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Procedure: Carotid Endarterectomy

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Total 2934 results found since Jan 2013.

Significant Association of Annual Hospital Volume With the Risk of Inhospital Stroke or Death Following Carotid Endarterectomy but Likely Not After Carotid Stenting: Secondary Data Analysis of the Statutory German Carotid Quality Assurance Database Peripheral Vascular Disease
Conclusions— An inverse volume–outcome relationship in CEA-treated patients was demonstrated. No significant association between hospital volume and the risk of stroke or death was found for CAS.
Source: Circulation: Cardiovascular Interventions - November 3, 2016 Category: Cardiology Authors: Kuehnl, A., Tsantilas, P., Knappich, C., Schmid, S., Konig, T., Breitkreuz, T., Zimmermann, A., Mansmann, U., Eckstein, H.-H. Tags: Ethics and Policy, Quality and Outcomes, Cerebrovascular Disease/Stroke, Cerebrovascular Procedures Peripheral Vascular Disease Source Type: research

Intraoperative Completion Studies, Local Anesthesia, and Antiplatelet Medication Are Associated With Lower Risk in Carotid Endarterectomy Clinical Sciences
Conclusions—Local anesthesia, patch plasty compared with primary closure, intraoperative completion studies by duplex ultrasound or angiography, and perioperative antiplatelet medication were independently associated with lower in-hospital stroke or death rates after carotid endarterectomy.
Source: Stroke - March 27, 2017 Category: Neurology Authors: Christoph Knappich, Andreas Kuehnl, Pavlos Tsantilas, Sofie Schmid, Thorben Breitkreuz, Michael Kallmayer, Alexander Zimmermann, Hans-Henning Eckstein Tags: Clinical Studies, Revascularization, Quality and Outcomes, Cerebrovascular Disease/Stroke, Atherosclerosis Original Contributions Source Type: research

Risk of Inhospital Stroke or Death Is Associated With Age But Not Sex in Patients Treated With Carotid Endarterectomy for Asymptomatic or Symptomatic Stenosis in Routine Practice: Secondary Data Analysis of the Nationwide German Statutory Quality Assurance Database From 2009 to 2014 Cardiovascular Surgery
ConclusionsThis study shows that increasing age, but not sex, is associated with a higher risk of in‐hospital stroke or death following carotid endarterectomy under everyday conditions in Germany. Whereas the risk of death (alone) is significantly associated with age, the association between age and the risk of stroke (alone) can be considered of minor importance.
Source: JAHA:Journal of the American Heart Association - March 13, 2017 Category: Cardiology Authors: Schmid, S., Tsantilas, P., Knappich, C., Kallmayer, M., Konig, T., Breitkreuz, T., Zimmermann, A., Kuehnl, A., Eckstein, H.–H. Tags: Aging, Women, Cardiovascular Surgery, Quality and Outcomes, Cerebrovascular Disease/Stroke Original Research Source Type: research

Clinical Prediction Model Suitable for Assessing Hospital Quality for Patients Undergoing Carotid Endarterectomy Stroke
Conclusions The NCDR CEA score, comprising 7 clinical variables, predicts in-hospital stroke or death after CEA. This model can be used to estimate hospital risk-adjusted outcomes for CEA and to assist with the assessment of hospital quality.
Source: JAHA:Journal of the American Heart Association - June 17, 2014 Category: Cardiology Authors: Wimmer, N. J., Spertus, J. A., Kennedy, K. F., Anderson, H. V., Curtis, J. P., Weintraub, W. S., Singh, M., Rumsfeld, J. S., Masoudi, F. A., Yeh, R. W. Tags: Stroke Source Type: research

Length of carotid stenosis predicts peri‐procedural stroke or death and restenosis in patients randomized to endovascular treatment or endarterectomy
ConclusionsIncreasing stenosis length is an independent risk factor for peri‐procedural stroke or death in endovascular treatment and carotid endarterectomy, without favoring one treatment over the other. However, the excess restenosis rate after endovascular treatment compared with carotid endarterectomy increases with longer stenosis at baseline. Stenosis length merits further investigation in carotid revascularisation trials.
Source: International Journal of Stroke - August 1, 2013 Category: Neurology Authors: Leo H. Bonati, Jörg Ederle, Joanna Dobson, Stefan Engelter, Roland L. Featherstone, Peter A. Gaines, Jonathan D. Beard, Graham S. Venables, Hugh S. Markus, Andrew Clifton, Peter Sandercock, Martin M. Brown, Tags: Research Source Type: research

Outcomes After Acute Ischemic Stroke in the United States: Does Residential ZIP Code Matter? Stroke
Conclusions Patients from lower-income quartiles had decreased reperfusion on the first admission day, compared with patients from higher-income quartiles. The cost of hospitalization of patients from higher-income quartiles was significantly higher than that of patients from lowest-income quartiles, despite longer hospital stays in the latter group. This might be partially attributable to a lower use of key procedures among patients from lowest-income quartile.
Source: JAHA:Journal of the American Heart Association - March 15, 2015 Category: Cardiology Authors: Agarwal, S., Menon, V., Jaber, W. A. Tags: Stroke Source Type: research

Symptomatic Patients Remain at Substantial Risk of Arterial Disease Complications Before and After Endarterectomy or Stenting Clinical Sciences
Background and Purpose—After carotid endarterectomy (CEA) or carotid artery stenting (CAS) in patients with transient ischemic attack or minor ischemic stroke, recurrent stroke risk falls to a low rate on modern medical treatment.Methods—We used data from 4583 patients with recent transient ischemic attack or minor stroke enrolled in the TIAregistry.org to perform a nested case–control analysis to evaluate pre- and post-CEA/CAS risk. Cases were defined as patients with a CEA/CAS during the 1-year follow-up period. For each case, 2 controls with a follow-up time greater than the time from qualifying event to CEA/CAS w...
Source: Stroke - March 27, 2017 Category: Neurology Authors: Cristina Hobeanu, Philippa C. Lavallee, Peter M. Rothwell, Leila Sissani, Gregory W. Albers, Natan M. Bornstein, Louis R. Caplan, Geoffrey A. Donnan, Jose M. Ferro, Michael G. Hennerici, Julien Labreuche, Carlos Molina, Philippe Gabriel Steg, Pierre&ndash Tags: Secondary Prevention, Ischemic Stroke, Transient Ischemic Attack (TIA) Original Contributions Source Type: research

An update on Italian Stroke Organization guidelines on carotid endarterectomy and stenting
One hundred and fifty‐three authors, 45 Italian scientific societies, and two Italian patients’ associations participated in drafting the Italian Stroke Organization document, which has become the national guideline for the prevention and treatment of stroke in Italy. For the surgical therapy section of the Italian Stroke Organization document, the main trials on carotid endoarterectomy and stenting were critically reviewed in order to formulate recommendations for these procedures. Recommendations are presented here for the referral of patients to either carotid endarterectomy or stenting on the basis of whether carot...
Source: International Journal of Stroke - December 22, 2013 Category: Neurology Authors: Gaetano Lanza, Stefano Ricci, Carlo Setacci, Patrizio Castelli, Claudio Novalil, Carlo Pratesi, Francesco Speziale, Alberto Cremonesi, Ernesto Morlacchi, Jessica Lanza, Paola Santalucia, Augusto Zaninelli, Gian Franco Gensini Tags: Review Source Type: research

Effect of Patching on Reducing Restenosis in the Carotid Revascularization Endarterectomy Versus Stenting Trial Clinical Sciences
Conclusions— Patch closure in CEA is associated with reduction in restenosis although it is not associated with improved clinical outcomes. Thus, more widespread use of patching should be considered to improve long-term durability. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique identifier: NCT00004732.
Source: Stroke - February 23, 2015 Category: Neurology Authors: Malas, M., Glebova, N. O., Hughes, S. E., Voeks, J. H., Qazi, U., Moore, W. S., Lal, B. K., Howard, G., Llinas, R., Brott, T. G. Tags: Restenosis, Carotid Stenosis, Risk Factors for Stroke, Carotid endarterectomy Clinical Sciences Source Type: research

Early Endarterectomy Carries a Lower Procedural Risk Than Early Stenting in Patients With Symptomatic Stenosis of the Internal Carotid Artery Clinical Sciences
Conclusions—In randomized trials comparing stenting with CEA for symptomatic carotid artery stenosis, CAS was associated with a substantially higher periprocedural risk during the first 7 days after the onset of symptoms. Early surgery is safer than stenting for preventing future stroke.Clinical Trial Registration—URL: http://www.clinicaltrials.gov. Unique identifier: NCT00190398; URL: http://www.controlled-trials.com. Unique identifier: ISRCTN57874028; Unique identifier: ISRCTN25337470; URL: http://www.clinicaltrials.gov. Unique identifier: NCT00004732.
Source: Stroke - May 22, 2017 Category: Neurology Authors: Barbara Rantner, Barbara Kollerits, Gary S. Roubin, Peter A. Ringleb, Olaf Jansen, George Howard, Jeroen Hendrikse, Alison Halliday, John Gregson, Hans-Henning Eckstein, David Calvet, Richard Bulbulia, Leo H. Bonati, Jean-Pierre Becquemin, Ale Algra, Mart Tags: Cerebrovascular Disease/Stroke, Cerebrovascular Procedures Original Contributions Source Type: research

Histological Features of Carotid Plaque in Patients With Ocular Ischemia Versus Cerebral Events Clinical Sciences
Conclusions— Carotid plaques from patients undergoing endarterectomy for previous ocular ischemic events have fewer vulnerable plaque features than those from patients with recent cerebral ischemic events, possibly explaining some of the differences in risk of stroke between these groups.
Source: Stroke - February 25, 2013 Category: Neurology Authors: Howard, D. P. J., van Lammeren, G. W., Redgrave, J. N., Moll, F. L., de Vries, J.-P. P. M., de Kleijn, D. P. V., de Borst, G. J., Pasterkamp, G., Rothwell, P. M. Tags: Pathophysiology, Imaging, Carotid Stenosis, Pathology of Stroke, Carotid endarterectomy, Other Vascular biology Clinical Sciences Source Type: research

Aggressive Medical Therapy Alone Is Not Adequate in Certain Patients With Severe Symptomatic Carotid Stenosis Controversies in Stroke
Source: Stroke - September 23, 2013 Category: Neurology Authors: Brown, M. M. Tags: Secondary prevention, Carotid Stenosis, Other Stroke Treatment - Medical, Carotid endarterectomy, Transient Ischemic Attacks Controversies in Stroke Source Type: research

Prediction of recanalization in acute stroke patients receiving intravenous and endovascular revascularization therapy
ConclusionThe overall likelihood of recanalization was the highest in the endovascular group, and higher for intravenous thrombolysis compared with no revascularization therapy. However, our statistical models of recanalization for each individual patient indicate significant variability between treatment options, suggesting the need to include this prediction in the personalized treatment selection.
Source: International Journal of Stroke - June 30, 2014 Category: Neurology Authors: Guangming Zhu, Patrik Michel, Tudor Jovin, James T. Patrie, Wenjun Xin, Ashraf Eskandari, Weiwei Zhang, Max Wintermark Tags: Research Source Type: research

Perivascular Adipose Adiponectin Correlates With Symptom Status of Patients Undergoing Carotid Endarterectomy Brief Reports
Conclusions— Symptomatic and asymptomatic carotid endarterectomy patients display a tissue-specific difference in perivascular adipose adiponectin. This difference, which was not seen in plasma or subcutaneous compartments, supports a potential local paracrine relationship with vascular disease processes that may be related to stroke mechanisms.
Source: Stroke - May 22, 2015 Category: Neurology Authors: Sharma, G., Tao, M., Ding, K., Yu, D., King, W., Deyneko, G., Wang, X., Longchamp, A., Schoen, F. J., Ozaki, C. K., Semel, M. E. Tags: Pathophysiology, Carotid Stenosis, Pathology of Stroke, Carotid endarterectomy Brief Reports Source Type: research

Stroke: Highlights of Selected Articles Stroke: Highlights of Selected Articles
Source: Stroke - September 28, 2015 Category: Neurology Tags: Thrombolysis, Carotid endarterectomy, Angioplasty and Stenting Stroke: Highlights of Selected Articles Source Type: research