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Perioperative stroke during carotid endarterectomy: benefits of multimodal neuromonitoring - a case report
Carotid endarterectomy is routinely performed after ischemic stroke due to carotid stenosis. Perioperative, cerebral blood flow and oxygenation can be monitored in different ways, but there is no clear evidenc...
Source: BMC Neurology - August 31, 2022 Category: Neurology Authors: D. M. Michels, L. C. Van Dijk and D. L. J. Tavy Tags: Case report Source Type: research

Outcomes of transcarotid artery revascularization: A systematic review
CONCLUSION: TCAR is associated with a lower risk of perioperative stroke compared to TFCAS. TCAR is also associated with shorter operative time, lower risk of CNI and less blood loss compared to CEA. TCAR may be a promising treatment option besides TFCAS and CEA.PMID:36039496 | DOI:10.1177/15910199221123283
Source: Interventional Neuroradiology - August 30, 2022 Category: Radiology Authors: Haoliang Wu Zhiwei Wang Mingxing Li Peng Sun Shunbo Wei Boao Xie Cong Zhang Liwei Zhang Hualong Bai Source Type: research

P63 Carotid stenting versus carotid endarterectomy for symptomatic carotid web: a systematic review and meta-analysis
ConclusionsCEA and CAS have both been used to treat carotid webs although CAS is more commonly reported in the published literature. Both procedures appear highly effective at preventing recurrent stroke. The safety profile of both procedures is good with no deaths recorded.ReferencesOsehobo EM, Nogueira RG, Koneru S, et al. Carotid web: an under-recognized and misdiagnosed ischemic stroke etiology. J Neurointerv Surg 2022 Feb;14(2):138–142. DOI: 10.1136/Neurintsurg-2021-017306. EPUB 2021 Mar 15. PMID: 33722967. Do you have any conflict of interest to declare?: No
Source: Journal of NeuroInterventional Surgery - August 29, 2022 Category: Neurosurgery Authors: Benger, M., Mansoor, N., Sciacca, S., Siddiqui, J., Balasundaram, P., Kandasamy, N., Booth, T., Lynch, J. Tags: 14th Congress of the European Society of Minimally Invasive Neurological Therapy 2022 Meeting Abstracts Source Type: research

Risk of bleeding complications per different perioperative antithrombotic regimes during carotid endarterectomy: a national registry analysis
CONCLUSION: The effectiveness and safety of DAPT did not differ from single antiplatelet therapy (SAPT) in patients undergoing CEA and needs further evaluation in prospective studies. Considering additional data from the literature and guideline recommendations DAPT should be started immediately after stroke until 30 days after CEA followed by SAPT, due to possible reduction in the risk of recurrency.PMID:36031046 | DOI:10.1016/j.ejvs.2022.08.020
Source: PubMed: Eur J Vasc Endovasc ... - August 28, 2022 Category: Surgery Authors: Simone Ja Donners Joost M Mekke Eline S van Hattum Raechel J Toorop Gert J de Borst Dutch Audit for Carotid Interventions (DACI) Collaborators Source Type: research

Risk of Bleeding Complications With Different Peri-Operative Antithrombotic Regimens During Carotid Endarterectomy: a National Registry Analysis
Antithrombotic therapy is one of the cornerstones of the prevention of (recurrent) ocular or cerebral ischaemic events in patients with carotid artery stenosis. Randomised controlled trials on antithrombotic therapy for patients with minor ischaemic stroke and transient ischaemic attack (TIA) have recommended dual antiplatelet therapy (DAPT) in the three weeks following the index event. However, these trials excluded patients undergoing carotid revascularisation. To date, the optimal antithrombotic therapy during the peri-operative period of carotid endarterectomy (CEA) remains unclear.
Source: European Journal of Vascular and Endovascular Surgery - August 28, 2022 Category: Surgery Authors: Simone J.A. Donners, Joost M. Mekke, Eline S. van Hattum, Raechel J. Toorop, Gert J. de Borst, Dutch Audit for Carotid Interventions (DACI) Collaborators Source Type: research

Editor's Choice – Risk of Bleeding Complications With Different Peri-Operative Antithrombotic Regimens During Carotid Endarterectomy: a National Registry Analysis
Antithrombotic therapy is one of the cornerstones of the prevention of (recurrent) ocular or cerebral ischaemic events in patients with carotid artery stenosis. Randomised controlled trials on antithrombotic therapy for patients with minor ischaemic stroke and transient ischaemic attack (TIA) have recommended dual antiplatelet therapy (DAPT) in the three weeks following the index event. However, these trials excluded patients undergoing carotid revascularisation. To date, the optimal antithrombotic therapy during the peri-operative period of carotid endarterectomy (CEA) remains unclear.
Source: European Journal of Vascular and Endovascular Surgery - August 28, 2022 Category: Surgery Authors: Simone J.A. Donners, Joost M. Mekke, Eline S. van Hattum, Raechel J. Toorop, Gert J. de Borst, Dutch Audit for Carotid Interventions (DACI) Collaborators Source Type: research

106 Critical ischaemia without infarction presenting as progressive hemichorea: a case study and literature review
A 69 year old lady with COPD presented with a 3-week history of progressive worsening involuntary movements of her right limbs, beginning in her right hand, and spreading to involve her right leg after 1 week. Three days prior to admission, she had an episode of dysarthria and orolingual numbness lasting five minutes. On examination, she was hypertensive (200/105mmHg), and had marked right hemiballismus/hemichorea, with subtle orolingual chorea. Her neurological and cognitive examination was otherwise normal. The hemichorea worsened with commencement of antihypertensive therapy. It seemed likely that our patient’s pr...
Source: Journal of Neurology, Neurosurgery and Psychiatry - August 12, 2022 Category: Neurosurgery Authors: Wrigley, S., Killeen, R., ORiordan, S. Tags: Poster presentations Source Type: research

Patch angioplasty versus primary closure for carotid endarterectomy
CONCLUSIONS: Compared with primary closure, carotid patch angioplasty may reduce the risk of perioperative arterial occlusion and long-term restenosis of the operated artery. It would appear to reduce the risk of ipsilateral stroke during the perioperative and long-term period and reduce the risk of any stroke in the long-term when compared with primary closure. However, the evidence is uncertain due to the limited quality of included trials.PMID:35920689 | PMC:PMC9347312 | DOI:10.1002/14651858.CD000160.pub4
Source: Cochrane Database of Systematic Reviews - August 3, 2022 Category: General Medicine Authors: Saritphat Orrapin Thoetphum Benyakorn Boonying Siribumrungwong Kittipan Rerkasem Source Type: research

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

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