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Cervical Fracture from Chronic Steroid Usage Presenting as a Stroke: A Case Report
Conclusion Stroke mimics can require the same urgency in care and diagnosis as strokes themselves.
Source: International Journal of Surgery Case Reports - September 28, 2016 Category: Surgery Source Type: research

Antiplatelet Therapy vs Anticoagulation Therapy in Cervical Artery Dissection: The Cervical Artery Dissection in Stroke Study (CADISS) Randomized Clinical Trial Final Results.
A randomized, prospective study from the United Kingdom and Australia was conducted between February 24, 2006 and June 17, 2013.
Source: Journal of Vascular Surgery - November 22, 2019 Category: Surgery Authors: H.S. Markus, C. Levi, A. King, J. Madigan, J. Norris, Cervical Artery Dissection in Stroke Study (CADISS) Investigators. Tags: There is no difference in treatment of carotid or vertebral artery dissection with antiplatelet vs anticoagulant therapy Source Type: research

A single-center experience of 30-day perioperative and one year clinical outcomes of transcarotid artery revascularization in 100 consecutive patients
CONCLUSION: Although the perioperative events were somewhat higher than what has been reported in previous registries, TCAR for patients who are high-risk for CEA has a low perioperative stroke and stroke/death rates with satisfactory outcome at 1 year. Further long-term data is probably needed to verify long-term outcome.PMID:35634873 | DOI:10.1177/17085381221106330
Source: Vascular - May 31, 2022 Category: Surgery Authors: Ali F AbuRahma Zachary T AbuRahma Adrian Santini Matthew Beasley Meghan Davis Andrew Lee Christina Veith Mazen Roshdy L Scott Dean Elaine Davis Source Type: research

Differences and Similarities Between Spontaneous Dissections of the Internal Carotid Artery and the Vertebral Artery
There are clinical, pathologic, and outcome differences in spontaneous dissections of the internal carotid artery vs those of the vertebral artery. Spontaneous cervical artery dissection is a major cause of stroke in younger patients. Spontaneous cervical artery dissection causes up to 25% of all ischemic strokes in patients 15 to 49 years of age (Putaala J et al, Stroke 2009;40:1195-203). Although constitutional and environmental factors are both thought to play a role in spontaneous cervical artery dissection, precise causes are poorly understood. Significant differences between spontaneous internal carotid artery disse...
Source: Journal of Vascular Surgery - December 27, 2013 Category: Surgery Authors: M. von Babo, G.M. De Marchis, H. Sarikaya Tags: Abstracts Source Type: research

Results of carotid artery stenting with transcervical access
Conclusions: CAS with the transcervical approach is a safe procedure with low incidence of stroke and complications. It can be used as an alternative to femoral access in patients with unfavorable aortoiliac or aortic arch anatomy.
Source: Journal of Vascular Surgery - September 26, 2013 Category: Surgery Authors: George S. Sfyroeras, Konstantinos G. Moulakakis, Fotis Markatis, Constantinos N. Antonopoulos, George A. Antoniou, John D. Kakisis, Elias N. Brountzos, Christos D. Liapis Tags: Review article Source Type: research

A systematic review and meta-analysis of carotid artery stenting for the treatment of cervical carotid artery dissection
CONCLUSION: Both primary stenting and stenting of spontaneous CAD yielded unfavorable results regarding stent thrombosis and stroke rates. Conversely, stenting following FMT displayed acceptable mortality and complication rates corroborating the use of stenting in the setting of CAD as a second line treatment. Due to the low quality of the included studies, definite conclusions cannot be drawn necessitating further research.PMID:35961627 | DOI:10.1016/j.ejvs.2022.07.048
Source: PubMed: Eur J Vasc Endovasc ... - August 12, 2022 Category: Surgery Authors: Vangelis Bontinis Constantine N Antonopoulos Alkis Bontinis Andreas Koutsoumpelis Vassilios Zymvragoudakis Vasileios Rafailidis Argirios Giannopoulos Panagiotis Stoiloudis Kiriakos Ktenidis Source Type: research

Primary Extracranial Vertebral Artery Aneurysms
Conclusions: Primary extracranial vertebral artery aneurysms are rare and occur in patients with hereditary disorders. Operative intervention is warranted in symptomatic patients. Exclusion and reconstruction may be performed with open and hybrid techniques with low morbidity and mortality.
Source: Annals of Vascular Surgery - March 27, 2013 Category: Surgery Authors: Mark D. Morasch, Sachin V. Phade, Peter Naughton, Manuel Garcia-Toca, Guillermo Escobar, Ramon Berguer Tags: Clinical Research Source Type: research

Endovascular Management of Rupture in Acute Type B Aortic Dissections.
CONCLUSION: With 16% in hospital mortality and 8% early major complications, this study confirms the feasibility of TEVAR for r-ABAD with a lower peri-operative morbidity and mortality rate compared with open surgery. Given the high rate of re-intervention, close follow up is required in surviving patients. PMID: 25805327 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - March 21, 2015 Category: Surgery Authors: Faure EM, Canaud L, Marty-Ané C, Becquemin JP, Alric P Tags: Eur J Vasc Endovasc Surg Source Type: research

Antiplatelet Treatment Compared With Anticoagulation Treatment for Cervical Artery Dissection (CADISS): A Randomised Trial
There is no difference in the efficacy of antiplatelet and anticoagulant drugs at preventing stroke and death in patients with symptomatic carotid and vertebral artery dissection.
Source: Journal of Vascular Surgery - June 23, 2015 Category: Surgery Authors: CADISS Trial Investigators Tags: Abstract Source Type: research

Proximal Scallop in Thoracic Endovascular Aortic Aneurysm Repair to Overcome Neck Issues in the Arch.
CONCLUSIONS: Proximal scalloped stent grafts appear to be an effective additional tool for TEVAR of TAA when dealing with short or angulated proximal necks. PMID: 26489732 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - October 17, 2015 Category: Surgery Authors: Ben Abdallah I, El Batti S, Sapoval M, Abou Rjeili M, Fabiani JN, Julia P, Alsac JM Tags: Eur J Vasc Endovasc Surg Source Type: research

Eagle Syndrome Presenting After Blunt Trauma: A Case Series
Eagle syndrome is an unusual phenomenon unfamiliar to most vascular surgeons. Patients develop neurologic or vascular manifestations arising from an elongated styloid process and/or an ossified stylohyoid ligament. These symptoms are secondary to irritation or compression of the neurovascular bundle within the carotid sheath. Presentations can vary from cervical pain and a globus sensation to carotid dissection, transient ischemic attacks, and stroke. Here we present a case series of the carotid subtype identified after blunt trauma.
Source: Journal of Vascular Surgery - December 22, 2015 Category: Surgery Authors: Ashley Mann, Chalmers Wood, Robert Carter, Karl Stark, Scott Kujath, Mark Friedell Tags: Abstract from the 2016 Southern Association for Vascular Surgery Annual Meeting Source Type: research

Non-traumatic vertebral artery dissection presenting with unilateral cervical pain, hemilateral vision problems and headache.
We report a case of a non-traumatic vertebral artery dissection in a 30-year-old woman. Our patient presented with unilateral right-sided neck pain and frontal headache during 3 weeks and recently developed right-sided vision problems. History and clinical findings were non-specific. Neurovascular imaging showed a right-sided vertebral artery dissection from C2 to C6 with an intima flap at C5-C6. The patient was observed in the stroke unit for 1 week and antithrombotics were given during 3 months. There was a complete revascularization of the vertebral artery after 3 months. A review of literature is given concerning p...
Source: Acta Chirurgica Belgica - July 7, 2016 Category: Surgery Tags: Acta Chir Belg Source Type: research

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