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Condition: Ischemic Stroke
Procedure: Carotid Endarterectomy
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Total 922 results found since Jan 2013.
Usefulness of rapid MR angiography using two-point Dixon for evaluating carotid and aortic plaques
ConclusionThis study showed that LAVA-Flex successfully detected carotid and aortic plaques. This imaging technique may be useful to rapidly diagnose and evaluate carotid and aortic plaques, which are critical risk factors for aortogenic stroke.
Source: Neuroradiology - March 9, 2022 Category: Radiology Source Type: research
Editor's Choice – Effect of Carotid Endarterectomy on 20 Year Incidence of Recorded Dementia: A Randomised Trial
Stroke and carotid atherosclerosis are associated with dementia. Carotid endarterectomy (CEA) reduces stroke risk, although its effect on later dementia is uncertain. Participants in the Asymptomatic Carotid Surgery Trial (ACST-1), randomly allocated to immediate vs. deferral of CEA (i.e., no intervention unless or until triggered by ipsilateral transient ischaemic attack or stroke), were followed, to study effects on dementia.
Source: European Journal of Vascular and Endovascular Surgery - March 8, 2022 Category: Surgery Authors: Alison Halliday, Mary Sneade, Martin Bj örck, Sarah T. Pendlebury, Richard Bulbulia, Sarah Parish, Rebecca Llewellyn-Bennett, Holly Pan, William Whiteley, Hongchao Pan, Anders Gottsäter, ACST-1 Trial Investigators Tags: Randomised clinical trial Source Type: research
Effect of Carotid Endarterectomy on 20 Year Incidence of Recorded Dementia: A Randomised Trial
Stroke and carotid atherosclerosis are associated with dementia. Carotid endarterectomy (CEA) reduces stroke risk, although its effect on later dementia is uncertain. Participants in the Asymptomatic Carotid Surgery Trial (ACST-1), randomly allocated to immediate vs. deferral of CEA (i.e., no intervention unless or until triggered by ipsilateral transient ischaemic attack or stroke), were followed, to study effects on dementia.
Source: European Journal of Vascular and Endovascular Surgery - March 8, 2022 Category: Surgery Authors: Alison Halliday, Mary Sneade, Martin Bj örck, Sarah T. Pendlebury, Richard Bulbulia, Sarah Parish, Rebecca Llewellyn-Bennett, Holly Pan, William Whiteley, Hongchao Pan, Anders Gottsäter, ACST-1 Trial Investigators Tags: Randomised clinical trial Source Type: research
Multimodal recanalization for subacute symptomatic internal carotid artery occlusion due to atherosclerosis: Outcomes and notes on hybrid techniques
CONCLUSION: Multimodal recanalization techniques performed in a hybrid operation theater can safely achieve high recanalization rates in atherosclerotic ICAO patients in the subacute phase, which can be beneficial for recovering CBP and preventing stroke.PMID:35247538 | DOI:10.1016/j.avsg.2022.01.022
Source: Atherosclerosis - March 5, 2022 Category: Cardiology Authors: Chuan Chen Cong Ling Lun Luo Yang Yang Tengchao Huang Lei Wei Hui Wang Source Type: research
Peri-Operative Outcomes of Carotid Endarterectomy are Not Improved on Dual Antiplatelet Therapy vs. Aspirin Monotherapy: A Systematic Review and Meta-Analysis
CONCLUSION: This meta-analysis found that CEA while on DAPT increased the risk of haemorrhagic complications, with similar rates of ischaemic complications, vs. aspirin monotherapy. This suggests that the risks of performing CEA on DAPT outweigh the benefits, even in patients with symptomatic carotid stenosis. The overall quality of studies was low, and improved reporting of CEA outcomes in the literature is necessary.PMID:35241374 | DOI:10.1016/j.ejvs.2021.12.037
Source: PubMed: Eur J Vasc Endovasc ... - March 4, 2022 Category: Surgery Authors: Jerry C Ku Shervin Taslimi Jeffrey Zuccato Christopher R Pasarikovski Nathalie Nasr Ofir Chechik Emiliano Chisci Daniele Bissacco Vincent Larrue Yefim Rabinovich Stefano Michelagnoli Piergiorgio G Settembrini Stefano M Priola Michael D Cusimano Victor X D Source Type: research
Carotid artery endarterectomy in patients with symptomatic non-stenotic carotid artery disease
CONCLUSION: CEA appears to be safe and well-tolerated in patients with SyNC. Additional studies with larger cohorts and longer follow-up intervals are needed in order to determine the role of CEA in this patient population.PMID:35241631 | DOI:10.1136/svn-2021-000939
Source: Atherosclerosis - March 4, 2022 Category: Cardiology Authors: Valentina Nardi John C Benson Anthony S Larson Waleed Brinjikji Luca Saba Fredric B Meyer Giuseppe Lanzino Amir Lerman Luis E Savastano Source Type: research
Peri-Operative Outcomes of Carotid Endarterectomy are Not Improved on Dual Antiplatelet Therapy vs. Aspirin Monotherapy: A Systematic Review and Meta-Analysis
CONCLUSION: This meta-analysis found that CEA while on DAPT increased the risk of haemorrhagic complications, with similar rates of ischaemic complications, vs. aspirin monotherapy. This suggests that the risks of performing CEA on DAPT outweigh the benefits, even in patients with symptomatic carotid stenosis. The overall quality of studies was low, and improved reporting of CEA outcomes in the literature is necessary.PMID:35241374 | DOI:10.1016/j.ejvs.2021.12.037
Source: PubMed: Eur J Vasc Endovasc ... - March 4, 2022 Category: Surgery Authors: Jerry C Ku Shervin Taslimi Jeffrey Zuccato Christopher R Pasarikovski Nathalie Nasr Ofir Chechik Emiliano Chisci Daniele Bissacco Vincent Larrue Yefim Rabinovich Stefano Michelagnoli Piergiorgio G Settembrini Stefano M Priola Michael D Cusimano Victor X D Source Type: research
Carotid artery endarterectomy in patients with symptomatic non-stenotic carotid artery disease
CONCLUSION: CEA appears to be safe and well-tolerated in patients with SyNC. Additional studies with larger cohorts and longer follow-up intervals are needed in order to determine the role of CEA in this patient population.PMID:35241631 | DOI:10.1136/svn-2021-000939
Source: Atherosclerosis - March 4, 2022 Category: Cardiology Authors: Valentina Nardi John C Benson Anthony S Larson Waleed Brinjikji Luca Saba Fredric B Meyer Giuseppe Lanzino Amir Lerman Luis E Savastano Source Type: research
Peri-Operative Outcomes of Carotid Endarterectomy are Not Improved on Dual Antiplatelet Therapy vs. Aspirin Monotherapy: A Systematic Review and Meta-Analysis
CONCLUSION: This meta-analysis found that CEA while on DAPT increased the risk of haemorrhagic complications, with similar rates of ischaemic complications, vs. aspirin monotherapy. This suggests that the risks of performing CEA on DAPT outweigh the benefits, even in patients with symptomatic carotid stenosis. The overall quality of studies was low, and improved reporting of CEA outcomes in the literature is necessary.PMID:35241374 | DOI:10.1016/j.ejvs.2021.12.037
Source: PubMed: Eur J Vasc Endovasc ... - March 4, 2022 Category: Surgery Authors: Jerry C Ku Shervin Taslimi Jeffrey Zuccato Christopher R Pasarikovski Nathalie Nasr Ofir Chechik Emiliano Chisci Daniele Bissacco Vincent Larrue Yefim Rabinovich Stefano Michelagnoli Piergiorgio G Settembrini Stefano M Priola Michael D Cusimano Victor X D Source Type: research
Outcomes of Preferential Early Carotid Endarterectomy Following Recent Stroke
With the risk of recurrent ischemic stroke being highest in first week following TIA or stroke, the current guidelines of “early” endarterectomy within two weeks still leaves potential vulnerability for patients with a significant bifurcation lesion and a new stroke. The intent of this analysis is to determine the safety of carotid endarterectomy even earlier than current guidelines, based on a single surgeon exper ience over 12 years.
Source: Annals of Vascular Surgery - March 4, 2022 Category: Surgery Authors: Niren Angle, Melissa Loja, Athena Angle, Mirza Alam DABNM, Jeffrey H. Gerstch Tags: Clinical Research Source Type: research
Carotid Endarterectomy and Carotid Artery Stenting for Symptomatic Carotid Stenosis: An Experience of a Hybrid Neurosurgeon in a Developing Nation
Conclusion: CAS and CEA are complementary approaches in treating symptomatic carotid stenosis even when performed by a single hybrid neurosurgeon as results obtained are commensurable to major studies like CREST.
Source: Neurology India - February 28, 2022 Category: Neurology Authors: Batuk Diyora Rushabh M Chheda Gagan Dhall Pradeep Gupta Kavin Dewani Mazharkhan Mulla Darshan Gaud Source Type: research
Preoperative antithrombotic treatment in acutely symptomatic carotid artery stenosis
Early recurrence of cerebral ischemia in acutely symptomatic carotid artery stenosis can precede revascularization. The optimal antithrombotic regimen for this high-risk population is not well established. Although antiplatelet agents are commonly used, there is limited evidence for the use of anticoagulants. We sought to understand the safety and efficacy of short-term preoperative anticoagulants in secondary prevention of recurrent cerebral ischemic events from acutely symptomatic carotid stenosis in patients awaiting carotid endarterectomy (CEA).
Source: Journal of Stroke and Cerebrovascular Diseases - February 24, 2022 Category: Neurology Authors: Juan Carlos Martinez-Gutierrez, Alexis T. Roy, Salvatore D'Amato, Jillian M. Berkman, Daniel Montes, Cheryl A. Kimball, Guy A. Rordorf, Lori B. Chibnik, Javier M. Romero, Scott B. Silverman Source Type: research
Carotid plaque imaging: Strategies beyond stenosis
Darshana Sanghvi, Manish ShrivastavaAnnals of Indian Academy of Neurology 2022 25(1):11-14
Atherosclerosis at the carotid bifurcation in the neck is common and the result of turbulent hemodynamics in the bulb. Carotid bulb plaques cause disabling strokes. Carotid vessel wall imaging characterizes the atherosclerotic plaque, documents disease progression, and assesses lesion severity by plaque morphology in addition to the degree of stenosis. This in turn optimizes treatment selection for the individual patient. The aim of vessel wall imaging in patients of stroke is to distinguish stable plaques that may be conserved with...
Source: Annals of Indian Academy of Neurology - February 22, 2022 Category: Neurology Authors: Darshana Sanghvi Manish Shrivastava Source Type: research
Revised cardiac score index is a predictor of long-term outcomes after carotid endarterectomy
Conclusion: RCRI and CtRCRI did not predict MACE in the perioperative period but are good predictors of 30-day complications (Clavien-Dindo ≥2). Both RCRI and CtRCRI have good prognostic value as predictors of long-term cardiovascular events.PMID:35171024 | DOI:10.1024/0301-1526/a000988
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 16, 2022 Category: Surgery Authors: Filipa J ácome Leandro N óbrega Ant ónio Pereira-Neves Lu ís Duarte-Gamas Joana Mour ão Pedro Videira-Reis Marina Dias-Neto Jo ão Rocha-Neves Source Type: research
