroke (47.8%). Aggressive secondary stroke prevention measures are indicated in this patient population, however, the optimal treatment strategies remain unclear. Carotid revascularization may be the definitive treatment for certain patients with CW, but further studies are needed as incomplete reporting and potential publication bias limit our findings.Disclosure: Dr. Dhruv has nothing to disclose. Dr. Kim has nothing to disclose. Dr. Koffel has ...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Dhruv, P., Kim, J., Koffel, J., Anderson, D., Streib, C. Tags: SubAcute Interventional Therapies in Cerebrovascular Disease Source Type: research

Screening with doppler ultrasound for carotid artery stenosis in patients with stroke or transient ischaemic attack
ConclusionsIn a major Danish stroke centre, the national recommended time limit of 4 days in patients with stroke or transient ischaemic attack for screening for carotid stenosis was met in almost all patients. No patients were excluded from surgery as a result of a time limit of 14 days from admission to surgery being exceeded. Of all patients screened, 1·2% underwent carotid endarterectomy.
Source: Clinical Physiology and Functional Imaging - August 7, 2017 Category: Radiology Authors: Tatiana Kristensen, Peter Hovind, Helle K. Iversen, Ulrik B. Andersen Tags: Original Article Source Type: research

Association between Circulatory and Plaque Resistin Levels with Carotid Plaque Instability and Ischemic Stroke Events.
CONCLUSION: The results suggests that serum resistin levels may be used as a potential biomarker of plaque vulnerability and ischemic stroke events in patients with moderate- to high-grade carotid artery stenosis and highlight the possible relationship that plaque resistin expression has with histological features of plaque vulnerability. PMID: 30604667 [PubMed - in process]
Source: The Heart Surgery Forum - November 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Jurin I, Paić F, Bulimbašić S, Rudež I, Đerek L, Jurin H, Knežević A, Starcevic B, Ajduk M Tags: Heart Surg Forum Source Type: research

Recurrent stroke risk is high after a single cerebrovascular event in patients with symptomatic 50-99% carotid stenosis: a cohort study
Conclusions: The seemingly clinical stable symptomatic 50-99% carotid stenosis patients without additional ipsilateral events have a high risk of recurrent stroke. Patients without additional events should undergo preoperative evaluation and carotid endarterectomy in the same expedient manner as patients with additional events.
Source: BMC Neurology - February 4, 2014 Category: Neurology Authors: Elias JohanssonPer Wester Source Type: research

Predictors and clinical significance of progression or regression of asymptomatic carotid stenosis
Conclusions: Progressive asymptomatic carotid stenosis identified a subgroup with about twice the risk of ipsilateral stroke compared with those without progression. However, the clinical value of screening for progression simply for selecting patients for carotid procedures is limited because of the low frequency of progression and its relatively low associated stroke rate. The cost effectiveness of screening for change in stenosis severity to better direct current optimal medical treatment needs testing.
Source: Journal of Vascular Surgery - December 30, 2013 Category: Surgery Authors: Stavros K. Kakkos, Andrew N. Nicolaides, Ioanna Charalambous, Dafydd Thomas, Argyrios Giannopoulos, A. Ross Naylor, George Geroulakos, Anne L. Abbott, Asymptomatic Carotid Stenosis and Risk of Stroke (ACSRS) Study Group Tags: Clinical research studies Source Type: research

Clinical and Imaging Features Associated with an Increased Risk of Late Stroke in Patients with Asymptomatic Carotid Disease.
CONCLUSIONS: A number of imaging parameters have been shown to be predictive of an increased risk of late stroke in previously asymptomatic patients. None have been independently validated, but many could easily be evaluated in natural history studies or randomized trials in order to identify a "high risk for stroke" cohort in whom CEA/CAS could be prioritized. PMID: 25266404 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - September 26, 2014 Category: Surgery Authors: Naylor AR, Schroeder TV, Sillesen H Tags: Eur J Vasc Endovasc Surg Source Type: research

Clinical Outcomes of Carotid Endarterectomy in Patients With Carotid Artery Tandem Lesions Brief Reports
Conclusions— After diagnosis by contrast-enhanced magnetic resonance angiography, patients with and without tandem stenosis had similar rates of stroke and death.
Source: Stroke - October 27, 2014 Category: Neurology Authors: Han, Y., Park, H., Kwon, S. U., Kang, D.-W., Lee, D. H., Kwon, H., Kwon, T.-W., Cho, Y.-P., Kim, G.-E. Tags: Carotid endarterectomy Brief Reports Source Type: research

Mechanism of Procedural Stroke Following Carotid Endarterectomy or Carotid Artery Stenting Within the International Carotid Stenting Study (ICSS) Randomised Trial.
CONCLUSION: Although the mechanism of procedural stroke in both CAS and CEA is diverse, haemodynamic disturbance is an important mechanism. Careful attention to blood pressure control could lower the incidence of procedural stroke. PMID: 26160210 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - July 6, 2015 Category: Surgery Authors: Huibers A, Calvet D, Kennedy F, Czuriga-Kovács KR, Featherstone RL, Moll FL, Brown MM, Richards T, de Borst GJ Tags: Eur J Vasc Endovasc Surg Source Type: research

Carotid endarterectomy following thrombolysis for acute ischaemic stroke.
CONCLUSIONS: Our experience indicates that CEA post-thrombolysis has a low incidence of mortality. Further high quality evidence is required before CEA can be routinely recommended following IVT for acute ischaemic stroke.
. PMID: 28045369 [PubMed - as supplied by publisher]
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - January 2, 2017 Category: Surgery Authors: Ahmed N, Kelleher D, Madan M, Sochart S, Antoniou GA Tags: Vasa Source Type: research

Pattern of Utilization of Carotid Endarterectomy in Acute Ischemic Stroke Patients Undergoing Early Carotid Endarterectomy According to Severity of Neurological Deficits and Infarct Size (P5.277)
Conclusions:CEA was performed in ischemic stroke patients with minor or moderate infarction on CT scan with an acceptable rate of recurrent stroke and death and without any adverse functional outcome.Disclosure: Dr. Ahrar has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Saleem has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Ahrar, A., Qureshi, A., Saleem, M. Tags: SubAcute Interventional Therapies in Cerebrovascular Disease Source Type: research

Long term durability and outcomes of carotid stenting and carotid endarterectomy
Conclusions Although CAS may be more strongly associated with periprocedural stroke/death compared with CEA, it could be a good alternative to CEA in terms of long term durability and outcomes.
Source: Journal of NeuroInterventional Surgery - July 12, 2017 Category: Neurosurgery Authors: Jung, J.-M., Choi, J.-Y., Kim, H. J., Suh, S.-i., Seo, W.-K. Tags: Ischemic stroke Source Type: research

The role of non-stenosing carotid artery plaques in embolic stroke of undetermined source, is it a silent offender? A review of literature
CONCLUSION: Nonstenosing carotid artery plaques with high-risk features carry a remarkable risk for stroke occurrence and randomized clinical trials are warranted for further evaluation of using carotid artery stenting or carotid endarterectomy to mitigate the risk of stroke.PMID:36451548 | DOI:10.1177/15910199221143172
Source: Interventional Neuroradiology - December 1, 2022 Category: Radiology Authors: Ammar Jumah Hassan Aboul Nour Michael Fana Omar Choudhury Lara Eltous Sohaib Zoghoul Fareed Jumah Owais K Alsrouji Hisham Alhajala Osama Intikhab Horia Marin Alex Chebl Daniel Miller Source Type: research

Female Sex Does Not Influence 30-Day Stroke and Mortality Rates after Carotid Endarterectomy
Conclusions: Female sex does not influence 30-day stroke and mortality rates after CEA, regardless of preoperative symptom status.
Source: Annals of Vascular Surgery - September 5, 2013 Category: Surgery Authors: Randolph P. Guzman, Wendy Weighell, Catherine Guzman, Delfin Rodriguez-Leyva Tags: Clinical Research Source Type: research

Carotid Stenting: Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists' Collaboration Clinical Sciences
Conclusions— Carotid stenting should only be performed by operators with annual procedure volume ≥6 cases per year.
Source: Stroke - January 27, 2014 Category: Neurology Authors: Calvet, D., Mas, J.-L., Algra, A., Becquemin, J.-P., Bonati, L. H., Dobson, J., Fraedrich, G., Jansen, O., Mali, W. P., Ringleb, P. A., Chatellier, G., Brown, M. M., Carotid Stenting Trialists' Collaboration (CSTC)--Writing Committee:, Calvet, Mas, Algra, Tags: Secondary prevention, Angioplasty and Stenting Clinical Sciences Source Type: research