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Procedure: Carotid Endarterectomy
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Total 2934 results found since Jan 2013.
IP105. Severity and Outcomes of Perioperative Stroke After Carotid Artery Stenting and Carotid Endarterectomy: Analysis of a National Database
Different randomized trials have shown an excess of minor strokes in patients assigned to carotid artery stenting (CAS) compared with those assigned to carotid endarterectomy (CEA), with no difference in rates of disabling stroke or death between the two approaches. We sought to assess the severity and impact of perioperative stroke after CEA and CAS using a real-world national data set.
Source: Journal of Vascular Surgery - May 22, 2018 Category: Surgery Authors: Hanaa Dakour Aridi, Besma Nejim, Christopher J. Abularrage, James H. Black, Mahmoud B. Malas Source Type: research
Diagnostic Value of Somatosensory Evoked Potential Changes During Carotid Endarterectomy for 30-Day Perioperative Stroke
Carotid Endarterectomy (CEA) is a standard surgical treatment in the secondary prevention of stroke performed in patients with both symptomatic and asymptomatic carotid stenosis (CS)(Malcharek et al. 2013), (Pennekamp et al. 2011), (Pulli et al. 2002), (Reinert et al. 2012). CEA is shown to benefit symptomatic and asymptomatic patients, when compared to medical management alone in the short term and long term due to decreased stroke. (Akhmedov et al. 2013), (Baton et al. 2007), (Floriani et al. 1989), (Hartmann et al.
Source: Clinical Neurophysiology - June 13, 2018 Category: Neuroscience Authors: Rajiv P. Reddy, Indraneel S. Brahme, Tejas Karnati, Jeffrey Balzer, Donald J. Crammond, Katherine Anetakis, Parthasarathy D. Thirumala Source Type: research
Optimal Carotid Endarterectomy Window After Stroke: 8 to 14 Days Later Optimal Carotid Endarterectomy Window After Stroke: 8 to 14 Days Later
Delaying carotid endarterectomy for a few days after a stroke is likely to yield better outcomes, researchers say.Reuters Health Information
Source: Medscape Medical News Headlines - July 27, 2018 Category: Consumer Health News Tags: Neurology & Neurosurgery News Source Type: news
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
Durability of Stroke Prevention with Carotid Endarterectomy and Carotid Stenting
Carotid artery stenting remains an effective alternative to carotid endarterectomy for stroke prevention; however, the long-term durability of carotid artery stenting remains poorly defined. We performed a 10-year “real-world” comparative analysis of carotid endarterectomy and carotid artery stenting to help evaluate the success of these procedures in preventing late ischemic stroke events.
Source: Surgery - September 18, 2018 Category: Surgery Authors: Michael A. Thomas, William H. Pearce, Heron E. Rodriguez, Irene B. Helenowski, Mark K. Eskandari Source Type: research
The imperative need to identify stroke risk stratification models for patients with asymptomatic carotid artery stenosis
The optimal management of patients with asymptomatic carotid stenosis (ACS) is controversial. The study by Klarin et al1 provides important novel information that challenges the theory claiming that medical treatment (MT) alone is adequate for the management of all patients with ACS and that prophylactic carotid endarterectomy is not justified in any of these patients.2 Klarin et al1 showed that 112 of 219 pat ients (50%) with radiographically confirmed first-ever carotid-related strokes did actually receive antiplatelet therapy before their stroke, and 121 of 219 patients (55%) received lipid-lowering therapy (most ...
Source: Journal of Vascular Surgery - September 20, 2018 Category: Surgery Authors: Kosmas I. Paraskevas, Jean-Baptiste Ricco Tags: Letter to the Editor Source Type: research
Treatment of a hot carotid: More fuel is needed to clarify the best treatments
The majority of patients presenting with a stroke or TIA receive imaging for carotid stenosis. Treatment of symptomatic carotid stenosis is familiar to most neurologists since high-profile clinical trials have been conducted in the past. The most well-known in North America is the North American Symptomatic Carotid Endarterectomy Trial (NASCET).1 NASCET and additional analysis by Rothwell et al.2 led to the recommendation that if the patient is an otherwise suitable candidate for carotid endarterectomy (CEA), then performing the operation within 2 weeks of the last symptomatic event is desirable.
Source: Neurology Clinical Practice - December 10, 2018 Category: Neurology Authors: Chaturvedi, S. Tags: CT, Stroke prevention, Ultrasound, All Cerebrovascular disease/Stroke, Practice Current Editorial Source Type: research
Long-Term Stroke Risk With Carotid Endarterectomy in Patients With Severe Carotid Stenosis
In this study, we report long-term stroke and death risk after CEA in a large integrated health care system.
Source: Journal of Vascular Surgery - August 21, 2019 Category: Surgery Authors: Kara A. Rothenberg, Lue-Yen Tucker, Andrew L. Avins, Hui C. Kuang, Rishad M. Faruqi, Alexander C. Flint, Mai N. Nguyen-Huynh, Robert W. Chang Tags: Abstract from the 2019 Western Vascular Society Annual Meeting Source Type: research
Delayed Carotid Endarterectomy After Admission in Symptomatic Carotid Artery Disease Is Associated With Lower Postoperative Stroke Rates in the Medicare Population
The appropriate timing of carotid endarterectomy (CEA) in symptomatic carotid artery disease is still controversial. Despite guideline recommendations to perform CEA within 14 days, recent studies have favored delayed CEA to decrease the risk of postoperative stroke. The goal of this study was to evaluate the timing of CEA for symptomatic disease in the Medicare population and its effects on postoperative stroke rates.
Source: Journal of Vascular Surgery - August 21, 2019 Category: Surgery Authors: Nathan Itoga, Pavlos Tsantilas, Manuel Garcia-Toca, John Harris Tags: Abstract from the 2019 Western Vascular Society Annual Meeting Source Type: research
Carotid endarterectomy after systemic thrombolysis in a stroke population
Vascular specialists are increasingly being requested to perform carotid endarterectomy (CEA) after intravenous thrombolysis (IVT) for stroke patients, raising concerns about hemorrhagic complications. Few case series and registry reports have assessed the question, and even fewer studies have included a control group. The aim of this study was to evaluate the overall outcome of patients undergoing CEA after IVT and to compare them with contemporary patients with CEA after simple stroke (non-IVT group).
Source: Journal of Vascular Surgery - September 12, 2019 Category: Surgery Authors: William Fortin, Miguel Chaput, Stephane Elkouri, Nathalie Beaudoin, Jean-Fran çois Blair Source Type: research
Contemporary Stroke Risks of Patients with Asymptomatic Carotid Stenosis: Design and Characteristics of a Large Prospective Cohort Study
Introduction: Randomised trials have shown that successful carotid endarterectomy (CEA) approximately halves 5-year stroke risk among patients with tight asymptomatic carotid artery stenosis. The benefits of CEA with current medical therapies (including higher dose statins) are unclear. A reliable estimation of stroke risks requires follow up of a large cohort of patients with unoperated asymptomatic carotid stenosis and this report describes the design and characteristics of patients being recruited to this UK Carotid Cohort Study.
Source: European Journal of Vascular and Endovascular Surgery - November 30, 2019 Category: Surgery Authors: Michiel Poorthuis, Dylan Morris, Kamran Gaba, Dominic Howard, Gert de Borst, Richard Bulbulia, Alison Halliday, UKCCS Collaborative Group: John Radcliffe Hospital Oxford and Gloucestershire Hospitals NHS Foundation Trust Source Type: research
Stroke Prevention and Dementia: 15-year Follow-up of the Asymptomatic Carotid Surgery Trial-1 (ACST-1)
Introduction: Carotid endarterectomy (CEA) might protect against dementia by reducing future stroke risk and improving cerebral blood flow. Using linkage of randomised trial participants to electronic health records, we aimed to measure the long-term effect of CEA on stroke and on recorded dementia in ACST-1 (ISRCTN26156392).
Source: European Journal of Vascular and Endovascular Surgery - November 30, 2019 Category: Surgery Authors: Alison Halliday, Anders Gotts äter, Mary Sneade, William Whiteley, Rebecca Llewellyn-Bennett, Sarah Parish, Sarah Pendlebury, Richard Peto, Martin Björck, Richard Bulbulia, Hongchao Pan Source Type: research
Shunt intention during carotid endarterectomy in the early symptomatic period and perioperative stroke risk
Whether recent stroke mandates planned shunting during carotid endarterectomy (CEA) is controversial. Our goal was to determine associations of various shunting practices with postoperative outcomes of CEAs performed after acute stroke.
Source: Journal of Vascular Surgery - February 4, 2020 Category: Surgery Authors: Scott R. Levin, Alik Farber, Philip P. Goodney, Marc L. Schermerhorn, Virendra I. Patel, Nkiruka Arinze, Thomas W. Cheng, Douglas W. Jones, Denis Rybin, Jeffrey J. Siracuse Source Type: research
Long-term Stroke Risk with Carotid Endarterectomy in Patients with Severe Carotid Stenosis
In this study, we report long-term stroke and death risk after CEA in a large integrated healthcare system.
Source: Journal of Vascular Surgery - July 20, 2020 Category: Surgery Authors: Kara A. Rothenberg, Lue-Yen Tucker, Rebecca C. Gologorsky, Andrew L. Avins, Hui C. Kuang, Rishad M. Faruqi, Alexander C. Flint, Mai N. Nguyen-Huynh, Robert W. Chang Source Type: research
Simultaneous Treatment of Common Carotid Lesions Increases the Risk of Stroke and Death After Carotid Artery Stenting
Tandem carotid artery lesions that involve simultaneous internal carotid artery (ICA) and common carotid artery (CCA) stenoses present a complex clinical problem. The addition of a retrograde proximal intervention to treat a CCA lesion during a carotid endarterectomy increases the risk of stroke and death. However, the stroke and death risk associated with totally endovascular treatment of tandem lesions is unknown and is the subject of this study.
Source: Journal of Vascular Surgery - August 20, 2020 Category: Surgery Authors: Charles DeCarlo, Adam Tanious, Laura T. Boitano, Jahan Mohebali, David H. Stone, W. Darrin Clouse, Mark F. Conrad Source Type: research
