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Procedure: Carotid Endarterectomy

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Total 2934 results found since Jan 2013.

Time From Symptoms to Carotid Endarterectomy or Stenting and Perioperative Risk Brief Reports
Conclusions— Time from symptoms to carotid endarterectomy or carotid artery stenting did not alter periprocedural safety, supporting early revascularization regardless of modality. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique identifier: NCT00004732.
Source: Stroke - November 23, 2015 Category: Neurology Authors: Meschia, J. F., Hopkins, L. N., Altafullah, I., Wechsler, L. R., Stotts, G., Gonzales, N. R., Voeks, J. H., Howard, G., Brott, T. G. Tags: Percutaneous Coronary Intervention, Treatment, Cerebrovascular Procedures, Stenosis Brief Reports 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

Can CREST Procedural Results Be Reproduced in General Practice in Post CREST Era? Analysis of National Surgical Quality Improvement Program (NSQIP) Registry (S42.001)
Conclusions: Our results support reproducibility of CREST procedural outcomes for both CEA and CAS in general practice in post-trial period.Disclosure: Dr. Jani has nothing to disclose. Dr. Zafar has nothing to disclose. Dr. Afzal has nothing to disclose. Dr. Qureshi has nothing to disclose.
Source: Neurology - February 7, 2016 Category: Neurology Authors: Jani, V., Zafar, A., Afzal, M., Qureshi, A. Tags: Stroke Mechanism and Modifiers 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

Early secondary prevention after initially ineffective revascularization treatments for acute ischemic stroke due to tandem occlusion
We report the case of a man with stroke due to tandem internal carotid artery/middle cerebral artery occlusion, who underwent initially ineffective intravenous thrombolysis (IVT) and endovascular treatment. Early anticoagulation with apixaban was started after 48 h of IVT, given a newly diagnosed nonvalvular atrial fibrillation. Spontaneous partial recanalization of the cervical internal carotid artery was noted, and carotid endarterectomy was performed 72 h after IVT and 8 h after the last dose of apixaban. Surgery was conducted without any complication and the patient was discharged 7 days after onset with a residu...
Source: Blood Coagulation and Fibrinolysis - August 30, 2017 Category: Hematology Tags: Case Reports Source Type: research

Carotid endarterectomy: the change in practice over 11  years in a stroke centre
ConclusionThe trends in CEA practice at our centre align with international trends and guidelines. This study provides a representative indicator of Australian hospital practice, and illustrates how evidence from research is translated into clinical care.
Source: ANZ Journal of Surgery - November 13, 2017 Category: Surgery Authors: Gabrielle T. W. Tse, Monique F. Kilkenny, Chris Bladin, Michael Grigg, Helen M. Dewey Tags: Original Article Source Type: research

Urgent Carotid Intervention in Patients With Minor to Moderate Strokes (National Institutes of Health Stroke Scale Score ≤10) Performed After 48 Hours Results in Greater Functional Independence at Discharge
Increasing evidence suggests that urgent carotid intervention after transient ischemic attack (TIA) or nondisabling stroke is safe.1 However, functional outcome after urgent carotid intervention for various degrees of stroke severity has not yet been quantified. We aimed to determine whether increased stroke severity on presentation is associated with poor functional outcomes in patients undergoing urgent carotid endarterectomy (CEA) or carotid artery stenting (CAS).
Source: Journal of Vascular Surgery - December 18, 2017 Category: Surgery Authors: Esther Mihindu, Alaa Mohammed, Bethany Jennings, Mustafa Alhasan, James Milburn, Taylor Smith, Clayton Brinster, W.C. Sternbergh Tags: Abstract from the 2018 Southern Association for Vascular Surgery Annual Meeting Source Type: research

IP103. A Significant Number of Patients Who Suffer a Perioperative Stroke After Carotid Endarterectomy Experience Significant Disability
Although modern rates of perioperative stroke after carotid endarterectomy (CEA) have been shown to be low, the degree of disability after a stroke is unclear. Our goal was to assess the degree of disability of perioperative stroke after CEA in patients without perioperative impairment.
Source: Journal of Vascular Surgery - May 22, 2018 Category: Surgery Authors: Scott R. Levin, Alik Farber, Douglas W. Jones, Denis Rybin, Jeffrey Kalish, Kyla Bennett, Nkiruka Arinze, Jeffrey Siracuse Source Type: research

Carotid Artery Stent Placement and Carotid Endarterectomy: A Challenge for Urgent Treatment after Stroke —Early and 12-Month Outcomes in a Comprehensive Stroke Center
To compare feasibility, 12-month outcome, and periprocedural and postprocedural risks between carotid artery stent (CAS) placement and carotid endarterectomy (CEA) performed within 1 week after transient ischemic attack (TIA) or mild to severe stroke onset in a single comprehensive stroke center.
Source: Journal of Vascular and Interventional Radiology : JVIR - June 20, 2018 Category: Radiology Authors: Alessandro Rocco, Fabrizio Sallustio, Nicola Toschi, Barbara Rizzato, Jacopo Legramante, Arnaldo Ippoliti, Andrea Ascoli Marchetti, Enrico Pampana, Roberto Gandini, Marina Diomedi Tags: Clinical Study Source Type: research

Timing of carotid endarterectomy after recent minor to moderate stroke
Early carotid endartectomy is generally favored by vascular surgeons in patients after a minor to moderate stroke. Herein, we compared the results of early versus delayed carotid endartectomy in patients presenting with similar National Institutes of Health Stroke Scale findings after a recent minor to moderate stroke.
Source: Surgery - July 30, 2018 Category: Surgery Authors: Sachinder S. Hans, Robert J. Acho, Irina Catanescu Source Type: research

InspireMD touts results of next-gen stroke prevention stent study
InspireMD (NYSE:NSPR) has released the results of a meta-analysis of four clinical studies involving dual-layered (DLS) and mesh-covered stents, including the company’s MicroNet-covered stent, the CGuard embolic prevention system. The analysis concluded that carotid artery disease patients treated with mesh-covered stents experienced a 30-day minor stroke rate of 1.25%, lower than the 30-day minor stroke rates reported in other widely cited studies, such as CREST and ACT 1, for patients treated with both carotid endarterectomy and with those treated with conventional carotid stents. CREST and ACT 1 also involved lower...
Source: Mass Device - December 24, 2018 Category: Medical Devices Authors: Nancy Crotti Tags: Blog Cardiovascular Research & Development Stents InspireMD Terumo Source Type: news

Re Alarming Results for Carotid Artery Stenting in Patients with Contralateral Carotid Artery Occlusion
Thank you for the interest in our data. Although the 3-year stroke, Myocardial Infarction (MI), or death rates in the entire cohort of 49 patients was relatively high (18.4%), the majority of patients less than 75 years old had a stroke rate of 5% and a stroke-MI-death rate of 10.5% over 3 years. We agree that these data are not as good as carotid endarterectomy (CEA), but we stand by our conclusion that carotid artery stenting (CAS) in patients with contralateral carotid artery occlusion (CCO) is a safe and effective therapy.
Source: Journal of Stroke and Cerebrovascular Diseases - July 29, 2019 Category: Neurology Authors: Jianming Guo, Alan Dardik, Yongquan Gu Tags: Letter to the Editor Source Type: research

Unplanned and Planned Shunting During Carotid Endarterectomy After Acute Stroke Is Associated With Increased Risk of Perioperative Stroke
Whether recent stroke mandates shunting during carotid endarterectomy (CEA) is controversial. Our goal was to determine associations of various shunting practices with perioperative outcomes of CEAs performed after acute stroke.
Source: Journal of Vascular Surgery - August 21, 2019 Category: Surgery Authors: Scott R. Levin, Alik Farber, Philip P. Goodney, Marc L. Schermerhorn, Virendra I. Patel, Nkiruka Arinze, Douglas W. Jones, Jeffrey J. Siracuse Tags: Abstract from the 2019 New England Society for Vascular Surgery Annual Meeting Source Type: research

Procedural Stroke after Carotid Revascularization – Critical Analysis of the Literature and Standards of Reporting
Mechanisms of procedural stroke after carotid endarterectomy (CEA) or stenting (CAS) are surprisingly underresearched. However, understanding the underlying mechanism could: (1) assist in balancing the choice for revascularization versus conservative therapy; (2) assist in choosing either open or endo techniques; and (3) assist in taking appropriate periprocedural measures to further reduce procedural stroke rate.The purpose of this study was to overview mechanisms of procedural stroke after carotid revascularization and establish reporting standards to facilitate more granular investigation and individual patient data met...
Source: Journal of Vascular Surgery - June 25, 2021 Category: Surgery Authors: A. Coelho, J. Peixoto, A. Canedo, L.J. Kappelle, A. Mansilha, G.J. deBorst Source Type: research

Management of patients with asymptomatic carotid stenosis may need to be individualized: a multidisciplinary call for action. Republication of J Stroke 2021;23:202-212
Int Angiol. 2021 Jul 27. doi: 10.23736/S0392-9590.21.04751-9. Online ahead of print.ABSTRACTThe optimal management of patients with asymptomatic carotid stenosis (ACS) is the subject of extensive debate. According to the 2017 European Society for Vascular Surgery guidelines, carotid endarterectomy should (Class IIa; Level of Evidence: B) or carotid artery stenting may be considered (Class IIb; Level of Evidence: B) in the presence of one or more clinical/imaging characteristics that may be associated with an increased risk of late ipsilateral stroke (e.g. silent embolic infarcts on brain computed tomography/magnetic resona...
Source: International Angiology - July 27, 2021 Category: Cardiology Authors: Kosmas I Paraskevas Dimitri P Mikhailidis Hediyeh Baradaran Alun H Davies Hans-Henning Eckstein Gianluca Faggioli Jose Fernandes E Fernandes Ajay Gupta Mateja K Jezovnik Stavros K Kakkos Niki Katsiki M Eline Kooi Gaetano Lanza Christos D Liapis Ian M Loft Source Type: research