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Condition: Ischemic Stroke
Procedure: Carotid Endarterectomy
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Total 922 results found since Jan 2013.
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
Investigation of Combined Carotid Endarterectomy and Coronary Artery Bypass Graft Surgery Outcomes and Adverse Event Risk Factors in the Vascular Quality Initiative
CONCLUSIONS: Combined CEA and CABG provides excellent long-term mortality prevention in patients with co-existing severe coronary and carotid atherosclerosis. Simultaneous CEA and CABG provides equivalent stroke prevention and long-term survival to both a cohort of patients undergoing coronary revascularization within 5 years of CEA and patients undergoing isolated CEA or CABG in the literature. The two most impactful modifiable risk factors towards long-term stroke and mortality prevention for patients undergoing simultaneous CEA-CABG are patch placement at CEA site and adherence to statin medication therapy.PMID:37303074...
Source: Atherosclerosis - June 11, 2023 Category: Cardiology Authors: Ashley Penton Jonathan Lin Grant Kolde Matthew DeJong Matthew Blecha Source Type: research
Rates of Stroke in Patients With Different Presentations of Carotid Artery Stenosis
CONCLUSION: This cohort study showed no large differences in stroke rates among people with different presentations of carotid artery stenosis.PMID:37295600 | DOI:10.1016/j.ejvs.2023.05.041
Source: PubMed: Eur J Vasc Endovasc ... - June 9, 2023 Category: Surgery Authors: Dylan R Morris Tejas P Singh Tahmid Zaman Ramesh Velu Francis Quigley Jason Jenkins Jonathan Golledge Source Type: research
Bypass and other modified reconstruction techniques for 'challenging' carotid cases: A comparison with conventional endarterectomy
CONCLUSIONS: Patients who underwent ICA revascularization with MCAR showed risks of perioperative death, major or minor stroke (<2%), reintervention rates and carotid restenosis rates that are comparable with PCEA or ECEA groups. Nevertheless, the MCAR group showed a significantly higher rate of global central neurological complications (considering together TIA, minor stroke and major stroke) than patients treated with standard CEA. MCAR techniques appear to be effective alternatives to standard CEAs, with an acceptable surgical risk. However, these should be performed mainly in selected cases, for example, in complex ...
Source: Vascular - May 12, 2023 Category: Surgery Authors: Andrea Xodo Federico Barbui Alessandro Desole Fabio Pilon Massimiliano Zaramella Domenico Milite Source Type: research
The Value of Multimodal Ultrasonic Scoring System in the Diagnosis of Carotid Vulnerable Plaque: A Comparative Study with Pathology
CONCLUSIONS: Ultrasound scoring system may be used as an effective method to evaluate the vulnerability of plaque. The diagnostic efficiency of PV-USS2D+CEUS is more higher than PV-USS2D .PMID:37087753 | DOI:10.1002/jum.16238
Source: Atherosclerosis - April 23, 2023 Category: Cardiology Authors: Lei Yan Qinyun Ruan Xiaojian Ye Rongquan Xu Liyun Fu Source Type: research
History of Carotid Artery Reconstruction around the World and in Japan
Neurol Med Chir (Tokyo). 2023 Apr 20. doi: 10.2176/jns-nmc.2022-0362. Online ahead of print.ABSTRACTSince ancient times, physicians have been aware of correlations between the carotid artery and consciousness; however, carotid stenosis was only recently identified as the cause of atherothrombotic ischemic stroke. In 1658, Wepfer described the first suggestion of a link between symptoms of cerebral arterial insufficiency and carotid pathology. In 1951, Fisher reported details of the symptoms and pathological findings and emphasized that cervical atheromatous lesions induced cerebral infarction with various symptoms. The beg...
Source: Neurologia Medico-Chirurgica - April 21, 2023 Category: Neurosurgery Authors: Masaaki Uno Source Type: research
