keyword
https://read.qxmd.com/read/38479436/assessment-of-atherosclerotic-plaque-morphology-using-contrast-enhanced-ultrasound-and-its-impact-on-primary-cardiovascular-events-following-simultaneous-carotid-endarterectomy-and-coronary-artery-bypass-grafting
#1
JOURNAL ARTICLE
Agnė Gimžauskaitė, Einius Trumpa, Saulius Lukoševičius, Jurgita Plisienė, Aleksandras Antuševas, Linas Velička, Rimantas Benetis, Algidas Basevičius, Donatas Inčiūra
OBJECTIVE: The incidence of stroke after on-pump cardiac surgery during the perioperative period can affect up to 2% of patients, and is frequently linked to carotid artery disease. Notably, in patients with significant unilateral carotid artery stenosis of 80%-99%, the risk of stroke reaches 4%. Among individuals undergoing coronary artery bypass grafting (CABG), 3% to 10% exhibit significant carotid artery stenosis. To mitigate the risk of stroke and mortality, patients can undergo either simultaneous or staged carotid endarterectomy and CABG...
March 13, 2024: Vascular
https://read.qxmd.com/read/37742732/modality-specific-outcomes-of-patients-undergoing-carotid-revascularization-in-the-setting-of-recent-myocardial-infarction
#2
JOURNAL ARTICLE
Sabrina Straus, Marjan Moghaddam, Sina Zarrintan, Daniel Willie-Permor, Cph Vasan Jagadeesh, Mahmoud Malas
INTRODUCTION: Recent myocardial infarction (MI) represents a real challenge in patients requiring any vascular procedure. There is currently a lack of data on the effect of preoperative MI on the outcomes of carotid revascularization methodology (carotid enterectomy (CEA), transfemoral carotid artery stenting (TFCAS), or transcarotid artery revascularization (TCAR)). This study looks to identify modality-specific outcomes for patients with recent MI undergoing carotid revascularization...
September 22, 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/37717819/national-cross-sectional-epidemiological-analysis-of-the-impact-of-pandemic-covid-19-on-vascular-procedures-in-public-health-system-521-069-procedures-over-4-years
#3
JOURNAL ARTICLE
Marcelo Fiorelli Alexandrino da Silva, Felipe Soares Oliveira Portela, Andressa Cristina Sposato Louzada, Marcelo Passos Teivelis, Edson Amaro Junior, Nelson Wolosker
INTRODUCION: During the COVID-19 pandemic, there was a dramatic increase in healthcare demand. Resources were redirected to care patients with COVID-19. Therefore, surgical treatments were affected, including those of vascular diseases. There are no studies evaluating the whole impact of the COVID-19 pandemic, considering all types of vascular procedures, both elective and urgent, in a large country. The aim of the present study was to analyze the impact on all types of vascular procedures performed in Brazilian public hospitals during the COVID-19 pandemic...
September 15, 2023: Annals of Vascular Surgery
https://read.qxmd.com/read/37490978/long-term-outcomes-after-invasive-treatment-of-carotid-artery-stenosis-a-longitudinal-study-of-german-health-insurance-claims
#4
JOURNAL ARTICLE
Matthias Zimmermann, Axel Larena-Avellaneda, Ulrich Rother, Fabien Lareyre, Mette Søgaard, Riikka Tulamo, Maarit Venermo, Christian-Alexander Behrendt
OBJECTIVE: There is a paucity of observational data including long term outcomes after invasive treatment for carotid artery stenosis. METHODS: This retrospective study utilised nationwide insurance claims from the third largest provider in Germany, DAK-Gesundheit. Patients who underwent inpatient carotid endarterectomy (CEA) or carotid artery stenting (CAS) between 1 January 2008 and 31 May 2017 were included. The Elixhauser comorbidity scores from longitudinally linked hospital episodes were utilised...
July 23, 2023: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/37356658/risk-factors-for-cerebral-hyperperfusion-syndrome-following-carotid-revascularization
#5
JOURNAL ARTICLE
Ashley C Hsu, Brian Williams, Li Ding, Fred A Weaver, Sukgu M Han, Gregory A Magee
INTRODUCTION: Cerebral hyperperfusion syndrome (CHS) is a rare but known complication of carotid revascularization that can result in severe postoperative disability and death. CHS is a well-described sequela of carotid endarterectomy (CEA) and, more recently, of transfemoral carotid artery stenting (TFCAS), but its incidence after transcarotid artery revascularization (TCAR) has not been delineated. The aims of this study were to determine the impact of procedure type (CEA vs. TCAR vs...
June 23, 2023: Annals of Vascular Surgery
https://read.qxmd.com/read/37355018/carotid-artery-operation-delay-during-the-covid-19-pandemic-results-of-a-multi-center-international-study
#6
JOURNAL ARTICLE
Mahmood Kabeil, Max V Wohlauer, Mario D'Oria, Vipul Khetarpaul, Riley Gillette, Ethan Moore, Kathryn Colborn, Robert F Cuff, Leigh Ann O'Banion, Issam Koleilat, Faisal Aziz, Nicolas J Mouawad
OBJECTIVES: To measure the impact of the COVID-19 pandemic on the management of patients with carotid artery stenosis. METHODS: We prospectively collected data from 25 centers (19 centers in the United States and 6 centers internationally) on postponed carotid artery operations between March 2020 and January 2022. We describe the characteristics of these patients and their planned operations, along with outcomes including mortality and neurological deterioration during the period of operative delay due to the COVID-19 pandemic...
June 22, 2023: Annals of Vascular Surgery
https://read.qxmd.com/read/37330150/impact-of-presenting-stroke-severity-and-thrombolysis-on-outcomes-following-urgent-carotid-interventions
#7
JOURNAL ARTICLE
Aaron Hayson, Jeffrey Burton, Joseph Allen, W C Sternbergh, Daniel Fort, Hernan A Bazan
BACKGROUND: Carotid interventions are increasingly performed in select patients following acute stroke. We aimed to determine the effects of presenting stroke severity (National Institutes of Health Stroke Scale [NIHSS]) and use of systemic thrombolysis (tissue plasminogen activator [tPA]) on discharge neurologic outcomes (modified Rankin scale [mRS]) following urgent carotid endarterectomy (uCEA) and urgent carotid artery stenting (uCAS). METHODS: Patients undergoing uCEA/uCAS at a tertiary Comprehensive Stroke Center (January 2015 to May 2022) were divided into two cohorts: (1) no thrombolysis (uCEA/uCAS only) and (2) use of thrombolysis before the carotid intervention (tPA + uCEA/uCAS)...
June 15, 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/37224893/regional-variation-in-patient-selection-practice-patterns-and-outcomes-based-on-techniques-for-carotid-artery-revascularization-in-the-vascular-quality-initiative
#8
JOURNAL ARTICLE
Hanaa Dakour-Aridi, Punit K Vyas, Marc Schermerhorn, Mahmoud Malas, Jens Eldrup-Jorgensen, Jack Cronenwett, Grace Wang, Vikram S Kashyap, Raghu L Motaganahalli
OBJECTIVE: Significant regional variation is known with multiple surgical procedures. This study describes regional variation in carotid revascularization within the Vascular Quality Initiative (VQI). METHODS: Data from the VQI carotid endarterectomy (CEA) and carotid artery stenting (CAS) databases from 2016 to 2021 were used. Nineteen geographic VQI regions were divided into three tertiles based on the average annual volume of carotid procedures performed per region (low-volume: 956 cases [range, 144-1382]; medium-volume: 1533 cases [range, 1432-1589]; and high-volume: 1845 cases [range, 1642-2059])...
May 22, 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/37076104/urgent-endarterectomy-for-symptomatic-carotid-occlusion-is-associated-with-a-high-mortality
#9
JOURNAL ARTICLE
Jamie A Schlacter, Molly Ratner, Jeffrey Siracuse, Virendra Patel, William Johnson, Jose Torres, Heepeel Chang, Glenn Jacobowitz, Caron Rockman, Karan Garg
OBJECTIVE: Interventions for carotid occlusions are infrequently undertaken and the outcomes are poorly defined. We sought to study patients undergoing urgent carotid revascularization for symptomatic occlusions. METHODS: The Society for Vascular Surgery Vascular Quality Initiative database was queried from 2003 to 2020 to identify patients with carotid occlusions undergoing carotid endarterectomy (CEA). Only symptomatic patients undergoing urgent interventions within 24 hours of presentation were included...
April 17, 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/36907665/synchronous-carotid-endarterectomy-and-anaortic-off-pump-coronary-artery-bypass-surgery
#10
JOURNAL ARTICLE
Fabio Ramponi, Michael Seco, Paul G Bannon, Leonard Kritharides, Raffi Qasabian, Michael K Wilson, Michael P Vallely
BACKGROUND: There is ongoing debate regarding the optimal strategy and timing for the surgical management of patients with severe concomitant carotid and coronary artery disease. Anaortic off-pump coronary artery bypass (anOPCAB), which avoids aortic manipulation and cardiopulmonary bypass, has been shown to reduce the risk of perioperative stroke. We present the outcomes of a series of synchronous carotid endarterectomy (CEA) and anOPCAB. METHODS: A retrospective review was performed...
May 2023: Heart, Lung & Circulation
https://read.qxmd.com/read/36647921/safety-of-carotid-endarterectomy-for-symptomatic-stenosis-by-age-meta-analysis-with-individual-patient-data
#11
JOURNAL ARTICLE
Ya Yuan Rachel Leung, Kasia Bera, Daniel Urriza Rodriguez, Alan Dardik, Jean-Louis Mas, Gioele Simonte, Kittipan Rerkasem, Dominic P J Howard
BACKGROUND: There is uncertainty whether elderly patients with symptomatic carotid stenosis have higher rates of adverse events following carotid endarterectomy. In trials, recurrent stroke risk on medical therapy alone increased with age, whereas operative stroke risk was not related. Few octogenarians were included in trials and there has been no systematic analysis of all study types. We aimed to evaluate the safety of carotid endarterectomy in symptomatic elderly patients, particularly in octogenarians...
January 17, 2023: Stroke; a Journal of Cerebral Circulation
https://read.qxmd.com/read/36503019/elective-or-urgent-carotid-endarterectomy-in-symptomatic-patients-analysis-based-on-the-type-and-timing-of-neurological-symptoms
#12
JOURNAL ARTICLE
Serena De Blasis, Raffaele Pulli, Rossella Di Domenico, Mascia Nesi, Patrizia Nencini, Aaron Thomas Fargion, Carlo Pratesi, Walter Dorigo
BACKGROUND: The aim of this study was to retrospectively analyse perioperative and long-term outcomes of carotid endarterectomy (CEA) performed in symptomatic patients in a high-volume academic vascular centre, stratifying them according to the type of preoperative symptoms and the timing of surgery with respect to the indexed neurological event. METHODS: From January 2014 to December 2020, 1,369 consecutive CEAs were performed at our institution. Data concerning these interventions were prospectively collected in a dedicated database including data concerning preoperative assessment, surgical details, perioperative (<30 days) outcomes, and long-term outcomes...
March 2023: Annals of Vascular Surgery
https://read.qxmd.com/read/36422995/cost-effectiveness-of-carotid-endarterectomy-in-symptomatic-patients
#13
JOURNAL ARTICLE
Daniel Perez-Troncoso, David Epstein, Alun Huw Davies, Ankur Thapar
BACKGROUND: Medical therapy for stroke prevention has improved significantly over the past 30 years. Recent analyses of medically treated cohorts have suggested that early rates of stroke may have reduced, and reports of the safety of carotid surgery have also shown improvements. Since the effectiveness of carotid surgery versus medical therapy was established in the 1990s, there is an urgent need to evaluate whether surgery remains cost-effective in the UK. METHODS: A decision model was developed to estimate the lifetime costs and utilities of modern medical therapy with and without carotid endarterectomy in patients with symptomatic stenosis from the perspective of the UK National Health Service...
January 10, 2023: British Journal of Surgery
https://read.qxmd.com/read/36381911/optic-disc-neovascularization-as-the-only-sign-of-ocular-ischemic-syndrome-a-case-report
#14
Youstina Metry, Sobha Joseph
Ocular ischemic syndrome (OIS) features ocular changes occurring secondary to carotid artery occlusive disease (CAOD). We present a unique case of a 64-year-old patient who was referred to the retina clinic due to an incidental isolated finding of left optic disc neovascularization (NVD). The patient was asymptomatic with visual acuity of 6/6 unaided and with normal intraocular pressure bilaterally. Fundus fluorescein angiogram showed hyper-fluorescence on the left optic disc with no areas of capillary dropout...
October 2022: Curēus
https://read.qxmd.com/read/36287154/-ocular-microcirculation-after-revascularization-of-the-internal-carotid-artery-in-the-early-postoperative-period
#15
JOURNAL ARTICLE
Yu N Yusef, S P Semitko, M H Durzhinskaya, E E Kazaryan, A Z Sargsyan, T S Sandodze, D G Ioseliani, M V Budzinskaya
Carotid artery stenosis is the most common cause of ischemic stroke and transient ischemic attacks in the population of developed countries. Carotid endarterectomy (CEA) and carotid stenting (CAS) are effective treatments for carotid stenosis. In view of the need to improve the diagnosis of this condition and the anatomical relationship of the internal carotid arteries and vessels of the eye, studying retinal microvasculature has become an urgent problem. The theory suggesting that changes in ocular blood flow parameters may reflect disease status in patients with internal carotid artery (ICA) stenosis requires further investigation...
2022: Vestnik Oftalmologii
https://read.qxmd.com/read/36257345/insurance-status-is-associated-with-urgent-carotid-endarterectomy-and-worse-postoperative-outcomes
#16
JOURNAL ARTICLE
Panpan Chen, Andrew Lazar, Jessica Ding, Jeffrey J Siracuse, Virendra I Patel, Nicholas J Morrissey
OBJECTIVE: Underinsured patients can experience worse preoperative medical optimization. We aimed to determine whether insurance status was associated with carotid endarterectomy (CEA) urgency and postoperative outcomes. METHODS: We analyzed the Society for Vascular Surgery Vascular Quality Initiative Carotid Endarterectomy dataset from January 2012 to January 2021. Univariable and multivariable methods were used to analyze the differences across the insurance types for the primary outcome variable: CEA urgency...
March 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/36208934/efficacy-and-safety-of-urgent-carotid-endarterectomy-in-patients-with-acute-ischemic-stroke
#17
JOURNAL ARTICLE
I Guňka, D Krajíčková, M Leško, S Jiška, A Hudák, L Šimůnek, J Raupach
INTRODUCTION: Acute symptomatic occlusion of the internal carotid artery (ICA) is associated with unfavorable prognosis. However, no clear definition of its optimal treatment exists. The aim of this study was to evaluate the efficacy and risks of urgent carotid endarterectomy (CEA) in patients with ischemic stroke due to acute extracranial ICA occlusion. METHODS: A retrospective analysis was performed of all consecutive patients undergoing urgent CEA for acute extracranial ICA occlusion during the period from July 2014 to June 2021...
2022: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://read.qxmd.com/read/35760242/neurologic-outcomes-of-carotid-and-other-emergent-interventions-for-ischemic-stroke-over-six-years-with-dataset-enhanced-by-machine-learning
#18
JOURNAL ARTICLE
P Andrew Rivera, Jeffrey Burton, Aaron Hayson, Bethany Jennings, Gabriel Vidal, W C Sternbergh, Daniel Fort, Hernan A Bazan
INTRODUCTION: Current mainstays of ischemic stroke treatment include the use of thrombolysis (tissue plasminogen activator, tPA), urgent carotid endarterectomy (uCEA) or carotid artery stenting (uCAS), and mechanical endovascular reperfusion/thrombectomy (MER). Scarce data describe the presenting stroke severity and neurologic outcomes for these acute ischemic stroke interventions, alone or in combination. The authors hypothesize that patients undergoing carotid interventions experience better functional neurologic outcomes than other stroke interventions...
June 24, 2022: Journal of Vascular Surgery
https://read.qxmd.com/read/35491987/outcomes-of-simultaneous-carotid-endarterectomy-and-coronary-artery-bypass-grafting-a-single-centre-experience
#19
JOURNAL ARTICLE
Aleksandras Antuševas, Adomas Aladaitis, Linas Velička, Raminta Černevičiūtė, Agnė Gimžauskaitė, Emilija Bernotaitė, Donatas Inčiūra
OBJECTIVE: Stroke following a coronary artery bypass surgery is a well-known complication often predisposed by carotid artery disease. Perioperative risk of stroke after on-pump cardiac surgery can overall affect 2% of patients. Patients with 80-99% unilateral carotid artery stenosis carry a 4% risk of stroke. Significant carotid artery stenosis is present in 3-10% of patients who are candidates for coronary artery bypass grafting (CABG). Those patients might be considered for either simultaneous or staged carotid endarterectomy and CABG to reduce the risk of stroke and death...
May 1, 2022: Vascular
https://read.qxmd.com/read/35371865/estimated-cost-of-transcarotid-arterial-revascularization-compared-with-carotid-endarterectomy-and-transfemoral-carotid-stenting
#20
JOURNAL ARTICLE
John J Kanitra, Isabella A Graham, Richard D Hayward, Darla K Granger, Richard A Berg, Jimmy C Haouilou
Objectives Transcarotid arterial revascularization (TCAR) is associated with a lower risk of stroke or death than transfemoral carotid artery stenting (TF-CAS). TCAR infers a lower risk of cranial nerve injury and a similar risk of myocardial infarction (MI) than carotid endarterectomy (CEA). There have been no comparative studies on the cost of TCAR, TF-CAS, and CEA, which may have important implications for institutional support for the new modality to address carotid artery stenosis. Our aim was to compare the estimated cost profiles of TCAR, TF-CAS, and CEA...
March 2022: Curēus
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