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Procedure: Carotid Endarterectomy

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Total 1996 results found since Jan 2013.

Role of Carotid Artery Stenting in Prevention of Stroke for Asymptomatic Carotid Stenosis: Bayesian Cross-Design and Network Meta-Analyses.
CONCLUSIONS: A similar risk for periprocedural MI between CEA and CAS in NRCSs suggested that concerns about periprocedural MI accompanied by CEA might not matter in real-world practice when preoperative evaluation and management are working. Maybe the benefits of CAS over MT have been overestimated considering advances in medical therapy within10-year gap between CEA-versus-MT and CEA-versus-CAS studies. PMID: 32096354 [PubMed - as supplied by publisher]
Source: Korean Circulation Journal - February 27, 2020 Category: Cardiology Tags: Korean Circ J Source Type: research

Timing of procedural stroke and death in asymptomatic patients undergoing carotid endarterectomy: individual patient analysis from four RCTs.
CONCLUSION: At least half of the procedural strokes in this study were ischaemic and ipsilateral to the treated artery. Half of all procedural complications occurred on the day of surgery, but one-third after day 3 when many patients had been discharged. PMID: 32162310 [PubMed - as supplied by publisher]
Source: The British Journal of Surgery - March 11, 2020 Category: Surgery Authors: Poorthuis MHF, Bulbulia R, Morris DR, Pan H, Rothwell PM, Algra A, Becquemin JP, Bonati LH, Brott TG, Brown MM, Calvet D, Eckstein HH, Fraedrich G, Gregson J, Greving JP, Hendrikse J, Howard G, Jansen O, Mas JL, Lewis SC, de Borst GJ, Halliday A, Carotid Tags: Br J Surg Source Type: research

Management of extracranial carotid artery stenosis during endovascular treatment for acute ischaemic stroke: results from the MR CLEAN Registry
CONCLUSIONS: Functional outcomes were comparable after EVT with and without CAS. CAS during EVT might be a feasible option to treat the extracranial ICA stenosis but randomised studies are warranted to prove non-inferiority or superiority.PMID:36572506 | DOI:10.1136/svn-2022-001891
Source: Atherosclerosis - December 26, 2022 Category: Cardiology Authors: Sabine L Collette Michael P Rodgers Marianne A A van Walderveen Kars C J Compagne Paul J Nederkoorn Jeannette Hofmeijer Jasper M Martens Gert J de Borst Gert Jan R Luijckx Charles B L M Majoie Aad van der Lugt Reinoud P H Bokkers Maarten Uyttenboogaart MR Source Type: research

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. PMID: 23312506 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - January 8, 2013 Category: Surgery Authors: Jean-Baptiste E, Perini P, Suissa L, Lachaud S, Declemy S, Mahagne MH, Mousnier A, Hassen-Khodja R Tags: Eur J Vasc Endovasc Surg Source Type: research

Changes in Middle Cerebral Artery Velocity after Carotid Endarterectomy do not Identify Patients at High-risk of Suffering Intracranial Haemorrhage or Stroke due to Hyperperfusion Syndrome
Conclusion: We were unable to demonstrate that significant increases in MCAV and PI were able to predict patients at increased risk of suffering a post-operative stroke due to HS or ICH. The provision of written guidance for managing PEH in Group 2 patients was associated with virtual abolition of ICH/HS.
Source: European Journal of Vascular and Endovascular Surgery - March 29, 2013 Category: Surgery Authors: J.E. Newman, M. Ali, R. Sharpe, M.J. Bown, R.D. Sayers, A.R. Naylor Tags: Carotid Disease Source Type: research

Management of carotid stenosis in women: Consensus document
Conclusions: The suggestions provided in this article may constitute a decision-making basis for planning treatment of carotid stenosis in women. Most recommendations are of limited strength; however, it is unlikely that new robust data will emerge soon to induce relevant changes.
Source: Neurology - June 10, 2013 Category: Neurology Authors: De Rango, P., Brown, M. M., Didier, L., Howard, V. J., Moore, W. S., Paciaroni, M., Ringleb, P., Rockman, C., Caso, V. Tags: Decision analysis, Stroke prevention, All Cerebrovascular disease/Stroke VIEWS & amp;amp; REVIEWS Source Type: research

Long-Term Prognosis After Revascularization Therapy in Patients with Atherothrombotic Stroke.
Conclusion: In this study we disclosed neither morbidity nor mortality discrepancies in long term among the patients who were treated with carotid endarterectomy (CEA) and carotid artery stenting (CAS). PMID: 24101268 [PubMed - as supplied by publisher]
Source: Turkish Neurosurgery - October 13, 2013 Category: Neurosurgery Authors: Uygunoglu U, Benbir G, Goksan B, Ince B Tags: Turk Neurosurg Source Type: research

Complication Rates and Center Enrollment Volume in the Carotid Revascularization Endarterectomy Versus Stenting Trial Clinical Sciences
Conclusions— Complication rates were low in CREST and were not associated with center enrollment volume. The data are consistent with the value of rigorous training and credentialing in trials evaluating endovascular devices and surgical procedures. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique identifier: NCT00004732.
Source: Stroke - October 27, 2014 Category: Neurology Authors: Gonzales, N. R., Demaerschalk, B. M., Voeks, J. H., Tom, M., Howard, G., Sheffet, A. J., Garcia, L., Clair, D. G., Barr, J., Orlow, S., Brott, T. G., on behalf of the CREST Investigators Tags: Carotid Stenosis, Carotid endarterectomy, Angioplasty and Stenting Clinical Sciences Source Type: research

Editor's Choice - Safety of Carotid Endarterectomy After Intravenous Thrombolysis for Acute Ischaemic Stroke: A Case-Controlled Multicentre Registry Study.
CONCLUSION: Data on the time from symptoms to CEA in patients not having IVT, Rankin score, degree of stenosis, and cerebral imaging were not available. Despite its weaknesses, this study reasserts that CEA can be performed within the recommended 2 weeks of the onset of symptoms and IVT without increasing the risk of peri-operative stroke or death. Centres and vascular registries are recommended to continue monitoring changes in patient characteristics, lead times, and major complications after CEA in general, with a special focus on those who have undergone a prior thrombolysis. PMID: 25443523 [PubMed - in process]
Source: PubMed: Eur J Vasc Endovasc ... - December 1, 2014 Category: Surgery Authors: Rathenborg LK, Venermo M, Troëng T, Jensen LP, Vikatmaa P, Wahlgren C, Ijäs P, Björck M, Kragsterman B Tags: Eur J Vasc Endovasc Surg Source Type: research

Risk of Early Recurrent Stroke in Symptomatic Carotid Stenosis
The risk of recurrent stroke in patients with symptomatic carotid artery stenosis is highest in the first weeks after a transient ischemic attack (TIA) or minor stroke and can be reduced with carotid endarterectomy (CEA). The optimal timing of CEA remains a controversial issue since very urgent CEA is associated with an increased procedural risk. The aim of this study was to determine the risk of very early recurrent stroke in a population with symptomatic high grade carotid stenosis.
Source: European Journal of Vascular and Endovascular Surgery - December 26, 2014 Category: Surgery Authors: S. Strömberg, A. Nordanstig, T. Bentzel, K. Österberg, G.M.L. Bergström Source Type: research

Patient and observer scar assessment scores favour the late appearance of a transverse cervical incision over a vertical incision in patients undergoing carotid endarterectomy for stroke risk reduction.
CONCLUSION: Carotid endarterectomy performed through a transverse skin incision compared with a vertically oriented skin incision is associated with improved esthetic outcome, as measured by the POSAS, without an observed statistically significant difference in the risk of perioperative stroke or death between the 2 techniques. PMID: 26022156 [PubMed - as supplied by publisher]
Source: Canadian Journal of Surgery - June 1, 2015 Category: Surgery Authors: Deck M, Kopriva D Tags: Can J Surg Source Type: research

Temporal Changes in Periprocedural Events in the Carotid Revascularization Endarterectomy Versus Stenting Trial Clinical Sciences
Conclusions— The hypothesized temporal reduction of stroke+death events for carotid stenting–treated patients was not observed. Further adjustment for changes in patient characteristics between periods, including the addition of asymptomatic patients and a >50% decrease in proportion of octogenarians enrolled, resulted in practically identical rates. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique identifier: NCT00004732.
Source: Stroke - July 27, 2015 Category: Neurology Authors: Howard, G., Hopkins, L. N., Moore, W. S., Katzen, B. T., Chakhtoura, E., Morrish, W. F., Ferguson, R. D., Hye, R. J., Shawl, F. A., Harrigan, M. R., Voeks, J. H., Howard, V. J., Lal, B. K., Meschia, J. F., Brott, T. G. Tags: Carotid Stenosis, Carotid endarterectomy, Angioplasty and Stenting Clinical Sciences Source Type: research

High Plasma Levels of Galectin-3 Are Associated with Increased Risk for Stroke after Carotid Endarterectomy
Conclusions: This study is the first to show that increased plasma levels of Gal-3 can help in predicting the occurrence of postoperative strokes among female subjects who undergo CEA, independently of traditional risk factors for cerebrovascular disease. This finding suggests that Gal-3 could be used as a marker to identify patients in need of intensified postoperative medical care.Cerebrovasc Dis 2016;41:199-203
Source: Cerebrovascular Diseases - January 27, 2016 Category: Neurology Source Type: research

Optimal management of patients with asymptomatic carotid stenosis
Prior trials have shown that carotid endarterectomy (CEA) is superior to nonoperative management of asymptomatic carotid stenosis.1,2 More recent trials have shown surprisingly better outcomes for stroke patients managed with maximal medical therapy.3,4 As such, a number of experts have called for revisiting clinical trials of both CEA and carotid stenting for patients with symptomatic and asymptomatic carotid stenosis using modern medical therapy. Given the current substantial equipoise within the field, modern studies seem reasonable. A number of ongoing trials aim to address current areas of equipoise, but enrollment in...
Source: Neurology - May 22, 2017 Category: Neurology Authors: Starke, R. M. Tags: Stroke prevention, Other cerebrovascular disease/ Stroke, All Cerebrovascular disease/Stroke EDITORIALS Source Type: research