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Diabetes mellitus and adverse outcomes after carotid endarterectomy: A systematic review and meta-analysis
CONCLUSIONS: In patients with carotid stenosis treated by CEA, DM is associated with short-term and long-term MAEs. DM may have a greater impact on adverse outcomes in asymptomatic patients after CEA. Insulin-dependent DM may have a more significant impact on post-CEA adverse outcomes than noninsulin-dependent DM. Whether DM management could reduce the risk of adverse outcomes after CEA requires further investigation.PMID:37334731 | PMC:PMC10278750 | DOI:10.1097/CM9.0000000000002730
Source: Chinese Medical Journal - June 19, 2023 Category: General Medicine Authors: Fengshi Li Rui Zhang Xiao Di Shuai Niu Zhihua Rong Changwei Liu Leng Ni Source Type: research

Carotid Endarterectomy and Stenting in a Chinese Population: Safety Outcome of the Revascularization of Extracranial Carotid Artery Stenosis Trial
AbstractCarotid endarterectomy (CEA) and carotid artery stenting (CAS) have been well-established as two effective treatment modalities for carotid artery stenosis, while their clinical outcomes in real-world China are still unknown due to lack of nationwide trials. We aimed to evaluate the safety outcome profile of CEA and CAS in Chinese patients with carotid artery stenosis. The Revascularization of Extracranial Carotid Artery Stenosis trial was a multicentre, prospective cohort study of CEA or CAS in treating patients with carotid artery stenosis. We included symptomatic or asymptomatic patients with carotid artery sten...
Source: Translational Stroke Research - March 3, 2021 Category: Neurology Source Type: research

Assessment of Carotid Intraplaque Neovascularization Using Superb Microvascular Imaging in High Risk of Stroke Individuals: Results From a Community-Based Study
Conclusions: Moderate to marked intraplaque neovascularization detected by SMI was more likely in subjects with a history of any territory stroke or TIA or thicker plaque. This indicates a potential new role of SMI in stratifying future risk of stroke or other arterial disease complications.
Source: Frontiers in Neurology - November 6, 2019 Category: Neurology Source Type: research

CAR 12. Trends and Outcomes of Carotid Revascularization in the Chinese Population: Analysis of > 1000 Cases in a Single Institution from 2002 to 2017
In this study, we investigated the outcomes after carotid revascularization for Chinese patients in a single institution.
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: JinYun Tan, Lei Zhu, WenCheng Guo, Kun Liang, Qing He, WeiHao Shi, Bo Yu Source Type: research

The Long-Term Efficacy and Safety of Carotid Artery Stenting among the Elderly: A Single-Center Study in China.
Abstract Compared to carotid endarterectomy, carotid artery stenting (CAS) is reportedly associated with higher perioperative risks in elderly patients. To verify the long-term safety and efficacy of CAS with embolic protection in elderly patients, we retrospectively reviewed the medical records of patients with carotid stenosis treated between January 2003 and March 2010 at the Department of Neurology of a large university hospital in China. We included patients with symptomatic, moderate, or severe carotid stenosis of atherosclerotic etiology (other etiologies were excluded), with a disability score ≤ 3 on...
Source: Behavioural Neurology - October 11, 2018 Category: Neurology Authors: Wen L, Wang S, Liu L, Chen L, Geng J, Kuang L, Qian G, Su J, Chen K, Zhou Z Tags: Behav Neurol Source Type: research

P-004 30 day results of revascularization of extracranial carotid artery stenosis (recas) trial in mainland china
This study is registered, number NCT01994187. Results The trial enrolled 2762 patients (CAS group, n=1543; CEA group, n=1176; CEA+CAS group, n=43). The primary end point was achieved in 4.47% (69/1543) in patients treated with carotid artery stents, and 4.93% (58/1176) in patients treated with carotid endarterectomy, an absolute difference of 0.46%. Risks of any stroke (3.50% vs 3.32%) was higher in the stenting group than in the endarterectomy group, but the risks of any death (0.39% vs 0.51%) was lower in the stenting group than in the endarterectomy group. Nine procedural myocardial infarctions were recorded in the st...
Source: Journal of NeuroInterventional Surgery - July 23, 2017 Category: Neurosurgery Authors: Bin, Y., Yanfei, C., Yabing, W., Peng, G., Yan, M., Liqun, J. Tags: Oral Poster Abstracts Source Type: research