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Procedure: Carotid Endarterectomy
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Total 2934 results found since Jan 2013.
Management of patients with asymptomatic carotid stenosis may need to be individualized: a multidisciplinary call for action. Republication of J Stroke 2021;23:202-212
Int Angiol. 2021 Jul 27. doi: 10.23736/S0392-9590.21.04751-9. Online ahead of print.ABSTRACTThe optimal management of patients with asymptomatic carotid stenosis (ACS) is the subject of extensive debate. According to the 2017 European Society for Vascular Surgery guidelines, carotid endarterectomy should (Class IIa; Level of Evidence: B) or carotid artery stenting may be considered (Class IIb; Level of Evidence: B) in the presence of one or more clinical/imaging characteristics that may be associated with an increased risk of late ipsilateral stroke (e.g. silent embolic infarcts on brain computed tomography/magnetic resona...
Source: International Angiology - July 27, 2021 Category: Cardiology Authors: Kosmas I Paraskevas Dimitri P Mikhailidis Hediyeh Baradaran Alun H Davies Hans-Henning Eckstein Gianluca Faggioli Jose Fernandes E Fernandes Ajay Gupta Mateja K Jezovnik Stavros K Kakkos Niki Katsiki M Eline Kooi Gaetano Lanza Christos D Liapis Ian M Loft Source Type: research
Procedural stroke after carotid revascularization: Critical analysis of the literature and standards of reporting
Mechanisms of procedural stroke after carotid endarterectomy (CEA) or carotid artery stenting are surprisingly underresearched. However, understanding the underlying mechanism could (1) assist in balancing the choice for revascularization vs conservative therapy, (2) assist in choosing either open or endovascular techniques, and (3) assist in taking appropriate periprocedural measures to further decrease procedural stroke rate. The purpose of this study was to overview mechanisms of procedural stroke after carotid revascularization and establish reporting standards to facilitate more granular investigation and individual p...
Source: Journal of Vascular Surgery - June 25, 2021 Category: Surgery Authors: Andreia Coelho, Jo ão Peixoto, Alexandra Canedo, L. Jaap Kappelle, Armando Mansilha, Gert J. de Borst Source Type: research
Critical analysis of the literature and standards of reporting on stroke after carotid revascularization
Mechanisms of procedural stroke after carotid endarterectomy (CEA) or carotid artery stenting are surprisingly underresearched. However, understanding the underlying mechanism could (1) assist in balancing the choice for revascularization vs conservative therapy, (2) assist in choosing either open or endovascular techniques, and (3) assist in taking appropriate periprocedural measures to further decrease procedural stroke rate. The purpose of this study was to overview mechanisms of procedural stroke after carotid revascularization and establish reporting standards to facilitate more granular investigation and individual p...
Source: Journal of Vascular Surgery - June 25, 2021 Category: Surgery Authors: Andreia Coelho, Jo ão Peixoto, Alexandra Canedo, L. Jaap Kappelle, Armando Mansilha, Gert J. de Borst Source Type: research
Carotid Endarterectomy After Intracranial Endovascular Thrombectomy for Acute Ischaemic Stroke in Patients with Carotid Artery Stenosis
Introduction: Recent randomised controlled trials have demonstrated the benefit of intracranial endovascular thrombectomy (EVT) in acute ischaemic stroke with large vessel occlusion, and the number of EVTs has increased rapidly. There are no data on how to treat concomitant extracranial carotid artery stenosis after EVT. The aim of this study was to evaluate the outcome in stroke patients treated with carotid endarterectomy (CEA) after successful EVT, comparing complication rates to stroke patients undergoing CEA as a single procedure.
Source: European Journal of Vascular and Endovascular Surgery - February 1, 2022 Category: Surgery Authors: Magnus Jonsson, Ellinoora Aro, Katarina Bj örses, Staffan Holmin, Petra Ijäs, Nicolas Martinez-Majander, Pirkka Vikatmaa, Carl-Magnus Wahlgren, Maarit Venermo, Martin Björck 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
Utilization of CT angiography of the head and neck in the era of endovascular therapy for acute ischemic stroke: a retrospective study
ConclusionLittle is known of the impacts on healthcare resources that have resulted from the system-wide changes made necessary by the widespread adoption of EVT. Our study shows that at our site, these system changes have resulted in large increases in CTA utilization with very small numbers of patients ultimately undergoing EVT or carotid intervention.
Source: Emergency Radiology - March 12, 2022 Category: Emergency Medicine Source Type: research
Beta Blockers are Associated with Decreased 30-Day Postoperative Stroke Risk Following Both Carotid Stenting and Endarterectomy in Patients with Hypertension
Stroke is a significant complication associated with both carotid endarterectomy (CEA) and carotid artery stenting (CAS). Hypertension is a strong risk factor for development of carotid stenosis and is present in over 80% of patients undergoing carotid revascularization. Antihypertensive therapy is associated with reduced stroke risk in patients with carotid artery stenosis. Our aim was to determine whether antihypertensive medication regimens can impact stroke risk in patients following carotid revascularization.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Kiran A. Goyal, Jeremy Albright, Matthew Corriere, Nicholas Osborne, Peter Henke Tags: S8: Plenary Session 8 Source Type: research
Perioperative Stroke Risk Model —One Size Fits All?
The article by Glance et al is an important and timely contribution to the field of perioperative medicine. While evidence-based consensus statements help guide clinicians to make the best decisions for patients, they are only as good as the data and populations on which they are based. In these cases, overestimation of risk of perioperative stroke might lead to unnecessary surgical delays, especially for semiurgent surgeries (ie, cancer), and unnecessary intraoperative neurological monitoring and may significantly impact patient care and health care system cost. Furthermore, while we now have a better understanding of the...
Source: JAMA Surgery - June 29, 2022 Category: Sports Medicine Source Type: research
