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Carotid Revascularization: A Systematic Review of the Evidence
ConclusionsCAS represents a safe and effective stroke prevention strategy in high surgical risk patients when compared with CEA. The inconsistent results from the RCTs and the improved outcomes in the prospective clinical trials are likely related to variability in operator experience, use of embolic protection devices, and patient selection strategies.
Source: Journal of Interventional Cardiology - June 1, 2013 Category: Cardiology Authors: MOHAMMED SALIM AL‐DAMLUJI, SAMEER NAGPAL, ERIK STILP, MICHAEL REMETZ, CARLOS MENA Tags: Review Article Source Type: research

Comprehensive and Rapid Assessment of Carotid Plaques in Acute Stroke Using a New Single Sweep Method for Three‐Dimensional Carotid Ultrasound
We describe a 68‐year‐old man with acute stroke in whom the newly developed single sweep method for three‐dimensional (3D) carotid ultrasound provided a rapid and comprehensive assessment of atherosclerotic plaque burden in the internal carotid artery. The two‐dimensional duplex carotid scan diagnosed 50–69% stenosis, and with the three‐dimensional method, the markedly hypoechogenic plaque (total volume 1.42 mL) was shown to occupy 77% of the total arterial volume (1.84 mL), consistent with severe lesion. The ultrasound findings were confirmed by computed tomographic angiography and subsequent carotid endarte...
Source: Echocardiography - April 3, 2013 Category: Cardiology Authors: Harapet Kalashyan, Maher Saqqur, Ashfaq Shuaib, Helen Romanchuk, Navin C. Nanda, Harald Becher Tags: Research from or in Collaboration with the University of Alabama at Birmingham Source Type: research

Carotid Artery Stenting in a Community Hospital: A Success Story
Conclusion. Our findings indicate that our institution has been able to safely and effectively introduce and carry out CAS as a substitute to CEA in patients that are at high risk for surgery with results comparable to those published in large-scale clinical trials. Further studies are needed to verify whether these results can be generalized to other community hospitals, as well as to refine qualification criteria for performing physicians. Furthermore, the applicability of these results to normal-risk patients is currently being investigated.    read more
Source: The Journal of Invasive Cardiology - January 3, 2013 Category: Cardiology Authors: hmpeditor Tags: Original Contribution Source Type: research

Carotid endarterectomy versus stenting: Where do we stand today?.
Abstract Carotid artery stenosis is the major cause of the stroke associated with ischemic origin and carries increased mortality and morbidity. Since carotid artery endarterectomy (CEA) was first performed in 1950, in conjunction with the advanced technology and increased experience under the guidance of randomized controlled trials, balloon angioplasty and carotid artery stenting, which have similar mortality and morbidity, have become comparable with CEA. Determining the optimal treatment option for each patient is the most important issue in carotid artery stenosis. Today, there have been improvements in techn...
Source: Turk Kardiyoloji Dernegi arsivi - November 1, 2012 Category: Cardiology Authors: Boztosun B, Can MM, Kocabay G Tags: Turk Kardiyol Dern Ars Source Type: research

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