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Total 3117 results found since Jan 2013.
Carotid free-floating thrombus causing stroke in a young woman with lupus anticoagulant: A case report and review of the literature
Conclusion In this case we chose surgical treatment resulting in complete resolution of symptoms and non-recurrence within 6 month follow-up.
Source: International Journal of Surgery Case Reports - February 20, 2017 Category: Surgery Source Type: research
Antiplatelet Resistance in Ischaemic Stroke Patients
Stroke constitutes a phenotype of cardiovascular disease. International recommendations implement antiplatelet therapy with aspirin and/or clopidogrel for ischaemic stroke patients.1 Both drugs inhibit pathways of platelet activation. However, there are patients on aspirin or clopidogrel who do not respond appropriately to these drugs. This phenomenon is described as “aspirin/clopidogrel resistance,” with prevalence in the range of 5–65% and 4–30% for each agent respectively, depending on cutoff values chosen, and population tested.
Source: European Journal of Vascular and Endovascular Surgery - May 18, 2017 Category: Surgery Authors: K. Spanos, G. Kouvelos, M. Matsagkas, A.D. Giannoukas Tags: Editorial Source Type: research
Development of a validated model to predict 30-day stroke and 1-year survival after carotid endarterectomy for asymptomatic stenosis using the Vascular Quality Initiative
Carotid endarterectomy (CEA) has been shown to be an effective treatment for patients with asymptomatic carotid artery stenosis when perioperative stroke rates are low and patients survive long enough to benefit from the intervention. Our objective was to develop and to validate a simple risk prediction model for 30-day stroke and 1-year mortality to guide optimal selection of patients for CEA.
Source: Journal of Vascular Surgery - June 2, 2017 Category: Surgery Authors: Randall R. DeMartino, Benjamin S. Brooke, Dan Neal, Adam W. Beck, Mark F. Conrad, Shipra Arya, Sapan Desai, Faisal Aziz, Patrick Ryan, Jack L. Cronenwett, Larry W. Kraiss, Vascular Quality Initiative Tags: Clinical paper Source Type: research
Pre-operative Carotid Plaque Echolucency Assessment has no Predictive Value for Long-Term Risk of Stroke or Cardiovascular Death in Patients Undergoing Carotid Endarterectomy
This study evaluated the prognostic value of pre-operative plaque echolucency for future stroke and cardiovascular death in patients undergoing carotid endarterectomy in the first Asymptomatic Carotid Surgery Trial (ACST-1).
Source: European Journal of Vascular and Endovascular Surgery - June 24, 2017 Category: Surgery Authors: D. de Waard, G.J. de Borst, R. Bulbulia, H. Pan, A. Halliday, ACST-1 collaborative group Source Type: research
Risk Factor Profile of Previously Asymptomatic Patients Presenting With Carotid-Related Stroke
This study was conducted to assess atherosclerotic risk factor profiles of those previously asymptomatic patients admitted with stroke of carotid etiology.
Source: Journal of Vascular Surgery - July 20, 2017 Category: Surgery Authors: Derek Klarin, Emel A. Ergul, Scott B. Silverman, Virendra I. Patel, Glenn LaMuraglia, Mark F. Conrad, Richard P. Cambria, W. Darrin Clouse Tags: Abstract from the 2017 New England Society for Vascular Surgery Annual Meeting Source Type: research
Pre-operative Carotid Plaque Echolucency Assessment has no Predictive Value for Long-Term Risk of Stroke or Cardiovascular Death in Patients Undergoing Carotid Endarterectomy
This study evaluated the prognostic value of pre-operative plaque echolucency for future stroke and cardiovascular death in patients undergoing carotid endarterectomy in the first Asymptomatic Carotid Surgery Trial (ACST-1).
Source: Journal of Vascular Surgery - August 22, 2017 Category: Surgery Authors: D. de Waard, G.J. de Borst, R. Bulbulia, H. Pan, A. Halliday, ACST-1 collaborative group Tags: Selected Abstract from the August Issue of the European Journal of Vascular and Endovascular Surgery Source Type: research
Very Early CEA Without Shunting for Stroke —The Preferred Therapy
This study analyzed the results of early CEA (
Source: Journal of Vascular Surgery - August 22, 2017 Category: Surgery Authors: Niren Angle Tags: Abstract from the 2017 Western Vascular Society Annual Meeting Source Type: research
Contralateral Occlusion Does Not Predispose to Higher Stroke Rates after Carotid Endarterectomy
Multiple small studies have suggested that contralateral internal carotid artery (ICA) occlusion is associated with higher stroke rates after carotid endarterectomy (CEA) than when contralateral ICA is not occluded. This situation has therefore been designated as a “high-risk” situation and been established as a criterion for carotid stenting. Our objective was to use a large multi-institutional clinical database to assess the effect of contralateral ICA occlusion on 30-day stroke and death after CEA.
Source: Annals of Vascular Surgery - March 13, 2018 Category: Surgery Authors: Prateek K. Gupta, Kelly Kempe, Reshma Brahmbhatt, Shaun M. Stickley, Michael J. Rohrer Tags: Abstracts Accepted for Presentation During the 42nd Annual Meeting of the Vascular and Endovascular Surgery Society Source Type: research
2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
PubMed, Embase, Cochrane Database, and clinicaltrials.gov were partially or completely reviewed between January 1, 2011 and July 10, 2017.
Source: Journal of Vascular Surgery - May 22, 2018 Category: Surgery Authors: W.J. Powers, A.A. Rabinstein, T. Ackerson, O.M. Adevoe, N.C. Bambakidis, K. Becker Tags: Summary of acute ischemic stroke guidelines Source Type: research
IP105. Severity and Outcomes of Perioperative Stroke After Carotid Artery Stenting and Carotid Endarterectomy: Analysis of a National Database
Different randomized trials have shown an excess of minor strokes in patients assigned to carotid artery stenting (CAS) compared with those assigned to carotid endarterectomy (CEA), with no difference in rates of disabling stroke or death between the two approaches. We sought to assess the severity and impact of perioperative stroke after CEA and CAS using a real-world national data set.
Source: Journal of Vascular Surgery - May 22, 2018 Category: Surgery Authors: Hanaa Dakour Aridi, Besma Nejim, Christopher J. Abularrage, James H. Black, Mahmoud B. Malas Source Type: research
Risk factor profile and anatomic features of previously asymptomatic patients presenting with carotid-related stroke
Although carotid atherosclerotic-mediated stroke remains a major cause of morbidity and mortality, some have suggested intervention in carotid stenosis should be limited to symptomatic patients given the advances in medical therapy. The present study was conducted to assess the atherosclerotic risk factor profiles, anatomic features, and clinical outcomes of previously asymptomatic patients admitted with stroke of carotid etiology.
Source: Journal of Vascular Surgery - May 24, 2018 Category: Surgery Authors: Derek Klarin, Richard P. Cambria, Emel A. Ergul, Scott B. Silverman, Virendra I. Patel, Glenn M. LaMuraglia, Mark F. Conrad, W. Darrin Clouse Tags: Clinical paper Source Type: research
Durability of Stroke Prevention with Carotid Endarterectomy and Carotid Stenting
Carotid artery stenting remains an effective alternative to carotid endarterectomy for stroke prevention; however, the long-term durability of carotid artery stenting remains poorly defined. We performed a 10-year “real-world” comparative analysis of carotid endarterectomy and carotid artery stenting to help evaluate the success of these procedures in preventing late ischemic stroke events.
Source: Surgery - September 18, 2018 Category: Surgery Authors: Michael A. Thomas, William H. Pearce, Heron E. Rodriguez, Irene B. Helenowski, Mark K. Eskandari Source Type: research
The imperative need to identify stroke risk stratification models for patients with asymptomatic carotid artery stenosis
The optimal management of patients with asymptomatic carotid stenosis (ACS) is controversial. The study by Klarin et al1 provides important novel information that challenges the theory claiming that medical treatment (MT) alone is adequate for the management of all patients with ACS and that prophylactic carotid endarterectomy is not justified in any of these patients.2 Klarin et al1 showed that 112 of 219 pat ients (50%) with radiographically confirmed first-ever carotid-related strokes did actually receive antiplatelet therapy before their stroke, and 121 of 219 patients (55%) received lipid-lowering therapy (most ...
Source: Journal of Vascular Surgery - September 20, 2018 Category: Surgery Authors: Kosmas I. Paraskevas, Jean-Baptiste Ricco Tags: Letter to the Editor Source Type: research
Novel approach to prevention of perioperative stroke in patients undergoing debranching thoracic endovascular aortic repair with mini-cardiopulmonary bypass support
This study was performed to evaluate the efficacy of mini-cardiopulmonary bypass (mini-CPB) support in debranching TEVAR to prevent perioperative stroke.
Source: Annals of Vascular Surgery - April 4, 2019 Category: Surgery Authors: Masaaki Ryomoto, Hiroe Tanaka, Masataka Mitsuno, Mitsuhiro Yamamura, Naosumi Sekiya, Hisashi Uemura, Ayaka Sato, Daisuke Ueda Source Type: research
