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Procedure: Carotid Endarterectomy

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Total 2934 results found since Jan 2013.

Carotid Artery Stent Placement and Carotid Endarterectomy: A Challenge for Urgent Treatment after Stroke—Early and 12-Month Outcomes in a Comprehensive Stroke Center
ConclusionsCAS placement and CEA seem to offer early safe and feasible secondary stroke prevention treatments in experienced centers, even after major atherosclerotic stroke.
Source: Journal of Vascular and Interventional Radiology - July 10, 2018 Category: Radiology Source Type: research

Assessment of Carotid Intraplaque Neovascularization Using Superb Microvascular Imaging in High Risk of Stroke Individuals: Results From a Community-Based Study
Conclusions: Moderate to marked intraplaque neovascularization detected by SMI was more likely in subjects with a history of any territory stroke or TIA or thicker plaque. This indicates a potential new role of SMI in stratifying future risk of stroke or other arterial disease complications.
Source: Frontiers in Neurology - November 6, 2019 Category: Neurology Source Type: research

Safety of Carotid Intervention Following Thrombolysis in Acute Ischaemic Stroke.
CONCLUSIONS: Early CEA post-thrombolysis appears safe, with stroke or death rates similar to that of the operation without thrombolysis. However, the wide CI obtained highlights the uncertainty of this result. Further, we emphasise that this recommendation is supported by low-quality evidence. Additional data are required to confirm the safety of surgery and early endovascular therapy post-thrombolysis. PMID: 25216626 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - September 9, 2014 Category: Surgery Authors: Mandavia R, Qureshi MI, Dharmarajah B, Head K, Davies AH Tags: Eur J Vasc Endovasc Surg Source Type: research

Risk of Early Recurrent Stroke in Symptomatic Carotid Stenosis.
CONCLUSIONS: The data suggest that the early risk of recurrent stroke in symptomatic significant carotid stenosis is not as high as some earlier studies have shown. The risk is similar to several studies in which a modern medical treatment regime could be assumed. PMID: 25548062 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - December 26, 2014 Category: Surgery Authors: Strömberg S, Nordanstig A, Bentzel T, Österberg K, Bergström GM Tags: Eur J Vasc Endovasc Surg Source Type: research

Hospital costs of ischemic stroke and TIA in the Netherlands
Conclusions: Hospital costs are higher for inpatients and ischemic strokes compared with outpatients and TIAs, with length of stay (LOS) the most important contributor. LOS and hospital costs have substantially declined over the last 10 years, possibly due to improved hospital stroke care and efficient integrated stroke services.
Source: Neurology - June 1, 2015 Category: Neurology Authors: Buisman, L. R., Tan, S. S., Nederkoorn, P. J., Koudstaal, P. J., Redekop, W. K. Tags: Cost effectiveness/economic, Medical care, Infarction ARTICLE Source Type: research

Summary of Evidence on Early Carotid Intervention for Recently Symptomatic Stenosis Based on Meta-Analysis of Current Risks Clinical Sciences
Conclusions— CEA within 15 days from stroke/transient ischemic attack can be performed with periprocedural stroke risk <3.5%. CAS within the same period may carry a stroke risk of 4.8%. Similar periprocedural risks occur after CEA and CAS performed earlier, within 0 to 7 days. Carotid revascularization can be safely performed within the first week (0–7 days) after symptom onset.
Source: Stroke - November 23, 2015 Category: Neurology Authors: De Rango, P., Brown, M. M., Chaturvedi, S., Howard, V. J., Jovin, T., Mazya, M. V., Paciaroni, M., Manzone, A., Farchioni, L., Caso, V. Tags: Cardiopulmonary Resuscitation and Emergency Cardiac Care, Percutaneous Coronary Intervention, Meta Analysis, Cerebrovascular Procedures Clinical Sciences Source Type: research

Carotid interventions (CEA and CAS) in acute stroke patients: which procedure on which patient.
Abstract Treatment of carotid bifurcation disease in patients presenting with acute stroke has been a controversial issue over the past four decades. Classically, patients were asked to wait four to six weeks before intervention was entertained in order for the brain to stabilize and the risks of intervention to be minimized. Unfortunately, up to 20% of patients will have a secondary event after their index event and the window of opportunity to save, potentially salvageable ischemic tissue will be missed. Early reports had demonstrated poor results with intervention. However, more recently, institutions such as o...
Source: The Journal of Cardiovascular Surgery - December 23, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Darling RC, Warner C, Yeh CC, Shah MD, Hnath JC, Shah DM Tags: J Cardiovasc Surg (Torino) Source Type: research

Pre-operative Carotid Plaque Echolucency Assessment has no Predictive Value for Long-Term Risk of Stroke or Cardiovascular Death in Patients Undergoing Carotid Endarterectomy.
CONCLUSION: In ACST-1, carotid plaque echolucency assessment in patients undergoing CEA offered no predictive value with regard to peri-operative or long-term stroke risk or of cardiovascular (non-stroke) death. PMID: 28651865 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - June 23, 2017 Category: Surgery Authors: de Waard D, de Borst GJ, Bulbulia R, Pan H, Halliday A, ACST-1 collaborative group Tags: Eur J Vasc Endovasc Surg Source Type: research

Do Integrated Systems of Stroke Care Improve Symptom to Surgery Times in Patients with Symptomatic Carotid Stenosis? A Single Centre Decision Tree Analysis.
CONCLUSIONS: An integrated stroke system of care is cost-effective and associated with significant improvements in quality adjusted life years. PMID: 30174270 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - August 30, 2018 Category: Surgery Authors: Mofidi R, Thomas M, Wong PF, Bergin A, Young G Tags: Eur J Vasc Endovasc Surg Source Type: research

Perioperative Stroke in Carotid Artery Stenting as a Surrogate Marker and Predictor for 30-day Postprocedural Mortality & #8211; A Pooled Analysis of 156,000 Patients with Carotid Artery Disease
Conclusions: Perioperative stroke drastically increases the risk of 30-day mortality. The occurrence of perioperative stroke exhibited high specificity but modest sensitivity in predicting 30-day mortality following CAS. This highlights the importance of neurophysiologic monitoring to detect intraoperative cerebral ischemia and perform timely interventions.
Source: Neurology India - December 19, 2019 Category: Neurology Authors: Ahmed M Altibi Eyad E Saca Harbir Dhillon Parthasarathy D Thirumala Source Type: research

Outcome of 312 Japanese Patients with Carotid Endarterectomy and Factors Associated with Cardiovascular Events—A Single-center Study in Japan
Background: There have only been a few reports regarding the outcomes and risk factors after CEA. To clarify the factors associated with outcome in patients with carotid stenosis who underwent carotid endarterectomy (CEA), we investigated cardiovascular events and mortality in the Kyushu Medical Center in Japan.Methods: We consecutively registered patients with significant carotid stenosis who had CEA performed over 10 years and compared the incidences of stroke, myocardial infarction, and death. On admission, we evaluated medical records for stroke risk factors, including hypertension, diabetes mellitus, hypercholesterol...
Source: Journal of Stroke and Cerebrovascular Diseases - May 30, 2013 Category: Neurology Authors: Toshiyasu Ogata, Tooru Inoue, Yasushi Okada Tags: Original Articles Source Type: research

Clinical and Imaging Features Associated with an Increased Risk of Early and Late Stroke in Patients with Symptomatic Carotid Disease.
Abstract OBJECTIVE: The aim of this review was to identify clinical and/or imaging parameters that are associated with an increased (decreased) risk of early/late stroke in patients with symptomatic carotid disease. IN THE FIRST 14 DAYS: Natural history studies suggest that 8-15% of patients with 50-99% stenoses will suffer a stroke within 72 hours of their index symptom. Currently, there are insufficient validated data to identify highest-risk patients for emergency carotid endarterectomy (CEA), but an increased risk of stroke appears to be predicted by (i) an ABCD(2) score of 4-7; (ii) the presence of acute cere...
Source: PubMed: Eur J Vasc Endovasc ... - March 3, 2015 Category: Surgery Authors: Naylor AR, Sillesen H, Schroeder TV Tags: Eur J Vasc Endovasc Surg Source Type: research

Delays in the presentation to stroke services of patients with transient ischaemic attack and minor stroke
ConclusionTwo‐thirds of patients were not aware they were having a stroke, one‐third were unaware of the FAST campaign and nearly one‐third presented with eye symptoms. Inclusion of eye symptoms and reaffirmation of the need to react might avoid unnecessary delays in the presentation of patients with TIA and minor stroke.
Source: British Journal of Surgery - July 31, 2016 Category: Surgery Authors: K. Hurst, R. Lee, E. Sideso, M. Giles, A. Handa Tags: Original article Source Type: research

Diastolic Blood Pressure is a Risk Factor for Peri-procedural Stroke Following Carotid Endarterectomy in Asymptomatic Patients.
CONCLUSION: In ACST-1, diastolic blood pressure was the only independent risk factor associated with peri-procedural stroke or death. While the underlying mechanisms of the association between lower diastolic blood pressure and peri-procedural risk remain unclear, good pre-operative control of blood pressure may improve procedural outcome of carotid surgery in asymptomatic patients. PMID: 28318997 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - March 15, 2017 Category: Surgery Authors: de Waard DD, de Borst GJ, Bulbulia R, Huibers A, Halliday A, Asymptomatic Carotid Surgery Trial-1 Collaborative Group Tags: Eur J Vasc Endovasc Surg Source Type: research