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Results of carotid endarterectomy with the use of temporary shunts with reduced retrograde pressure in the internal carotid artery — analysis of the multicenter Russian register
ConclusionTemporary carotid shunts during carotid endarterectomy were associated with increased rates of asymptomatic stroke. There were no statistically significant differences in the incidence of non-fatal or fatal stroke, myocardial infarction, and mortality.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 27, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Modified Eversion Carotid Endarterectomy: A Novel Surgical Technique for Carotid Artery Stenosis Treatment
Conclusions: The mECEA is a promising surgical option for CAS with acceptable clinical outcomes. In order to prove its safety and efficacy, future practices need to be conducted by more medical workers in more large-scale trials.
Source: Neurology India - October 21, 2022 Category: Neurology Authors: Xiao Zhang Xuesong Bai Yao Feng Yinhang Zhang Renjie Yang Yutong Yang Tao Wang Ran Xu Yan Ma Liqun Jiao Source Type: research

Carotid Plaque Imaging: Strategies beyond Stenosis
Ann Indian Acad Neurol. 2022 Jan-Feb;25(1):11-14. doi: 10.4103/aian.aian_483_21. Epub 2021 Aug 23.ABSTRACTAtherosclerosis 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 ...
Source: Atherosclerosis - March 28, 2022 Category: Cardiology Authors: Darshana Sanghvi Manish Shrivastava 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

Reversible Hemichorea with Severe Carotid Stenosis
Conclusion: Hemichorea due to critical hemispheric ischemia is a well-described rare entity that best responds to reperfusion strategies. Awareness is essential to identify this entity and manage appropriately.
Source: Neurology India - February 28, 2022 Category: Neurology Authors: Seetharam Raghavendra Jaychandran Ramachandran Javeria Nooraine Rajesh B Iyer 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

Perioperative Stroke in Carotid Artery Stenting as a Surrogate Marker and Predictor for 30-day Postprocedural Mortality & #8211; A Pooled Analysis of 156,000 Patients with Carotid Artery Disease
Conclusions: Perioperative stroke drastically increases the risk of 30-day mortality. The occurrence of perioperative stroke exhibited high specificity but modest sensitivity in predicting 30-day mortality following CAS. This highlights the importance of neurophysiologic monitoring to detect intraoperative cerebral ischemia and perform timely interventions.
Source: Neurology India - December 19, 2019 Category: Neurology Authors: Ahmed M Altibi Eyad E Saca Harbir Dhillon Parthasarathy D Thirumala Source Type: research

Comparison of best medical management with carotid intervention procedures in the prevention of stroke recurrence in patients with symptomatic internal carotid artery stenosis
Conclusions: Overall, there was no statistically significant difference in the rate of recurrence between the best medical management and the carotid interventional procedures.
Source: Annals of Indian Academy of Neurology - September 4, 2018 Category: Neurology Authors: BV Deepa Rani Sandeep Gampa Deepika Sirineni KR Harshavardhana Satya Rama Krishna Subhash Kaul Source Type: research

Internal Carotid Artery Stenting in a Case of Recurrent Transient Ischemic Attacks: A Road Less Taken
We report a case of a 51year male patient who presented with the recurrent transient ischemic attacks and right facio-brachial weakness, the patient was promptly taken for carotid angiography and underwent successful stenting of the left internal carotid artery.Keywords:Carotid angiography,Carotid artery stenosis,Transient ischemic attackView:PDF (257.36 KB)Click here to download the PDF file.‹ Transient Stress Lymphocytosis in Cardiac Emergencies: A Clinicopathological Study of Under-recognized Entity at a Tertiary Care Cardiology Institute in North IndiaA Large Aortic Root Mycotic Aneurysm with Complete Heart Block: A ...
Source: Journal of Cardiovascular Disease Research - March 8, 2018 Category: Cardiology Authors: yunus Source Type: research

Perioperative strokes following combined coronary artery bypass grafting and carotid endarterectomy: A nationwide perspective
Conclusion: A strong association was found to exist between perioperative stroke and in-hospital mortality and morbidity after combined CABG and CEA. CEA procedures are thought to mitigate the high stroke rate of 3-5% post-CABG, but our study found that combined procedures exhibit a similar stroke risk undercutting their effectiveness. Further investigative studies on combined CABG+CEA are needed to assess risk-stratification for better patient selection and examine other preventative strategies to minimize the risk of ischemic strokes.
Source: Neurology India - January 11, 2018 Category: Neurology Authors: Reshmi Udesh Hannah Cheng Amol Mehta Parthasarathy D Thirumala Source Type: research