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Specialty: Cardiology
Procedure: Carotid Endarterectomy

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Total 244 results found since Jan 2013.

Expanding opportunities to understand quality and outcomes of peripheral vascular interventions: The ACC NCDR PVI registry
Publication date: Available online 22 July 2019Source: American Heart JournalAuthor(s): W. Schuyler Jones, Kevin F. Kennedy, Beau M. Hawkins, Robert R. Attaran, Eric A. Secemsky, Faisal Latif, Nicolas W. Shammas, Dmitriy N. Feldman, Herbert D. Aronow, Bruce Gray, Ehrin J. Armstrong, P. Michael Grossman, Kalon K.L. Ho, Anand Prasad, Michael R. Jaff, Kenneth Rosenfield, Thomas T. TsaiAbstractLower extremity peripheral artery disease (PAD) and cerebrovascular disease (CeVD) are prevalent conditions in the United States, and both are associated with significant morbidity (e.g. stroke, myocardial infarction and limb loss) and i...
Source: American Heart Journal - July 24, 2019 Category: Cardiology Source Type: research

Management of patients with concomitant coronary and carotid artery disease.
Authors: Drakopoulou M, Oikonomou G, Soulaidopoulos S, Toutouzas K, Tousoulis D Abstract Introduction: Ideal management of concomitant carotid and coronary artery occlusive disease remains under investigation. Although researchers have advocated the potential benefits of varying treatment strategies based on either concomitant or staged surgical treatment, there is no consensus in treatment guidelines among national or international clinical societies. With emerging data suggesting favorable outcome of carotid artery stenting (CAS) compared to carotid endarterectomy (CEA) in patients with critical coronary artery d...
Source: Expert Review of Cardiovascular Therapy - July 16, 2019 Category: Cardiology Tags: Expert Rev Cardiovasc Ther Source Type: research

Poor Long-term Outcomes after Carotid Endarterectomy: A Retrospective Analysis of Two Portuguese Centers.
CONCLUSIONS: Patients continue to have high rates of AMI, MACE and death after CEA. Prior CAD is a risk factor for future AMI, whereas CKD is a significant predictor of MACE and death. Aggressive best medical treatment (BMT) and risk factors modification should be advised in patients with systemic atherosclerosis. PMID: 31251084 [PubMed - as supplied by publisher]
Source: Scandinavian Cardiovascular Journal - June 30, 2019 Category: Cardiology Tags: Scand Cardiovasc J Source Type: research

Short non-patch arteriotomy in carotid endarterectomy.
CONCLUSIONS: Short non-patch carotid endarterectomy technique resulted in a low mid-term rates of stroke, restenosis and cranial nerve injuries compared to other surgical series in the literature. PMID: 31203595 [PubMed - as supplied by publisher]
Source: International Angiology - June 18, 2019 Category: Cardiology Tags: Int Angiol Source Type: research

Cardiac surgery in the presence of chronic internal carotid artery occlusion
AbstractThe aim was to evaluate the incidence of stroke in the setting of cardiac surgery with or without hemodynamically relevant asymptomatic carotid stenosis contralateral to the occlusion. We designed a historical cohorts study, focused on patients with unilateral totally occluded internal carotid arteries who were referred for any cardiac surgery at our center. Isolated unilateral occlusions were assigned to group 1 (n = 60), and those with a contralateral stenosis grade ≥ 60% were included in group 2 (n = 51). A total of 111 patients operated in our center from 1997 to 2016 were included. Patients in grou...
Source: Heart and Vessels - March 22, 2019 Category: Cardiology Source Type: research

Carotid endarterectomy during the acute period of ischemic stroke
ConclusionsUrgent CEA is indicated in patients with unstable neurological symptoms as well as for those with unstable atherosclerotic plaques. Considering a high risk of stroke recurrence within the first 14 days urgent CEA is effective in the prevention of recurrent stroke. Only 2.2% patients developed postoperatively stroke.
Source: Cor et Vasa - July 10, 2018 Category: Cardiology Source Type: research

Carotid Artery Stenting Versus Carotid Endarterectomy for Treatment of Asymptomatic Carotid Artery Stenosis.
Authors: Yuan G, Zhou S, Wu W, Zhang Y, Lei J, Huang B Abstract Asymptomatic carotid stenosis is common and is associated with increased risk of stroke. The relative efficacy and safety of carotid endarterectomy (CEA) and carotid stenting (CAS) in patients with asymptomatic carotid stenosis remain unclear. Five studies that recruited patients with asymptomatic but significant carotid stenosis, who underwent CEA or CAS, were included in this systematic review and meta-analysis. The analyzed outcomes included risks of stroke, myocardial infarction (MI), and death. Risk ratio (RR) and 95% confidence interval (95% CI) ...
Source: International Heart Journal - April 25, 2018 Category: Cardiology Tags: Int Heart J Source Type: research

Internal Carotid Artery Stenting in a Case of Recurrent Transient Ischemic Attacks: A Road Less Taken
We report a case of a 51year male patient who presented with the recurrent transient ischemic attacks and right facio-brachial weakness, the patient was promptly taken for carotid angiography and underwent successful stenting of the left internal carotid artery.Keywords:Carotid angiography,Carotid artery stenosis,Transient ischemic attackView:PDF (257.36 KB)Click here to download the PDF file.‹ Transient Stress Lymphocytosis in Cardiac Emergencies: A Clinicopathological Study of Under-recognized Entity at a Tertiary Care Cardiology Institute in North IndiaA Large Aortic Root Mycotic Aneurysm with Complete Heart Block: A ...
Source: Journal of Cardiovascular Disease Research - March 8, 2018 Category: Cardiology Authors: yunus Source Type: research

Carotid Artery Stenting.
Authors: Park JH, Lee JH Abstract Carotid artery stenosis is relatively common and is a significant cause of ischemic stroke, but carotid revascularization can reduce the risk of ischemic stroke in patients with significant symptomatic stenosis. Carotid endarterectomy has been and remains the gold standard treatment to reduce the risk of carotid artery stenosis. Carotid artery stenting (CAS) (or carotid artery stent implantation) is another method of carotid revascularization, which has developed rapidly over the last 30 years. To date, the frequency of use of CAS is increasing, and clinical outcomes are improving ...
Source: Korean Circulation Journal - November 26, 2017 Category: Cardiology Tags: Korean Circ J Source Type: research

Carotid Stent Fractures are not Associated with Adverse Events: Results from the ACT 1 Multicenter Randomized Trial.
Conclusions -In this large, independently-adjudicated, multicenter study, the stent fracture rate was low and not associated with major adverse clinical events or in-stent restenosis. Clinical Trial Registration -URL: https://clinicaltrials.gov Unique Identifier: NCT00106938. PMID: 28982691 [PubMed - as supplied by publisher]
Source: Circulation - October 5, 2017 Category: Cardiology Authors: Weinberg I, Beckman JA, Matsumura JS, Rosenfield K, Ansel G, Chaturvedi S, Gray WA, Metzger DC, Riles TS, Shu Y, Wechsler LR, Jaff MR Tags: Circulation Source Type: research

Painless Mini-Wellens Sign 5 Minutes after Exercise in a Man with Previously Undiagnosed Total Occlusion of the Left Anterior Descending and Right Coronary Arteries
A 60-year-old man with no coronary artery history and a normal resting electrocardiogram came to the hospital with his second stroke and underwent a treadmill exercise test before carotid endarterectomy. He had no chest pain and stopped because of leg pain. Five minutes after exercise he developed terminal T-wave inversion in leads V3 and V4 that lasted 7 minutes. The T-wave pattern resembled the Wellens pattern that has usually been seen after intense preinfarction rest pain and has usually lasted hours, days, or even weeks.
Source: The American Journal of Cardiology - September 5, 2017 Category: Cardiology Authors: Mazen M. Kawji, David Luke Glancy Source Type: research

Carotid Plaque Rupture Is Accompanied by an Increase in the Ratio of Serum circR-284 to miR-221 Levels Original Articles
Conclusions— Serum circR-284:miR-221 has potential as a diagnostic biomarker of carotid plaque rupture and stroke. Moreover, we demonstrate the use of functionally related pairs of circulating noncoding RNAs as biomarkers in cardiovascular disease.
Source: Circulation: Cardiovascular Genetics - August 4, 2017 Category: Cardiology Authors: Bazan, H. A., Hatfield, S. A., Brug, A., Brooks, A. J., Lightell, D. J., Woods, T. C. Tags: Biomarkers, Functional Genomics, Cardiovascular Surgery, Cerebrovascular Disease/Stroke, Ischemic Stroke Original Articles Source Type: research

Evaluation of intracranial circulation by transcranial ultrasound: Useful method for selection of patients with asymptomatic carotid stenosis to carotid endarterectomy. Single center experience
Aim: Of all ischemic strokes 15-20% result from carotid occlusive disease.Of these up to 80% occur without previous transient ischemic attack The prevalence of asymptomatic carotid artery stenosis (CAS) in general population is 2-8%.Annual risk of ipsilateral stroke is currently estimated to be 1-2% meaning that routin CAE is not justified.However there are patients with substantial higher risk whom CAE is still indicated in.Hence risk stratification is needed.One of the options is to test intracranial haemodynamic by Transcranial Color-coded Sonography (TCCS) at rest and cerebrovascular reserve (CVR).There is evidence tha...
Source: Atherosclerosis - August 1, 2017 Category: Cardiology Authors: Jiri Zizka Source Type: research

Symptomatic Carotid Artery Stenosis: Surgery, Stenting, or Medical Therapy?
Opinion statementSymptomatic carotid artery disease is a significant cause of ischemic stroke, and these patients are at high risk for recurrent vascular events. Patients with symptoms of stroke or transient ischemic attack attributable to a significantly stenotic vessel (70 –99% luminal narrowing) should be treated with intensive medical therapy. Intensive medical therapy is a combination of pharmacologic and lifestyle interventions consistent with best-known practices as follows: initiation of antiplatelet agent or anticoagulation if medically indicated, high potenc y statin medication, blood pressure control with goal...
Source: Current Treatment Options in Cardiovascular Medicine - July 5, 2017 Category: Cardiology Source Type: research