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Management: Hospitals
Procedure: Carotid Endarterectomy

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Total 87 results found since Jan 2013.

Silk Road Medical touts Medicare coverage decision for carotid procedures
Silk Road Medical said yesterday the Centers for Medicare and Medicaid Services granted coverage for transcarotid artery revascularization procedures, including those performed with the company’s Enroute transcarotid neuroprotection and stent system. The TCAR procedures are now eligible for coverage for patients who are treated with FDA-approved proximal embolic protection devices and approved carotid artery stent systems indicated for transcarotid procedures. The devices are also required to be entered into the national TCAR Surveillance Project, Sunnyvale, Calif.-based Silk Road Medical said. The company said it...
Source: Mass Device - September 16, 2016 Category: Medical Equipment Authors: Fink Densford Tags: Catheters Stents Vascular Centers for Medicare and Medicaid Services (CMS) Silk Road Medical Inc. Source Type: news

Correction
In the March 2013 issue of the Journal of Vascular Surgery, the article by Yuo et al (Yuo TH, Degenholtz HS, Chaer RA, Kraemer KL, Makaroun MS. Effect of hospital-level variation in the use of carotid artery stenting versus carotid endarterectomy on perioperative stroke and death in asymptomatic patients. J Vasc Surg 2013;57:627-34) listed the incorrect middle initial for Dr Howard B. Degenholtz. The correct middle initial for Dr Degenholtz is B., not S. as published.
Source: Journal of Vascular Surgery - June 24, 2016 Category: Surgery Tags: Correction Source Type: research

Silk Road touts TCAR study data
Silk Road Medical disclosed encouraging new clinical data for its Enroute device, which is cleared to help protect the brain from stroke while implanting a transcarotid artery stent. The company said that additional data showed its Enroute transcarotid neuroprotection and stent system, indicated for transcarotid artery revascularization (TCAR), helped improve stroke and death rates in the wake of its FDA sign-off last October. Investigators from Massachusetts General Hospital and elsewhere presented their findings during the 2016 Vascular Annual Meeting of the Society for Vascular Surgery, which was held June 8-11 in Natio...
Source: Mass Device - June 15, 2016 Category: Medical Equipment Authors: Mark Hollmer Tags: Catheters Clinical Trials Stents Vascular Silk Road Medical Inc. Source Type: news

Carotid artery stenting outcomes in dataset registries: a cause of concern or an opportunity for improvement?
Dear Editor, Roffi et al1 report that contemporary outcomes following carotid stenting (CAS) in large-scale registries were comparable to carotid endarterectomy (CEA). They also concluded that, over time, complication rates following CAS had decreased.1 We recently reviewed outcomes after >1 500 000 procedures in 21 administrative dataset registries where procedural death/stroke rates were reported for both CEA and CAS.2 One key finding was that CAS was associated with in-hospital/30-day death/stroke rates that exceeded the 3% American Heart Association (AHA) risk threshold for asymptomatic patients in 9/21 re...
Source: Heart - June 9, 2016 Category: Cardiology Authors: Paraskevas, K. I., Naylor, A. R. Tags: Review articles PostScript Source Type: research

“Opening the Unopenable”: Endovascular Treatment in a Patient with Three Months' Internal Carotid Artery Occlusion and Hemispheric Symptomatic Hypoperfusion
We report the case of a patient admitted to our hospital with an atherothrombotic ischemic stroke due to symptomatic acute ICAO, who developed a recurrent stroke with hemispheric hypoperfusion and was treated in the emergency department with ICAO revascularization after 60 days of occlusion finding.
Source: Journal of Stroke and Cerebrovascular Diseases - May 26, 2016 Category: Neurology Authors: Guido Bigliardi, Maria Luisa Dell'Acqua, Stefano Vallone, Filippo Barbi, Roberta Pentore, Livio Picchetto, Paolo Carpeggiani, Paolo Nichelli, Andrea Zini Source Type: research

A New Risk Index for Predicting Outcomes among Patients Undergoing Carotid Endarterectomy in Large Administrative Data Sets
We developed and validated a new index to provide risk adjustment and to predict in-hospital patient mortality and other outcomes in patients undergoing carotid endarterectomy (CEA).
Source: Journal of Stroke and Cerebrovascular Diseases - May 19, 2016 Category: Neurology Authors: Saqib A. Chaudhry, Mohammad R. Afzal, Abdulkader Kassab, Syed I. Hussain, Adnan I. Qureshi Source Type: research

Dual antiplatelet therapy reduces stroke but increases bleeding at the time of carotid endarterectomy
This study examined the effect of preoperative dual antiplatelet therapy (aspirin and clopidogrel) on in-hospital CEA outcomes.
Source: Journal of Vascular Surgery - February 28, 2016 Category: Surgery Authors: Douglas W. Jones, Philip P. Goodney, Mark F. Conrad, Brian W. Nolan, Eva M. Rzucidlo, Richard J. Powell, Jack L. Cronenwett, David H. Stone Tags: Clinical paper Source Type: research

Hospital Process Redesign Leading to Waiting Time Improvements in Delivery of Stroke-Prevention Surgery to Patients With Symptomatic Carotid Artery Stenosis
This study assessed whether carotid endarterectomy (CEA) waiting times have improved after a collaborative hospital process redesign at The Ottawa Hospital (TOH) aimed at expediting referral, evaluation, and treatment of patients with symptomatic internal carotid artery stenosis.
Source: Journal of Vascular Surgery - October 23, 2015 Category: Surgery Authors: Pranavi Ravichandran, Grant Stotts, George Hajjar, Dalibor Kubelik, Andrew Hill, Tim Brandys, Sudhir Nagpal, Prasad Jetty Tags: Abstract from the 2015 Canadian Society for Vascular Surgery Annual Meeting Source Type: research

Evolution of Carotid Surgical Practice in the last Decade.
Abstract Stroke units provide immediate care and appropriate intervention in the evolving stroke. The aims of this study were to review the practice of carotid endarterectomy (CEA) before and after the establishment of a Stroke Unit in St. James's Hospital. Prior to the introduction of the Stroke Unit, 263 CEA's were performed over a five-year period. 139/263 (53%) of these were for symptomatic disease. 229 were performed in the five years since. 179/229 (78%) of these were for symptomatic disease. The 30-day stroke and death rates were < 2% before the introduction of the Stroke Unit, and have remained unchange...
Source: Ir Med J - September 1, 2015 Category: Journals (General) Authors: Hanrahan L, Canning C, Abdulrahim O, Fitzgerald L, O'Neill S, Madhavan P, Harbison J, Colgan MP, Martin Z Tags: Ir Med J Source Type: research

Hospital Variation in 30-Day Stroke Outcomes for Patients Undergoing Carotid Endarterectomy for Asymptomatic Disease in Michigan
This study evaluated variables associated with increased rates of perioperative stroke in patients undergoing primary carotid endarterectomy (CEA) for asymptomatic disease in Michigan hospitals.
Source: Journal of Vascular Surgery - August 22, 2015 Category: Surgery Authors: Charles J. Shanley, Yeo J. Park, Peter K. Henke Tags: Abstract from the 2015 Midwestern Vascular Surgical Society Annual Meeting Source Type: research

Selecting an appropriate surgical treatment instead of carotid artery stenting alone according to the patient's risk factors contributes to reduced perioperative complications in patients with internal carotid stenosis: a single institutional retrospective analysis.
Authors: Sato K, Suzuki S, Yamada M, Oka H, Kurata A, Okamoto H, Fujii K, Kumabe T Abstract This retrospective study was aimed to compare the perioperative complications for internal carotid artery stenosis (ICS) in a Japanese single institute between the use of carotid artery stenting (CAS) alone or the use of an appropriate individualized treatment method allowing either carotid endarterectomy (CEA) or CAS based on patient risk factors. Based on the policy at our hospital, only CAS was performed on patients (n = 33) between January 2005 and November 2009. From December 2009 to December 2012, either CEA or CAS (ta...
Source: Neurologia Medico-Chirurgica - June 3, 2015 Category: Neurosurgery Tags: Neurol Med Chir (Tokyo) Source Type: research

Early Outcomes after Carotid Artery Stenting Compared With Endarterectomy for Asymptomatic Carotid Stenosis
For asymptomatic carotid stenosis, carotid artery stenting is associated with substantially higher risk of postoperative stroke or in-hospital death than carotid endarterectomy. This is even with adjustment for baseline differences in hospital and patient characteristics.
Source: Journal of Vascular Surgery - April 24, 2015 Category: Surgery Authors: J.C. Choi, S.C. Johnston, A.S. Kim Source Type: research

Carotid artery stenting: current role of proximal neuroprotection and technical advancements in stroke prevention
For more than 50 years, carotid endarterectomy has been considered the gold standard therapy to prevent stroke in patients with carotid artery disease. Carotid artery stenting (CAS) has emerged in the last 15 years as minimally invasive alternative to surgery, especially in patients at high surgical risk. Recent randomized trials have challenged this concept reporting a relatively high incidence rate (4–6%) of post-CAS neurological adverse events. The aim of this study is to evaluate the current role of CAS in all-comers with advanced carotid disease, managed with mandatory proximal neuroprotection in a high-volume c...
Source: European Journal of Heart Failure Supplements - March 10, 2015 Category: Cardiology Authors: Cremonesi, A., Mussardo, M., Sbarzaglia, P., Spagnolo, B., Cavazza, C., Castriota, F. Tags: Articles Source Type: research