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Procedure: Carotid Endarterectomy
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Total 2934 results found since Jan 2013.
Result of 48-Hour Approach to Symptomatic Carotid Lesions in Patients With Stable Neurologic Examinations
Timing of treatment for symptomatic carotid disease has a controversial history with current guidelines recommending carotid surgery within 48 hours up to 2 weeks. Advocating for earlier carotid endarterectomy (CEA) after stroke (cerebrovascular accident [CVA]) or while a patient is having transient ischemic attacks (TIA) can potentially provide additional benefit to acute stroke patients resulting in improved stroke and death outcomes.
Source: Journal of Vascular Surgery - September 20, 2023 Category: Surgery Authors: Tigran Divanyan, Jeffrey Hnath, Amanda Kistler, Misak Harutyunyan, W John Byrne, Julia Kleene Tags: Carotid Artery Interventions Source Type: research
Impact of Race on Perioperative Outcomes Following Carotid Endarterectomy, Transfemoral Carotid Artery Stenting, and Transcarotid Artery Revascularization
Carotid artery revascularization is performed less frequently among Black and minority populations despite a higher incidence of stroke and greater cardiovascular and stroke risk profile. Limited data exists on what impact race has on outcomes following carotid interventions. We assessed racial differences in perioperative outcomes following carotid endarterectomy (CEA), transfemoral carotid artery stenting (tfCAS), and transcarotid artery revascularization (TCAR) using the Vascular Quality Initiative database.
Source: Journal of Vascular Surgery - September 20, 2023 Category: Surgery Authors: Pavel Kibrik, Ajit Rao, Jerry Zhu, Halbert Bai, Jason Storch, Daniel Han, Windsor Ting, Michael Marin, Peter Faries Tags: Carotid Artery Interventions Source Type: research
Do the technical features of carotid eversion affect early restenosis? Design of a prospective multicenter study
Myointimal hyperplasia restenosis remains a concern following carotid endarterectomy. It occurs in about 6% of people. The 3-year rate of stroke after restenosis is 5.2%. Several risk factors for restenosis have been identified, such as smoking, hypertension, female gender, diabetes, dyslipidemia, or small carotid diameter. The primary objective of this prospective multicenter study was to determine whether the technical characteristics of the eversion technique influence the 1-year rate of restenosis.
Source: Annals of Vascular Surgery - September 20, 2023 Category: Surgery Authors: Cl émentine Crepon, Cindy Vannier, Bahaa Nasr, Tom Le Corvec, Robert Martinez, Gregory Dessertenne, Christophe Robin, Nicolas Bague, Eva Deveze, Gautier Haupert, Jean Picquet Source Type: research
Reliability of tomographic 3D ultrasound in measuring internal carotid artery plaque volume
CONCLUSION: t3DUS is a reproducible imaging method and showed excellent agreement with the reference standard with respect to measuring CPV. These findings suggest that t3DUS has the potential to be a valuable non-invasive tool for assessing carotid plaque burden and predicting the risk of stroke.PMID:37722861 | DOI:10.1177/02841851231199222
Source: Acta Radiologica - September 18, 2023 Category: Radiology Authors: Adel Alzahrani Salahaden R Sultan Mohammed Aslam Source Type: research
Female and Male Patients Have Similar Outcomes After TransCarotid Artery Revascularization in Prospective Trials
Sex disparities in outcomes after carotid revascularization have long been a concern, with several studies demonstrating increased post-operative death and stroke for female patients after either carotid endarterectomy (CEA) or transfemoral stenting (TF-CAS). Adverse events after TF-CAS are higher in female patients, particularly in symptomatic cases. Our objective was to investigate outcomes after transcarotid revascularization (TCAR) stratified by patient sex hypothesizing that the results would be similar between males and females.
Source: Journal of Vascular Surgery - September 14, 2023 Category: Surgery Authors: Justin A. Smith, Jane M. Chung, Peter A. Schneider, Christopher J. Kwolek, Frank R. Arko, Steve Henao, Jessica Titus, Paul DiMuzio, Sean Roddy, Mark A. Farber, Vikram S. Kashyap, ROADSTER trial investigators Source Type: research
Complications and outcomes of carotid artery stenting in high-risk cases
In treatment of internal carotid artery stenosis, carotid artery stenting (CAS) is the standard choice for patients at risk for carotid endarterectomy (CEA). Occasionally, patients at risk of both CEA and CAS are encountered. In addition, in practice sometimes CAS is performed in patients with high risk due to patient preference and other factors. In general, symptomatic carotid artery stenosis is a risk factor for CAS1. Despite this, the American Heart Association and Stroke Association guidelines recommend CAS as an alternative to CEA for symptomatic moderate-to-severe stenosis2.
Source: Journal of Stroke and Cerebrovascular Diseases - August 31, 2023 Category: Neurology Authors: So Ozaki, Taisuke Akimoto, Yu Iida, Shigeta Miyake, Ryosuke Suzuki, Wataru Shimohigoshi, Satoshi Hori, Jun Suenaga, Nobuyuki Shimizu, Yasunobu Nakai, Katsumi Sakata, Tetsuya Yamamoto Source Type: research
Long-term outcomes of carotid endarterectomy vs transfemoral carotid stenting in a Medicare-matched database
Carotid endarterectomy (CEA) is associated with lower risk of perioperative stroke compared with transfemoral carotid artery stenting (TFCAS) in the treatment of carotid artery stenosis. However, there is discrepancy in data regarding long-term outcomes. We aimed to compare long-term outcomes of CEA vs TFCAS using the Medicare-matched Vascular Quality Initiative Vascular Implant Surveillance and Interventional Outcomes Network database.
Source: Journal of Vascular Surgery - August 25, 2023 Category: Surgery Authors: Kevin S. Yei, Claire Janssen, Nadin Elsayed, Isaac Naazie, Art Sedrakyan, Mahmoud B. Malas Source Type: research
Long-Term Outcomes of Carotid Endarterectomy vs. Transfemoral Carotid Stenting in a Medicare-Matched Database
Carotid endarterectomy is associated with lower risk of perioperative stroke compared to transfemoral carotid artery stenting in the treatment of carotid artery stenosis. However, there is discrepancy in data regarding long-term outcomes. We aimed to compare long-term outcomes of carotid endarterectomy vs transfemoral carotid artery stenting using the Medicare-matched Vascular Quality Initiative Vascular Implant Surveillance and Interventional Outcomes Network database.
Source: Journal of Vascular Surgery - August 25, 2023 Category: Surgery Authors: Kevin S. Yei, Claire Janssen, Nadin Elsayed, Isaac Naazie, Art Sedrakyan, Mahmoud B. Malas Source Type: research
O25/232 Endovascular versus best medical treatment for Acute Carotid Occlusions BelOw the circle of Willis (ACOBOW): results from the ACOBOW Study
ConclusionIn patients with primary isolated occlusions of the carotid artery below the circle of willis, EVT did not reveal a substantial treatment effect over BMT in this retrospective multicenter study.Disclosure of InterestJF: Consulting fees from Cerenovus, Medtronic, Phenox, Penumbra, Roche, Tonbridge; Participation on a Data Safety Monitoring Board of Stryker, and Phenox; stock holdings for Tegus and Vastrax, Associate Editor for JNIS.
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Meyer, L., Elsharkawy, M., Fiehler, J., Stracke, C. P., On behalf of the ACOBOW Study Group Tags: 2.3 ISCHEMIC - Treatment Source Type: research
Acute ischemic stroke: The role of emergency carotid endarterectomy in isolated extracranial internal carotid artery occlusion
CONCLUSIONS: Emergency CEA in isolated eICA occlusion has proved to be a safe and effective treatment option in selected patients. CT perfusion, imaging the ischemic penumbra and quantifying the tissue suitable for reperfusion, offers a valid support in the diagnostic-therapeutic workup. Indeed, we can infer that the area of the ischemic penumbra is directly proportional to the margin of clinical improvement after revascularization, supposing that the appropriate intervention timing is respect.PMID:37594376 | DOI:10.1177/17085381231192712
Source: Vascular - August 18, 2023 Category: Surgery Authors: Pierfilippo Acciarri Alice Camagni Maddalena Bressan Gladiol Zenunaj Ilaria Casetta Andrea Bernardoni Vincenzo Gasbarro Luca Traina Source Type: research
