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Condition: Ischemic Stroke
Procedure: Carotid Endarterectomy
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Total 922 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
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
E-107 Carotid artery stenting in patients with symptomatic non-stenotic carotid artery disease - a case series
ConclusionsIn this case series performed over a 10-year period at a high-volume stroke center we show that CAS is safe and efficient in patients with SyNC. Previous studies have established safety and effectiveness of CES in patients presenting with SyNC, however there is a paucity of reports in the literature regarding the effect of CAS in this patient population. Recent guidelines have brought specific attention to high-risk plaque characteristics which suggest that plaque instability plays a major role in the onset of ischemic events, regardless of lumen narrowing. Advanced imaging techniques, such as Optical Coherence ...
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: Nedelcu, S., Kuhn, A., Singh, J., Puri, A. Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research
Correlation Between Intracranial Calcification and Extracranial Stenosis of the Internal Carotid Artery
We examined a population not selected for cerebral disease. This retrospective study contained 179 subjects aged 18 years and older from the Hawaii Diagnostic Radiology database. Extracranial internal carotid artery stenosis was determined using the absolute diameter, North American Symptomatic Carotid Endarterectomy Trial, and common carotid artery methods. Calcification was scored using the modified Woodcock method. A positive correlation between intracranial calcification and extracranial carotid stenosis was found using all three methods. Individuals with intracranial calcification were more likely to be older, have a ...
Source: Atherosclerosis - July 12, 2023 Category: Cardiology Authors: Julia R Jahansooz Andrew Ko Ryoko Hiroi Masako Matsunaga Enrique Carrazana Jason Viereck Source Type: research
A comparative effectiveness study of carotid intervention for long-term stroke prevention in patients with severe asymptomatic stenosis from a large integrated health system
CONCLUSIONS: In this contemporary cohort study of patients with ACS utilizing rigorous analytic methodology, CEA appears to have a small but statistically significant effect on stroke prevention out to 8 years. Further study is needed to appropriately select the subset of patients most likely to benefit from intervention.PMID:37406943 | DOI:10.1016/j.jvs.2023.06.024
Source: Atherosclerosis - July 5, 2023 Category: Cardiology Authors: Robert W Chang Noel Pimentel Lue-Yen Tucker Kara A Rothenberg Andrew L Avins Alexander C Flint Rishad M Faruqi Mai N Nguyen-Huynh Romain Neugebauer Source Type: research
Todd's paralysis due to hyperperfusion syndrome after carotid endarterectomy mimicking postoperative stroke
J Cardiovasc Surg (Torino). 2023 Jun 19. doi: 10.23736/S0021-9509.23.12720-0. Online ahead of print.ABSTRACTTodd's paralysis is a neurological deficit that is observed in <10% of patients following epileptic seizures. Cerebral hyperperfusion syndrome (CHS) is a rare complication following carotid endarterectomy (CEA), seen in 0-3% of the patients, characterized by focal neurological deficit, headache, disorientation, and sometimes seizures. In this case report, we present a case of CHS after CEA followed by seizures and Todd's paralysis that mimicked postoperative stroke. A 75-year-old female patient was admitted for CE...
Source: The Journal of Cardiovascular Surgery - June 19, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Slobodan Tanaskovic Nikola Cimbaljevic Jovan Petrovic Enes Ljatifi Mirjana Antonijevic Maja Neskovic Aleksandra Ostojic Nenad Ilijevski Source Type: research
