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Procedure: Carotid Endarterectomy

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Total 2934 results found since Jan 2013.

Using Centrally Held Data to Validate Carotid Surgery Outcome Data Clinical Sciences
Conclusions— These outcome data are similar to the outcomes of the major carotid surgery trials. Record-linked data retrieval seems to be an appropriate starting point for outcome-based audit. This has the potential to generate robust, transparent data for comparison between individuals and centers for a specific procedure.
Source: Stroke - May 24, 2013 Category: Neurology Authors: Stuart, W. P., Hussey, K. K., Eifell, R. K. G., Drummond, R., Ford, I., Welch, G. H. Tags: Carotid Stenosis, Carotid endarterectomy Clinical Sciences Source Type: research

Management of carotid stenosis in women: Consensus document
Conclusions: The suggestions provided in this article may constitute a decision-making basis for planning treatment of carotid stenosis in women. Most recommendations are of limited strength; however, it is unlikely that new robust data will emerge soon to induce relevant changes.
Source: Neurology - June 10, 2013 Category: Neurology Authors: De Rango, P., Brown, M. M., Didier, L., Howard, V. J., Moore, W. S., Paciaroni, M., Ringleb, P., Rockman, C., Caso, V. Tags: Decision analysis, Stroke prevention, All Cerebrovascular disease/Stroke VIEWS & amp;amp; REVIEWS Source Type: research

Long-Term Prognosis After Revascularization Therapy in Patients with Atherothrombotic Stroke.
Conclusion: In this study we disclosed neither morbidity nor mortality discrepancies in long term among the patients who were treated with carotid endarterectomy (CEA) and carotid artery stenting (CAS). PMID: 24101268 [PubMed - as supplied by publisher]
Source: Turkish Neurosurgery - October 13, 2013 Category: Neurosurgery Authors: Uygunoglu U, Benbir G, Goksan B, Ince B Tags: Turk Neurosurg Source Type: research

Copeptin Level After Carotid Endarterectomy and Perioperative Stroke
We evaluated the prognostic value of copeptin levels in a cohort of surgical patients after elective carotid endarterectomy (CEA). Twenty-one patients with perioperative stroke were prospectively recruited. The diagnosis of cerebrovascular event (CVE) was confirmed by computed tomography. Additionally, 21 patients with CEA without any complications (control patients) were enrolled. Blood samples were taken within 3 hours of the symptom onset. Circulating copeptin level was significantly higher in patients with CVE when compared to controls (P = .025), and significantly higher in nonsurvivors than in survivors (P = .030) af...
Source: Angiology - January 6, 2014 Category: Cardiology Authors: Maravic-Stojkovic, V., Lausevic-Vuk, L. J., Obradovic, M., Jovanovic, P., Tanaskovic, S., Stojkovic, B., Isenovic, R. E., Radak, D. J. Tags: Carotid Artery Disease Source Type: research

Complication Rates and Center Enrollment Volume in the Carotid Revascularization Endarterectomy Versus Stenting Trial Clinical Sciences
Conclusions— Complication rates were low in CREST and were not associated with center enrollment volume. The data are consistent with the value of rigorous training and credentialing in trials evaluating endovascular devices and surgical procedures. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique identifier: NCT00004732.
Source: Stroke - October 27, 2014 Category: Neurology Authors: Gonzales, N. R., Demaerschalk, B. M., Voeks, J. H., Tom, M., Howard, G., Sheffet, A. J., Garcia, L., Clair, D. G., Barr, J., Orlow, S., Brott, T. G., on behalf of the CREST Investigators Tags: Carotid Stenosis, Carotid endarterectomy, Angioplasty and Stenting Clinical Sciences Source Type: research

Poststent Ballooning Increases Postoperative Stroke and Death Rate in Carotid Artery Stenting
Stroke remains the fourth leading cause of death and the leading cause of disability in the United States. Carotid endarterectomy (CEA) has been proven superior to medical therapy alone in decreasing the risk of stroke in patients with high-grade stenosis of the internal carotid artery. Although CEA remains the gold standard, with low perioperative stroke risk, carotid artery stenting (CAS) has seen progressively improved outcomes. Operators follow general guidelines in intraoperative techniques in CAS.
Source: Journal of Vascular Surgery - November 21, 2014 Category: Surgery Authors: Mahmoud Malas, Tammam Obeid, Isibor Arhuidese, Umair Qazi, Chris Abularrage, James Black, Bruce Perler Tags: Abstract from the Thirty-Ninth Annual Meeting of the Southern Association for Vascular Surgery Source Type: research

Editor's Choice - Safety of Carotid Endarterectomy After Intravenous Thrombolysis for Acute Ischaemic Stroke: A Case-Controlled Multicentre Registry Study.
CONCLUSION: Data on the time from symptoms to CEA in patients not having IVT, Rankin score, degree of stenosis, and cerebral imaging were not available. Despite its weaknesses, this study reasserts that CEA can be performed within the recommended 2 weeks of the onset of symptoms and IVT without increasing the risk of peri-operative stroke or death. Centres and vascular registries are recommended to continue monitoring changes in patient characteristics, lead times, and major complications after CEA in general, with a special focus on those who have undergone a prior thrombolysis. PMID: 25443523 [PubMed - in process]
Source: PubMed: Eur J Vasc Endovasc ... - December 1, 2014 Category: Surgery Authors: Rathenborg LK, Venermo M, Troëng T, Jensen LP, Vikatmaa P, Wahlgren C, Ijäs P, Björck M, Kragsterman B Tags: Eur J Vasc Endovasc Surg Source Type: research

Early Outcomes After Carotid Artery Stenting Compared With Endarterectomy for Asymptomatic Carotid Stenosis Clinical Sciences
Conclusions— For asymptomatic carotid stenosis, CAS is associated with a substantially higher risk of postoperative stroke or in-hospital death than CEA even after adjustment for baseline differences in hospital and patient characteristics.
Source: Stroke - December 22, 2014 Category: Neurology Authors: Choi, J. C., Johnston, S. C., Kim, A. S. Tags: Acute Cerebral Infarction, Carotid Stenosis, Carotid endarterectomy, Angioplasty and Stenting Clinical Sciences Source Type: research

Risk of Early Recurrent Stroke in Symptomatic Carotid Stenosis
The risk of recurrent stroke in patients with symptomatic carotid artery stenosis is highest in the first weeks after a transient ischemic attack (TIA) or minor stroke and can be reduced with carotid endarterectomy (CEA). The optimal timing of CEA remains a controversial issue since very urgent CEA is associated with an increased procedural risk. The aim of this study was to determine the risk of very early recurrent stroke in a population with symptomatic high grade carotid stenosis.
Source: European Journal of Vascular and Endovascular Surgery - December 26, 2014 Category: Surgery Authors: S. Strömberg, A. Nordanstig, T. Bentzel, K. Österberg, G.M.L. Bergström Source Type: research

Patient and observer scar assessment scores favour the late appearance of a transverse cervical incision over a vertical incision in patients undergoing carotid endarterectomy for stroke risk reduction.
CONCLUSION: Carotid endarterectomy performed through a transverse skin incision compared with a vertically oriented skin incision is associated with improved esthetic outcome, as measured by the POSAS, without an observed statistically significant difference in the risk of perioperative stroke or death between the 2 techniques. PMID: 26022156 [PubMed - as supplied by publisher]
Source: Canadian Journal of Surgery - June 1, 2015 Category: Surgery Authors: Deck M, Kopriva D Tags: Can J Surg Source Type: research

Outcomes are improving for patients with carotid stenosis
The fact that stroke prevention has become so much more effective over the last several decades calls for celebration. Improvements in understanding the benefits of encouraging a healthy lifestyle, more effective use of medications, and improved technique of preventive procedures account for the change. The systematic review by Munster et al.1 documents a 70% decline in the 30-day incidence of stroke or death associated with carotid endarterectomy (CEA) for 50%–99% asymptomatic carotid stenosis, from approximately 4% in the early 1990s to 1.2% in 2013. The rate of perioperative death alone fell 75% from approximately...
Source: Neurology - July 27, 2015 Category: Neurology Authors: Abbott, A. L., Nederkoorn, P. J. Tags: Stroke prevention, All Cerebrovascular disease/Stroke, Patient safety, All epidemiology EDITORIALS Source Type: research

Temporal Changes in Periprocedural Events in the Carotid Revascularization Endarterectomy Versus Stenting Trial Clinical Sciences
Conclusions— The hypothesized temporal reduction of stroke+death events for carotid stenting–treated patients was not observed. Further adjustment for changes in patient characteristics between periods, including the addition of asymptomatic patients and a >50% decrease in proportion of octogenarians enrolled, resulted in practically identical rates. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique identifier: NCT00004732.
Source: Stroke - July 27, 2015 Category: Neurology Authors: Howard, G., Hopkins, L. N., Moore, W. S., Katzen, B. T., Chakhtoura, E., Morrish, W. F., Ferguson, R. D., Hye, R. J., Shawl, F. A., Harrigan, M. R., Voeks, J. H., Howard, V. J., Lal, B. K., Meschia, J. F., Brott, T. G. Tags: Carotid Stenosis, Carotid endarterectomy, Angioplasty and Stenting Clinical Sciences Source Type: research

Stroke/Death Rates Following Carotid Artery Stenting and Carotid Endarterectomy in Contemporary Administrative Dataset Registries: A Systematic Review
Randomised trials have reported higher stroke/death rates after carotid artery stenting (CAS) versus carotid endarterectomy (CEA). Despite this, the 2011 American Heart Association (AHA) guidelines expanded CAS indications, partly because of the Carotid Revascularization Endarterectomy versus Stenting Trial, but also because of improving outcomes in industry sponsored CAS Registries. The aim of this systematic review was: (i) to compare stroke/death rates after CAS/CEA in contemporary dataset registries, (ii) to examine whether published stroke/death rates after CAS fall within AHA thresholds, and, (iii) to see if there ha...
Source: European Journal of Vascular and Endovascular Surgery - September 5, 2015 Category: Surgery Authors: K.I. Paraskevas, E.L. Kalmykov, A.R. Naylor Tags: Review Source Type: research

Urgent carotid intervention is safe after thrombolysis for minor to moderate acute ischemic stroke
Carotid intervention shortly after an acute neurologic ischemic event is being performed more frequently in stroke centers to reduce the risk of recurrent stroke. Thrombolysis with recombinant tissue plasminogen activator (tPA) is offered to select patients with ischemic stroke symptoms who present within 4.5 hours. However, there is a paucity of data as to whether tPA followed by urgent carotid endarterectomy (CEA) or carotid artery stenting (CAS) has an increased risk of complications, particularly intracerebral hemorrhage (ICH).
Source: Journal of Vascular Surgery - September 24, 2015 Category: Surgery Authors: Hernan A. Bazan, Nicolas Zea, Bethany Jennings, Taylor A. Smith, Gabriel Vidal, W. Charles Sternbergh Tags: Clinical Paper Source Type: research