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Total 3117 results found since Jan 2013.

The association between platelet/lymphocyte ratio, neutrophil/lymphocyte ratio, and carotid artery stenosis and stroke following carotid endarterectomy.
CONCLUSIONS: This retrospective study suggests that platelet/lymphocyte ratio in the blood which was taken preoperatively could be considered as an additional, easy, and inexpensive method to predict a possible higher incidence of postoperative stroke after carotid endarterectomy. PMID: 31046628 [PubMed - as supplied by publisher]
Source: Vascular - May 1, 2019 Category: Surgery Authors: Deşer SB, Yucel SM, Demirag MK, Guclu MM, Kolbakir F, Keceligil HT Tags: Vascular Source Type: research

Most patients experiencing 30-day postoperative stroke after carotid endarterectomy will initially experience disability
Although modern rates of stroke after carotid endarterectomy (CEA) have been low, the functional outcomes of stroke after CEA are unclear. Our goal was to assess the degree of initial disability in patients without baseline stroke-related impairment who had undergone CEA and experienced an early postoperative stroke.
Source: Journal of Vascular Surgery - May 4, 2019 Category: Surgery Authors: Scott R. Levin, Alik Farber, Thomas W. Cheng, Douglas W. Jones, Denis Rybin, Jeffrey A. Kalish, Kyla M. Bennett, Nkiruka Arinze, Jeffrey J. Siracuse Source Type: research

Unsedated Outpatient Percutaneous Endoscopic Gastrostomy in Stroke Patients: Is It Feasible and Safe?
This study sought to determine the feasibility and safety of outpatient, unsedated PEG implementation in stroke patients. This retrospective cohort study involved stroke victims who underwent unsedated outpatient PEG insertion from 2014 to 2017 at our Surgical Endoscopy Unit. Patients were given pharyngeal anesthesia with lidocaine 10% spray, while the PEG tube was placed under local anesthesia. The incidence of intraprocedural and postprocedural complications and 30-day mortality rate were recorded. Data from 127 cases were analyzed. The procedures were performed with minor, transient complications, which resolved after r...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2019 Category: Surgery Tags: Original Articles Source Type: research

Stroke Following Thoracic Endovascular Aortic Repair and the Impact of Left Subclavian Artery Management
Introduction: Stroke is a devastating complication following thoracic endovascular aortic repair (TEVAR). Studies have found conflicting results on stroke risk following TEVAR with concurrent left subclavian artery (LSA) coverage alone (pooled reported rates ranging between 4.7-7.8%) and whether LSA revascularization results in lower stroke rates (pooled reported rates ranging between 4.1-5.8%). Therefore, we compared stroke rate following TEVAR with differing LSA management strategies in the real-world setting of a nationwide clinical registry.
Source: European Journal of Vascular and Endovascular Surgery - November 30, 2019 Category: Surgery Authors: Rens R.B. Varkevisser, Nicholas J. Swerdlow, Livia E.M.V. de Guerre, Kirsten Dansey, Chun Li, Patric Liang, Christopher A. Latz, Mathijs T. Carvalho Mota, Hence J.M. Verhagen, Marc L. Schermerhorn 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

TEVAR With Supra-Aortic Trunk Revascularization Is Associated With Increased Risk Of Periprocedural Ischemic Stroke
Ischemic stroke is a devastating complication of thoracic endovascular aortic repair (TEVAR). This risk may be higher in more proximal aneurysms that require arch manipulation. The purpose of this study was to (1) describe 30-day stroke and death rates in patients undergoing TEVAR, (2) compare stroke rates in patients undergoing TEVAR for arch versus descending aneurysm pathology, and (3) identify predictive factors associated with stroke after TEVAR.
Source: Annals of Vascular Surgery - February 1, 2022 Category: Surgery Authors: Ruojia Debbie Li, Matthew C Chia, Mark K Eskandari Source Type: research

Risk factors for stroke in penetrating carotid trauma—An analysis from the PROOVIT Registry
This study evaluated patients in the American Association for Surgery of Trauma PROspective Observational Vascular Injury Trial, with the aim of determining factors associated with stroke and stroke or death. METHODS Penetrating extracranial carotid injuries in the American Association for Surgery of Trauma PROspective Observational Vascular Injury Trial registry from 2012 to 2020 were queried. Isolated external carotid injuries were excluded. Patients with documented postinjury in-hospital stroke were compared with those without. Significant predictors (p
Source: Journal of Trauma and Acute Care Surgery - March 31, 2022 Category: Surgery Tags: 2021 AAST QUICK SHOT Source Type: research

Neurologic outcomes of carotid and other emergent interventions for ischemic stroke over six years with dataset enhanced by machine learning
Current mainstays of ischemic stroke treatment include the use of thrombolysis (tissue plasminogen activator, tPA), urgent carotid endarterectomy (uCEA) or carotid artery stenting (uCAS), and mechanical endovascular reperfusion/thrombectomy (MER). Scarce data describe the presenting stroke severity and neurologic outcomes for these acute ischemic stroke interventions, alone or in combination. The authors hypothesize that patients undergoing carotid interventions experience better functional neurologic outcomes than other stroke interventions.
Source: Journal of Vascular Surgery - June 24, 2022 Category: Surgery Authors: P. Andrew Rivera, Jeffrey Burton, Aaron Hayson, Bethany Jennings, Gabriel Vidal, W.C. Sternbergh, Daniel Fort, Hernan A. Bazan Source Type: research

TEVAR with Supra-Aortic Trunk Revascularization is Associated with Increased Risk of Periprocedural Ischemic Stroke
Ischemic stroke is a devastating complication of thoracic endovascular aortic repair (TEVAR). This risk may be higher in more proximal aneurysms that require arch manipulation. The purpose of this study was to (1) describe 30-day stroke and death rates in patients undergoing TEVAR, (2) compare stroke rates in patients undergoing TEVAR for arch versus descending aneurysm pathology, and (3) identify predictive factors associated with stroke after TEVAR.
Source: Annals of Vascular Surgery - July 11, 2022 Category: Surgery Authors: Ruojia Debbie Li, Matthew C. Chia, Mark K. Eskandari Tags: Clinical Research Source Type: research

Thoracic Endovascular Aortic Repair with Supra-Aortic Trunk Revascularization is Associated with Increased Risk of Periprocedural Ischemic Stroke
Ischemic stroke is a devastating complication of thoracic endovascular aortic repair (TEVAR). This risk may be higher in more proximal aneurysms that require arch manipulation. The purpose of this study is to (1) describe 30-day stroke and death rates in patients undergoing TEVAR, (2) compare stroke rates in patients undergoing TEVAR for arch versus descending aneurysm pathology, and (3) identify predictive factors associated with stroke after TEVAR.
Source: Annals of Vascular Surgery - July 11, 2022 Category: Surgery Authors: Ruojia Debbie Li, Matthew C. Chia, Mark K. Eskandari Tags: Clinical Research Source Type: research

Neurologic outcomes of carotid and other emergent interventions for ischemic stroke over 6  years with dataset enhanced by machine learning
The current mainstays of ischemic stroke treatment include the use of thrombolysis (tissue plasminogen activator [tPA]), urgent carotid endarterectomy (uCEA) or urgent carotid artery stenting (uCAS), and mechanical endovascular reperfusion/thrombectomy (MER). Scarce data describe the presenting stroke severity and neurologic outcomes for these acute ischemic stroke interventions, alone or in combination. The authors hypothesize that patients undergoing carotid interventions experience better functional neurologic outcomes than other stroke interventions.
Source: Journal of Vascular Surgery - June 24, 2022 Category: Surgery Authors: P. Andrew Rivera, Jeffrey Burton, Aaron Hayson, Bethany Jennings, Gabriel Vidal, Waldemar C. Sternbergh, Daniel Fort, Hernan A. Bazan Source Type: research

In-hospital Outcomes Following Carotid Endarterectomy for Stroke Stratified by Modified Rankin Scale and Time of Intervention
While benefits of carotid endarterectomy (CEA) in treating symptomatic carotid stenosis are well known, optimal timing of intervention after acute stroke and whether optimal timing varies with preoperative stroke severity remains unclear. Therefore, we assessed the impact of stroke severity and timing of intervention on post-operative outcomes in patients undergoing CEA for stroke.
Source: Journal of Vascular Surgery - November 14, 2022 Category: Surgery Authors: Yoel Solomon, Christina L. Marcaccio, Vinamr Rastogi, Jinny J. Lu, Mahmoud B. Malas, Grace J. Wang, Peter A. Schneider, Gert J. de Borst, Marc L. Schermerhorn Source Type: research

Evaluation of the association between the internal carotid artery and vertebral artery tortuosity and acute ischemic stroke using tortuosity index
CONCLUSIONS: This study showed that tortuosity of extracranial portions of the internal carotid and vertebral artery could be an independent imaging predictor of acute ischemic stroke in anterior and posterior circulation territories, respectively.PMID:36395481 | DOI:10.1177/17085381221140163
Source: Vascular - November 17, 2022 Category: Surgery Authors: Firoozeh Aghasadeghi Alireza Dehghan Source Type: research

In-hospital outcomes after carotid endarterectomy for stroke stratified by modified Rankin scale score and time of intervention
Although the benefits of carotid endarterectomy (CEA) for treating symptomatic carotid stenosis are well known, the optimal timing of intervention after acute stroke and whether the optimal timing will vary with preoperative stroke severity has remained unclear. Therefore, we assessed the effect of stroke severity and timing of the intervention on the postoperative outcomes for patients who had undergone CEA for stroke.
Source: Journal of Vascular Surgery - November 14, 2022 Category: Surgery Authors: Yoel Solomon, Christina L. Marcaccio, Vinamr Rastogi, Jinny J. Lu, Mahmoud B. Malas, Grace J. Wang, Peter A. Schneider, Gert J. de Borst, Marc L. Schermerhorn Source Type: research