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Condition: Ischemic Stroke
Procedure: Carotid Endarterectomy

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Total 922 results found since Jan 2013.

Guideline on carotid surgery for stroke prevention: updates from the Italian Society of Vascular and Endovascular Surgery. A trend towards personalized medicine
CONCLUSIONS: This GL updates on the main recommendations for the most appropriate diagnostic and medical-surgical management of patients with atherosclerotic carotid artery stenosis to prevent ischemic stroke. This GL also provides useful elements for the application of PM in good clinical practice.PMID:35848869 | DOI:10.23736/S0021-9509.22.12368-2
Source: The Journal of Cardiovascular Surgery - July 18, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Gaetano Lanza Massimiliano Orso Giuseppe Alba Sergio Bevilacqua Laura Capoccia Alessandro Cappelli Giampaolo Carrafiello Carlo Cernetti Marina Diomedi Walter Dorigo Gianluca Faggioli Vanni Giannace David Giannandrea Matteo Giannetta Jessica Lanza Gianfran Source Type: research

Neurocritical Care Aspects of Ischemic Stroke Management
This article reviews the care of patients with ischemic stroke in the intensive care unit, including early general critical care interventions for airway control blood pressure goals according to the type of acute stroke treatment, poststroke cerebral edema management, hemorrhagic conversion in ischemic stroke, fibrinolytic reversal, and management of carotid endarterectomy and infective endocarditis. The importance of preventing common intensive care complications is discussed, including aspiration pneumonia, deep venous thrombosis, urinary tract infections, cardiac arrhythmias, and hyperglycemia.
Source: Critical Care Clinics - September 30, 2022 Category: Intensive Care Authors: Dania Qaryouti, Diana Greene-Chandos Source Type: research

Prognostic Value of Preoperative Border-zone (Watershed) Infarcts on the Early Postoperative Outcomes of Carotid Endarterectomy after Acute Ischemic Stroke
Conclusion: CBZIs, compared to TCIS, were associated with a higher neurological complication rate during the postoperative period after CEA for SCS in cases of AIS. Further studies are required to better define the timing and the best treatment modality for patients with CBZI related to an SCS in order to reduce associated procedural complications.
Source: European Journal of Vascular and Endovascular Surgery - January 10, 2013 Category: Surgery Authors: E. Jean-Baptiste, P. Perini, L. Suissa, S. Lachaud, S. Declemy, M.H. Mahagne, A. Mousnier, R. Hassen-Khodja Tags: Carotid Disease Source Type: research

Urgent Best Medical Therapy May Obviate the Need for Urgent Surgery in Patients With Symptomatic Carotid Stenosis Clinical Sciences
Conclusions— CEA can be performed in the subacute period without significantly increasing the operative risk. The urgent best medical treatment was associated with significant reduction in the risk of early NR in CEA patients. It seems that urgent aggressive best medical treatment may obviate the need for urgent CEA.
Source: Stroke - July 22, 2013 Category: Neurology Authors: Shahidi, S., Owen-Falkenberg, A., Hjerpsted, U., Rai, A., Ellemann, K. Tags: Secondary prevention, Antiplatelets, Carotid endarterectomy, Transient Ischemic Attacks Clinical Sciences Source Type: research

Safety of Carotid Intervention following Thrombolysis in Acute Ischaemic Stroke
Indications for carotid endarterectomy (CEA) have evolved as stroke services have improved. Hyperacute stroke units are referring more patients with a significant carotid stenosis, some within hours of thrombolysis. In their meta-analysis, Mandavia et al. pooled the evidence to date to attempt to assess 30-day safety of urgent CEA for these patients.1 However, care must be taken with the interpretation and contextualization of these results.
Source: European Journal of Vascular and Endovascular Surgery - August 26, 2014 Category: Surgery Authors: C.P. Twine Tags: Invited Commentary Source Type: research

Carotid artery stenting in nonagenarians: are there benefits in surgically treating this high risk population?
Conclusions CAS in nonagenarian patients carried increased risk of perioperative ischemic events, compared with contemporary trial results in symptomatic and asymptomatic patients. Further, mean survival time postprocedure fell short of guidelines for receiving procedural benefit. Although larger scale multicenter research is needed, we recommend careful consideration of overall health status when contemplating stenting in nonagenarians.
Source: Journal of NeuroInterventional Surgery - February 12, 2015 Category: Neurosurgery Authors: Wach, M. M., Dumont, T. M., Shakir, H. J., Snyder, K. V., Hopkins, L. N., Levy, E. I., Siddiqui, A. H. Tags: Editor''s choice, Ischemic stroke Source Type: research

Faster Surgery for Stroke and TIA Requires More Expedient Referral to the Vascular Service
This study aimed to assess and identify rate-limiting steps to performing CEA.
Source: Journal of Vascular Surgery - July 24, 2015 Category: Surgery Authors: Hong-Yau Tan, Phillip Puckridge, Conor Marron, James Ian Spark Tags: Abstract from the 2015 Annual Meetings of the Western Vascular Society and Australia and New Zealand Society for Vascular Surgery Source Type: research

A case of atraumatic convexal subarachnoid haemorrhage due to unusual cause
Conclusions This case shows that ICA stenosis can cause convexal SAH and it should therefore be added to the differential diagnosis of atraumatic SAH. The association is under recognised and can be missed due to the unusual location of the blood and failure to image the extra cranial carotid arteries.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 14, 2015 Category: Neurosurgery Authors: Zaidi, S., Agrawal, A., Davey, R. Tags: Neuroimaging, Stroke, Radiology, Radiology (diagnostics) Thur 21, Parallel session 5: Therapeutics Source Type: research

An ischemic stroke patient with free floating thrombus in carotid artery, successfully treated by open carotid thrombectomy: a first case report in Nepal.
We present a case in which we performed open surgery and achieved successful retrieval of the thrombus. A 40 year-old male patient presented with ischemic stroke and mild left hemiparesis. Computerized tomography and magnetic resonance imaging showed infarction in the right parieto-occipital area. Carotid Doppler study showed carotid stenosis on the right side. Further investigation with CT angiography of the neck vessels confirmed significant carotid artery occlusion with a free-floating thrombus in the internal carotid artery. Carotid endarterectomy was planned under EEG monitoring. The right carotid artery was exposed w...
Source: Hiroshima Journal of Medical Sciences - December 12, 2015 Category: Journals (General) Tags: Hiroshima J Med Sci Source Type: research

“Opening the Unopenable”: Endovascular Treatment in a Patient with Three Months' Internal Carotid Artery Occlusion and Hemispheric Symptomatic Hypoperfusion
We report the case of a patient admitted to our hospital with an atherothrombotic ischemic stroke due to symptomatic acute ICAO, who developed a recurrent stroke with hemispheric hypoperfusion and was treated in the emergency department with ICAO revascularization after 60 days of occlusion finding.
Source: Journal of Stroke and Cerebrovascular Diseases - May 26, 2016 Category: Neurology Authors: Guido Bigliardi, Maria Luisa Dell'Acqua, Stefano Vallone, Filippo Barbi, Roberta Pentore, Livio Picchetto, Paolo Carpeggiani, Paolo Nichelli, Andrea Zini Source Type: research

Durability of Stroke Prevention with Carotid Endarterectomy and Carotid Stenting
Carotid artery stenting remains an effective alternative to carotid endarterectomy for stroke prevention; however, the long-term durability of carotid artery stenting remains poorly defined. We performed a 10-year “real-world” comparative analysis of carotid endarterectomy and carotid artery stenting to help evaluate the success of these procedures in preventing late ischemic stroke events.
Source: Surgery - September 18, 2018 Category: Surgery Authors: Michael A. Thomas, William H. Pearce, Heron E. Rodriguez, Irene B. Helenowski, Mark K. Eskandari Source Type: research

T-Configuration Stent Placement for Carotid Bifurcation Stenosis Co-Existing with Ipsilateral Intracranial Stenosis: A Case Report and Literature Review
Carotid bifurcation stenosis is an important cause of ischemic stroke particularly in patients with intracranial artery stenosis.1 In such a condition, combined treatment with carotid artery stenting (CAS)/carotid endarterectomy (CEA) and extracranial-to-intracranial (EC-IC) bypass may be a useful option to prevent future ischemic stroke events.2-5 Adequate antegrade flow in the ipsilateral external carotid artery (ECA) is required in EC-IC bypass. However, conventional CAS/CEA occasionally results in ipsilateral ECA occlusion.
Source: Journal of Stroke and Cerebrovascular Diseases - November 21, 2020 Category: Neurology Authors: Yuki Kubota, Yoshiki Hanaoka, Jun-ichi Koyama, Yu Fujii, Toshihiro Ogiwara, Kiyoshi Ito, Tetsuyoshi Horiuchi Tags: Case Report Source Type: research

Response to ‘Re. Risk of Stroke before Revascularisation in Patients with Symptomatic Carotid Stenosis: A Pooled Analysis of Randomised Controlled Trials’
We thank Prof. Abbott for her interest in our paper.1 We agree fully that the benefit of carotid endarterectomy (CEA) for symptomatic carotid stenosis in randomised trials depends on the patient characteristics that Prof. Abbott listed. However, our study focused on the risk of stroke before revascularisation among patients with symptomatic carotid stenosis in clinical trials. Of note, the risk of early recurrent stroke immediately after the first ischaemic event as reported in contemporary observational studies is higher than the corresponding risk following randomisation as measured in the trials we investigated.
Source: European Journal of Vascular and Endovascular Surgery - September 10, 2021 Category: Surgery Authors: Urs Fisch, Leo Bonati Tags: Letter to the Editor Source Type: research