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Procedure: Endovascular Repair (EVAR)

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Total 259 results found since Jan 2013.

O-035 The Dotter Technique Revisited: Early Experience using this Technique for Treating Tandem Lesions in Acute Stroke
Conclusion The Dotter Stroke technique is a safe alternative to carotid stenting, and may be useful in patients at increased risk for haemorrhage. In this small series, a post-Dotter stenosis >75% is associated with re-occlusion, and stenting should be performed to prevent re-occlusion. No re-occlusion was identified at 30 days with post-Dotter stenosis <= 65%. Disclosures B. Woodward: None. E. Nyberg: None. S. Wegryn: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2014 Category: Neurosurgery Authors: Woodward, B., Nyberg, E., Wegryn, S. Tags: Oral abstracts Source Type: research

Stroke rate after endovascular aortic interventions in the Society for Vascular Surgery Vascular Quality Initiative
The stroke rate after endovascular aneurysm repair (EVAR), particularly complex EVAR such as fenestrated EVAR (FEVAR) and chimney EVAR (chEVAR), is not well defined. Whereas stroke is a well-established risk of thoracic endovascular aortic repair (TEVAR), the impact of procedural characteristics on stroke remains unclear. Therefore, we characterized the risk of stroke after endovascular aortic interventions in the Vascular Quality Initiative database and identified procedural characteristics associated with stroke.
Source: Journal of Vascular Surgery - April 1, 2020 Category: Surgery Authors: Nicholas J. Swerdlow, Patric Liang, Chun Li, Kirsten Dansey, Thomas F.X. O'Donnell, Livia E.V.M. de Guerre, Rens R.B. Varkevisser, Virendra I. Patel, Grace J. Wang, Marc L. Schermerhorn, the Society for Vascular Surgery Vascular Quality Initiative Source Type: research

The Effect of Proximal Landing Zone on Stroke and Mortality in Thoracic Endovascular Aortic Repair
Stroke limits the widespread adoption of thoracic endovascular repair (TEVAR) in the aortic arch. More proximal stent deployment can increase the opportunity for stroke due to disruption of cerebral circulation and embolization. We performed a systematic meta-analysis on the impact of proximal landing zone (PLZ) location on stroke and 30-day mortality following TEVAR.
Source: Journal of Vascular Surgery - August 20, 2022 Category: Surgery Authors: Yuchi Ma, Mishal Siddiqui, Syed Farhan, Francisco Albuquerque, Robert Larson, Mark Levy, Josue Chery, Daniel Newton Tags: Open and Endovascular Aortic Repair Source Type: research

Endovascular reconstruction for progressively worsening carotid artery dissection
Conclusions Endovascular stent reconstruction for the treatment of selected patients with progressively worsening carotid dissection despite medical management is feasible with acceptable immediate and long-term clinical and radiographic outcomes. To be able to draw more robust conclusions, further evaluation with larger number of patients and longer follow-up is needed.
Source: Journal of NeuroInterventional Surgery - December 11, 2014 Category: Neurosurgery Authors: Asif, K. S., Lazzaro, M. A., Teleb, M. S., Fitzsimmons, B.-F., Lynch, J., Zaidat, O. Tags: Ischemic stroke Source Type: research

Risk Score Calculator for Stroke after Endovascular Repair of Thoracic Aortic Aneurysm in the Vascular Quality Initiative Database
This study aims to develop a score to predict the risk of in-hospital stroke after TEVAR.
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Hanaa Dakour-Aridi, Aubrey Mwinyogle, Rebecca Ann Marmor, Jeffrey Joseph Siracuse, Ali Azizzadeh, Mahmoud Malas Tags: Vascular surgery Source Type: research

Composite Dialysis, Paralysis, Stroke, or Mortality After Endovascular Aortic Interventions in the Society for Vascular Surgery Vascular Quality Initiative
Thoracoabdominal aortic aneurysm life-altering events, which include a combination of permanent dialysis, permanent spinal cord ischemia, stroke, and/or death, have devastating effects after complex endovascular repair. However, the occurrence of these life-altering events after endovascular abdominal aortic aneurysm repair (EVAR) and thoracic endovascular aortic repair (TEVAR) has not been studied. Therefore, we examined the effects of procedural and anatomic characteristics on a composite outcome of postoperative dialysis, stroke, paralysis, and/or mortality after any endovascular aortic repair.
Source: Journal of Vascular Surgery - August 24, 2021 Category: Surgery Authors: Priya Patel, Christina Marcaccio, Livia de Guerre, Nicholas J. Swerdlow, Thomas F. O'Donnell, Sara L. Zettervall, Virendra I. Patel, Marc L. Schermerhorn Tags: IP: Interactive Poster Session Source Type: research

The Effect of More Proximal Landing Zone on Stroke and Mortality in Thoracic Endovascular Aortic Repair: A Meta-Analysis
Stroke remains a significant limitation to the widespread adoption of thoracic endovascular repair (TEVAR) in current practice. The risk is believed to increase further with more proximal stent deployment owing to disruption of cerebral circulation. The aim of this study was to systematically analyze the literature on the impact of proximal landing zone (PLZ) placement on stroke and 30-day mortality after TEVAR.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Yuchi Ma, Mishal S. Siddiqui, Syed A. Farhan, Francisco C. Albuquerque, Robert Larson, Mark M. Levy, Katherine M. Klein, Daniel H. Newton Tags: IP: Interactive Poster Session Source Type: research

A Meta-Analysis on the Effect of Proximal Landing Zone Location on Stroke and Mortality in Thoracic Endovascular Aortic Repair
In this study, a systematic meta-analysis was performed to examine the impact of proximal landing zone location on stroke and 30-day mortality following TEVAR.
Source: Journal of Vascular Surgery - May 16, 2023 Category: Surgery Authors: Yuchi Ma, Mishal S. Siddiqui, Syed A. Farhan, Francisco C. Albuquerque, Robert A. Larson, Mark M. Levy, Josue Chery, Daniel H. Newton Source Type: research

Variability in Outcome After Elective Cerebral Aneurysm Repair in High-Volume Academic Medical Centers Clinical Sciences
Conclusions— There is notable interhospital heterogeneity in outcomes among even the largest volume unruptured intracranial aneurysm referral centers. Although further regionalization may be needed, mandatory participation in prospective, adjudicated registries will be necessary to reliably identify factors associated with superior outcomes.
Source: Stroke - April 28, 2014 Category: Neurology Authors: Zacharia, B. E., Bruce, S. S., Carpenter, A. M., Hickman, Z. L., Vaughan, K. A., Richards, C., Gold, W. E., Lu, J., Appelboom, G., Solomon, R. A., Connolly, E. S. Tags: Health policy and outcome research, Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage Clinical Sciences Source Type: research

Subclavian Stump Syndrome Causing a Posterior Circulation Stroke after Thoracic Endovascular Aneurysm Repair (TEVAR) with Adjunctive Carotid to Subclavian Bypass and Endovascular Embolization of the Left Subclavian Artery
Conclusions: Consideration should be given to ligating the subclavian artery immediately proximal to the vertebral artery origin when performing adjunctive carotid subclavian bypass during TEVAR. If this is not done, surveillance computed tomography scans should monitor for the development of propagating thrombus in the subclavian stump.
Source: Annals of Vascular Surgery - February 6, 2014 Category: Surgery Authors: Ritesh Patel, Carl Muthu, Kwat Huat Goh Tags: Case Report Abstracts Source Type: research

Groups Issue Guidance on Endovascular Repair of Ischemic Stroke (FREE)
By Amy Orciari Herman Edited by David G. Fairchild, MD, MPH Early endovascular therapy with a stent retriever — a self-expanding stent that can retrieve blood clots and restore circulation — is now recommended for certain patients with acute ischemic stroke, according to …
Source: Physician's First Watch current issue - June 30, 2015 Category: Primary Care Source Type: news

Benefits of Endovascular Treatment for Stroke Last at Least 2 Years (FREE)
By Kelly Young Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM The functional benefits of endovascular repair after acute stroke appear to be sustained after 2 years, according to a follow-up …
Source: Physician's First Watch current issue - April 5, 2017 Category: Primary Care Source Type: news

TAA2. Different Zones (0-2) of Hybrid Debranching Endovascular Aortic Repair: Outcome and Stroke Analysis
The aim of this study was to summarize our single-center experience of hybrid debranching endovascular repair of arch and proximal descending thoracic aorta (DTA) as regards the midterm outcome with highlight of the rate and risk factors of stroke associated with these procedures.
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Ahmed Sameh Eleshra, Woon Heo, Kwang-Hun Lee, Suk-Won Song Source Type: research

Endovascular management of iatrogenic dissection into the petrous segment of the internal carotid artery during mechanical thrombectomy for acute stroke
Publication date: Available online 10 December 2019Source: Journal of Clinical NeuroscienceAuthor(s): David I. Bass, Melanie Walker, Louis J. Kim, Michael R. LevittAbstractIatrogenic dissection of the internal carotid artery is a well-known complication that can occur during mechanical thrombectomy for acute stroke. The vast majority of these injuries are limited to the cervical segment, and only in exceptional circumstances do they require surgical intervention. In the present case, extension of the lesion into the petrous segment of the carotid artery resulted in an acute neurologic decline necessitating emergent endovas...
Source: Journal of Clinical Neuroscience - December 11, 2019 Category: Neuroscience Source Type: research

Management of common carotid artery dissection due to extension from acute type A (DeBakey I) aortic dissection
Conclusions: CCAD, due to extension from aortic arch dissection, has a low risk of subsequent stroke after the initial event. Based on current data, there is little evidence to suggest that aortic origin CCAD requires repair in the absence of recurrent symptoms, regardless of the degree of stenosis or false-lumen patency. Recommended optimal medical therapy includes either aspirin or anticoagulation for 6 months after initial presentation. Additional longitudinal studies are needed.
Source: Journal of Vascular Surgery - May 13, 2013 Category: Surgery Authors: Kristofer M. Charlton-Ouw, Ali Azizzadeh, Harleen K. Sandhu, Ali Sawal, Samuel S. Leake, Charles C. Miller, Anthony L. Estrera, Hazim J. Safi Tags: Clinical research studies Source Type: research