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Specialty: Surgery
Procedure: Angiography

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Total 167 results found since Jan 2013.

Carotid artery stenosis, an underestimated cause of stroke recurrence in patients with ischaemic monocular visual loss.
CONCLUSIONS: Carotid stenosis ≥ 50% is present in patients with ocular ischaemia in approximately 20% of those with persistent visual loss and in 10% with transient visual loss. Those with carotid stenosis have a higher risk of stroke recurrence and should be considered urgent surgical intervention as other forms of stroke. PMID: 31155910 [PubMed - as supplied by publisher]
Source: Annals of the Royal College of Surgeons of England - June 2, 2019 Category: Surgery Authors: Cheng SF, Zarkali A, Richards T, Simister R, Chandratheva A Tags: Ann R Coll Surg Engl Source Type: research

A Clinical Validation Study of Anatomical Risk Scoring for Procedural Stroke in Patients Treated by Carotid Artery Stenting in the International Carotid Stenting Study.
CONCLUSIONS: No statistically significant association was found between anatomical difficulty, as defined in the DAR score, and procedural stroke risk. However, the small sample size potentially rendered the study underpowered to detect group differences, and confirmation with a larger sample is essential. PMID: 31563302 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - September 24, 2019 Category: Surgery Authors: de Waard DD, de Vries EE, Huibers AE, Arnold MM, Nederkoorn PJ, van Dijk LC, van der Lugt A, Koudstaal PJ, Bonati LH, Brown MM, de Borst GJ Tags: Eur J Vasc Endovasc Surg Source Type: research

Postoperative Stroke After Type A Aortic Dissection Repair: Hemorrhage Versus Ischemia
ConclusionsPostoperative hemorrhagic stroke was associated with poorer neurological outcomes and lower survival rates than those with ischemic stroke. Patients who have complex arch replacement, long cardiopulmonary bypass and aortic clamping times are at risk for postoperative hemorrhagic stroke and should have intensive neurological surveillance for early diagnosis and treatment after ATAAD repair surgery.
Source: World Journal of Surgery - February 1, 2022 Category: Surgery 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

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

Extensive myocardial infarction complicated with stroke as the first presentation of HIV in A young sudanese male: A case report
CONCLUSION: The presentation of an acute coronary syndrome in a young patient should raise suspicion of uncommon causes and needs a prompt evaluation from digging up in history, detailed examination, and investigations with close follow-up to prevent the complications that may occur. on the other hand, known HIV Patients should be screened periodically with an electrocardiogram.PMID:36268312 | PMC:PMC9577595 | DOI:10.1016/j.amsu.2022.104653
Source: Hand Surgery - October 21, 2022 Category: Surgery Authors: Mohammed Mahmmoud Fadelallah Eljack Najla Fouad Nassir Mohammedali Kabab Abbasher Hussien Mohamed Ahmed Omer Idris Ahmed Alshareef B Nour Mazin S Haroun Abdallah M Abdallah Mustafa Mohamed Ibrahim Ali Source Type: research

CT Perfusion Imaging in the Selection of Acute Stroke Patients to Undergo Emergent Carotid Endarterectomy
Severe acute stroke patients with critical carotid stenosis or occlusion without intracranial thrombus typically do not undergo emergent carotid thromboendarterectomy (CEA) because of the risk of reperfusion-related intracranial hemorrhage. Past studies have not consistently demonstrated benefit of early operative intervention. Cerebral computed tomography (CT), cervical and cerebral CT angiography (CTA), and cerebral CT perfusion (CTP) imaging may identify a subset of acute stroke patients without intracranial thrombus who may benefit from emergent CEA.
Source: Annals of Vascular Surgery - September 3, 2014 Category: Surgery Authors: Thomas G. Devlin, Sachin V. Phade, R. Kent Hutson, Mark W. Fugate, G. Ralston Major, Gregory W. Albers, Abdelazim A. Sirelkhatim, Biggya L. Sapkota, Steven D. Quartfordt, Blaise W. Baxter Source Type: research

Computed Tomography Perfusion Imaging in the Selection of Acute Stroke Patients to Undergo Emergent Carotid Endarterectomy
Severe acute stroke patients with critical carotid stenosis or occlusion without intracranial thrombus typically do not undergo emergent carotid thromboendarterectomy (CEA) because of the risk of reperfusion-related intracranial hemorrhage. Past studies have not consistently demonstrated benefit of early operative intervention. Cerebral computed tomography (CT), cervical and cerebral CT angiography (CTA), and cerebral CT perfusion (CTP) imaging may identify a subset of acute stroke patients without intracranial thrombus who may benefit from emergent CEA.
Source: Annals of Vascular Surgery - September 3, 2014 Category: Surgery Authors: Thomas G. Devlin, Sachin V. Phade, Rodney K. Hutson, Mark W. Fugate, Grant R. Major, Gregory W. Albers, Abdelazim A. Sirelkhatim, Biggya L. Sapkota, Steven D. Quartfordt, Blaise W. Baxter Tags: Case Report Source Type: research

Cryptogenic Stroke Following Abdominal Free Flap Breast Reconstruction Surgery
Conclusion Surgeons and cardiologists should be aware of this cerebrovascular complication secondary to PFO following major reconstructive surgery such as microvascular breast reconstruction. It also serves to challenge microvascular surgeons to reconsider routine use of central venous pressure lines in free flap patients who might otherwise have good peripheral vessels for postoperative fluids and antibiotic administration.
Source: International Journal of Surgery Case Reports - November 11, 2014 Category: Surgery Source Type: research

Carotid angiographic characteristics in the CREST trial were major contributors to periprocedural stroke and death differences between carotid artery stenting and carotid endarterectomy
The Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) demonstrated a higher periprocedural stroke and death (S+D) rate among patients randomized to carotid artery stenting (CAS) than to carotid endarterectomy (CEA). Herein, we seek factors that affect the CAS-CEA treatment differences and potentially to identify a subgroup of patients for whom CAS and CEA have equivalent periprocedural S+D risk.
Source: Journal of Vascular Surgery - November 20, 2015 Category: Surgery Authors: Wesley S. Moore, Jeffrey J. Popma, Gary S. Roubin, Jenifer H. Voeks, Donald E. Cutlip, Michael Jones, George Howard, Thomas G. Brott, CREST Investigators Tags: Clinical paper Source Type: research

Importance of perioperative management for emergency carotid artery stenting within 24hours after intravenous thrombolysis for acute ischemic stroke: Case report
Conclusion Emergency carotid artery stenting for the acute internal carotid artery occlusion may be considered a safe procedure in preventing early stroke recurrence in selected patients.
Source: International Journal of Surgery Case Reports - July 26, 2016 Category: Surgery Source Type: research

Recurrent Embolic Stroke due to a Saccular Aneurysm of Left Subclavian Artery: Endovascular Treatment
A 78-year-old male was admitted for recurrent ischemic stroke in the left posterior cerebral artery territory. Computed tomography angiography (CTA) of supra-aortic trunks revealed a 28  × 25 mm saccular left subclavian artery aneurysm (LSAA) including the vertebral artery ostium. The LSA was catheterized via femoral access and a self-expanding covered stent (9 × 40 mm Fluency®, Bard) deployed. Subsequently LSAA embolisation was performed using microcoils (Hilal®, Cook) v ia a microcatheter (Progreat®, Terumo) pre-positioned in the aneurysm sac via brachial access.
Source: European Journal of Vascular and Endovascular Surgery - September 2, 2016 Category: Surgery Authors: C. Pantoja Peralta, A. Velescu Tags: Coup D'Oeil Source Type: research

Plaque Contact Surface Area and Flow Lumen Volume Predict Stroke Risk in Extracranial Carotid Artery Stenosis
The ability to predict culprit lesions in the extracranial carotid circulation remains limited. The standard indication for intervention in asymptomatic disease is currently percent stenosis in the internal carotid artery as measured by the North American Symptomatic Carotid Endarterectomy Trial (NASCET) method. Computed tomography angiography (CTA) offers the opportunity to analyze carotid artery plaques from a morphologic perspective. Here, we aim to improve stroke risk stratification of patients with carotid artery stenosis using plaque 3D modeling and analysis.
Source: Journal of Vascular Surgery - August 24, 2021 Category: Surgery Authors: Ryan Gedney, Veena Mehta, Matthew Bridges, Adam Brown, Ravi Veeraswamy Tags: S2: Plenary Session 2 Source Type: research