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Carotid artery stenting

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https://www.readbyqxmd.com/read/29676604/is-diabetes-a-marker-of-higher-risk-after-carotid-revascularization-experience-from-a-single-centre
#1
Renato Casana, Chiara Malloggi, Andrea Odero, Valerio Tolva, Richard Bulbulia, Alison Halliday, Vincenzo Silani
PURPOSE: This single centre study investigates the influence of diabetes mellitus on outcomes following carotid artery endarterectomy or stenting. METHODS: In total, 752 carotid revascularizations (58.2% carotid artery stenting and 41.8% carotid endarterectomy) were performed in 221 (29.4%) patients with diabetes and 532 (70.6%) patients without diabetes. The study outcomes were death, disabling and non-disabling stroke, transient ischaemic attack and restenosis within 36 months after the procedure...
April 1, 2018: Diabetes & Vascular Disease Research
https://www.readbyqxmd.com/read/29674483/influence-of-stent-design-and-use-of-protection-devices-on-outcome-of-carotid-artery-stenting-a-pooled-analysis-of-individual-patient-data
#2
Fritz Wodarg, Elisabeth L Turner, Joanna Dobson, Peter A Ringleb, Willem P Mali, Gustav Fraedrich, Gilles Chatellier, Jean-Pierre Bequemin, Martin M Brown, Ale Algra, Jean-Louis Mas, Olav Jansen, Leo H Bonati
BACKGROUND AND PURPOSE: Carotid artery stenting is an alternative to endarterectomy for the treatment of symptomatic carotid stenosis but was associated with a higher risk of procedural stroke or death in randomized controlled trials (RCTs). Technical aspects of treatment may partly explain these results. The purpose of this analysis was to investigate the influence of technical aspects such as stent design or the use of protection devices, as well as clinical variables, on procedural risk...
April 19, 2018: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/29673823/carotid-artery-endarterectomy-cea-vs-carotid-artery-stenting-cas-for-restenosis-after-cea-a-systematic-review-and-meta-analysis
#3
REVIEW
Pavlos Texakalidis, Stefanos Giannopoulos, Anil K Jonnalagadda, Damianos G Kokkinidis, Theofilos Machinis, John Reavey-Cantwell, Ehrin J Armstrong, Pascal Jabbour
BACKGROUND: Carotid artery restenosis may occur following ipsilateral carotid endarterectomy (CEA). It remains unclear whether carotid artery stenting (CAS) or a repeat CEA (redoCEA) is the best treatment strategy for carotid artery restenosis. OBJECTIVE: We sought to find whether CAS or redoCEA is the optimal therapy for post-endarterectomy carotid restenosis. METHODS: This study was performed according to the PRISMA and MOOSE guidelines...
April 16, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29644285/initial-experience-with-the-treatment-of-concomitant-aortic-pseudoaneurysm-and-thoracolumbar-spinal-fracture-case-report
#4
Viktor Zsolt Kovari, Ferenc Pecsi, Mate Cs Janvari, Robert Veres
One blunt abdominal aortic disruption (BAAD) and one blunt thoracic aortic injury (BTAI) case are presented. Both aortic injuries were combined with spinal fractures. In the BAAD case the aortic pseudoaneurysm manifested just above the lumbar fracture while in the BTAI case the aortic injury appeared several vertebras below the thoracal fracture site, suggesting different mechanisms in the aortic wall damage. In both cases the aortic wall first was sealed, successfully, by endovascularly-placed stents, meaning the risks of open aortic reconstructive surgery could be avoided...
December 2017: Trauma Case Reports
https://www.readbyqxmd.com/read/29643966/cosmetic-effects-of-skin-crease-camouflage-incision-versus-longitudinal-incision-following-carotid-endarterectomy
#5
Arkadiusz Kazimierczak, Anita Rybicka, Pawel Rynio, Piotr Gutowski, Ireneusz Wiernicki
Introduction: Despite the increasing use of carotid angioplasty and stenting (CAS), carotid endarterectomy (CEA) nonetheless remains a more medically beneficial method of treatment for carotid artery stenosis. Therefore, one possibility for progress within this procedure may be to use minimally invasive carotid surgery, especially when the scar is in plain sight: the use of the natural wrinkles (skin crease) as a camouflage of the skin incision provides significant cosmetic improvements...
March 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/29629065/carotid-arterial-stent-implantation-follow-up-and-results-in-50-patients-preliminary-report
#6
Alireza Khosravi, Fereshteh Ziaee Bideh, Farshad Roghani, Mohammad Saadatnia, Fariborz Khorvash, Majid Nejati, Nastaran Khoshpour, Mohaddeseh Behjati
Background: Carotid artery stenting (CAS) is considered as a safe and effective procedure for treatment of carotid artery stenosis. Evaluation of this procedure's complications is essential for proper clinical decision-making. Objective: This study aimed to evaluate the cardiovascular events after CAS among our patients in Isfahan, Iran. Methods: This case-series study was conducted on fifty patients from December 2013 to May 2016. These patients were referred to the cardiology centers of Isfahan, Iran by a neurologist, for stenting of extracranial carotid arteries...
February 2018: Electronic Physician
https://www.readbyqxmd.com/read/29628950/safety-assessment-of-endovascular-treatment-of-cerebral-aneurysms-in-patients-with-fibromuscular-dysplasia
#7
Matthew T Bender, Christopher Hurtado, Bowen Jiang, Jessica K Campos, Judy Huang, Rafael J Tamargo, Li-Mei Lin, Alexander L Coon, Geoffrey P Colby
Background: The prevalence of cerebral aneurysms is increased in fibromuscular dysplasia (FMD). The presence of FMD may serve as discouragement to elective endovascular aneurysm treatment. Outcomes of endovascular intervention for aneurysms through vessels affected by FMD have not been reported. Methods: A prospectively maintained database of patients undergoing intracranial embolization was reviewed for patients with FMD who underwent endovascular aneurysm treatment...
February 2018: Interventional Neurology
https://www.readbyqxmd.com/read/29627787/tyrosine-kinase-inhibitor-induced-rapidly-progressive-vasculopathy-after-intracranial-stent-placement
#8
Ching-Jen Chen, Brian J Sorace, Aria Shakeri, Min S Park, Andrew M Southerland, Bradford B Worrall, M Yashar S Kalani
Tyrosine kinase inhibitor (TKI) therapy for chronic myeloid leukemia (CML) has been associated with progressive peripheral arterial disease and, more recently, rare cases of intracranial vascular stenosis have been reported. We report the fourth case of TKI treatment associated intracranial vasculopathy and rapid progression of intracranial vascular stenosis following intracranial stent placement. This was a 49-year-old woman who developed right-sided weakness, paresthesias, numbness, and speech difficulties 7 years following TKI treatment for CML...
April 7, 2018: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/29624153/occlusion-rates-of-intracranial-aneurysms-treated-with-the-pipeline-embolization-device-the-role-of-branches-arising-from-the-sac
#9
Felipe Padovani Trivelato, Marco Túlio Salles Rezende, Alexandre Cordeiro Ulhôa, Luis Henrique de Castro-Afonso, Guilherme Seizem Nakiri, Daniel Giansante Abud
OBJECTIVE The aim of this study was to compare the clinical and angiographic outcomes of intracranial aneurysms with and without branches arising from the sac after Pipeline embolization device (PED) treatment. METHODS This retrospective 2-center comparative study included 116 patients with 157 aneurysms that were treated with PEDs. Aneurysms were divided into 2 groups: one group had branches arising from the sac and the other group did not. Study end points included total aneurysm occlusion assessed by angiography at 6 and 12 months, death or stroke, technical complications, in-stent stenosis, patency of covered branches, and transient ischemia...
April 6, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29622356/risk-and-outcome-profile-of-carotid-endarterectomy-with-proximal-intervention-is-concerning-in-multi-institutional-assessment
#10
W Darrin Clouse, Emel A Ergul, Zachary J Wanken, Julia Kleene, David H Stone, R Clement Darling, Richard P Cambria, Mark F Conrad
OBJECTIVE: Approaching tandem bifurcation and brachiocephalic disease using carotid endarterectomy (CEA) with ipsilateral proximal endovascular intervention (IPE) has been promulgated as safe and durable. There have been recent concerns about neurologic risk with this technique. The goal of this study was to define stroke and perioperative risk with this uncommon procedure across multiple centers. METHODS: Between August 2002 and July 2016, patients who underwent CEA + IPE were identified by operative records at three institutions...
April 2, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29615434/tyrosine-kinase-inhibitor-induced-rapidly-progressive-vasculopathy-after-intracranial-stent-placement
#11
Ching-Jen Chen, Brian J Sorace, Aria Shakeri, Min S Park, Andrew M Southerland, Bradford B Worrall, M Yashar S Kalani
Tyrosine kinase inhibitor (TKI) therapy for chronic myeloid leukemia (CML) has been associated with progressive peripheral arterial disease and, more recently, rare cases of intracranial vascular stenosis have been reported. We report the fourth case of TKI treatment associated intracranial vasculopathy and rapid progression of intracranial vascular stenosis following intracranial stent placement. This was a 49-year-old woman who developed right-sided weakness, paresthesias, numbness, and speech difficulties 7 years following TKI treatment for CML...
April 3, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29615352/long-term-comparative-effectiveness-of-carotid-stenting-versus-carotid-endarterectomy-in-a-large-tertiary-care-vascular-surgery-practice
#12
Robert P Garvin, Evan J Ryer, Andrea L Berger, James R Elmore
OBJECTIVE: Carotid interventional trials have strict inclusion and exclusion criteria that make translation of their results to the real-world population challenging. Furthermore, the specialty of the operating surgeon and the role of clinical decision-making are not well studied. This study compares the effectiveness of carotid endarterectomy (CEA) vs carotid artery stenting (CAS) in a real-world setting when the procedure is performed by fellowship-trained vascular surgeons. METHODS: A retrospective study was conducted of all consecutive patients undergoing CEA and CAS performed by vascular surgeons in a large rural tertiary health care system from 2004 to 2014...
March 31, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29602007/successful-kissing-balloon-expandable-stent-graft-treatment-for-a-right-common-carotid-pseudoaneurysm-caused-by-tracheotomy
#13
Justice O Agyei, Cynthia Alvarez, Azher Iqbal, Andrew A Fanous, Adnan H Siddiqui
BACKGROUND: A rare complication following a tracheotomy is common carotid artery (CCA) pseudoaneurysm. There are many treatment modalities for CCA pseudoaneurysm including surgical repair and single-artery balloon-covered stent-graft technique. We present successful treatment of a tracheotomy-related CCA pseudoaneurysm with the "kissing balloon" expandable stent-graft technique. CASE DESCRIPTION: We successfully implemented the "kissing balloon" expandable stent-graft technique for the treatment of a large, narrow-necked, bilobed CCA pseudoaneurysm that arose due to a tracheotomy complication...
March 27, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29601328/statin-loading-in-cardiovascular-surgery-never-too-early-to-treat
#14
Niki Katsiki, Filippos Triposkiadis, Athanasios D Giannoukas, Dimitri P Mikhailidis
PURPOSE OF REVIEW: The effects of statin loading before, during or after vascular interventions on cardiovascular and renal outcomes are discussed. Furthermore, the selection of optimal statin type and dose, according to current evidence or guidelines, is considered. The importance of treating statin intolerance and avoiding statin discontinuation is also discussed. RECENT FINDINGS: Statin loading has been shown to beneficially affect cardiovascular outcomes, total mortality and/or contrast-induced acute kidney injury, in patients undergoing vascular procedures such as percutaneous coronary intervention (PCI), coronary artery bypass grafting (CABG), carotid endarterectomy (CEA), carotid artery stenting, endovascular aneurysm repair, open abdominal aortic aneurysms (AAA) repair and lower extremities vascular interventions...
March 29, 2018: Current Opinion in Cardiology
https://www.readbyqxmd.com/read/29600915/predictors-of-cerebral-aneurysm-persistence-and-occlusion-after-flow-diversion-a-single-institution-series-of-445-cases-with-angiographic-follow-up
#15
Matthew T Bender, Geoffrey P Colby, Li-Mei Lin, Bowen Jiang, Erick M Westbroek, Risheng Xu, Jessica K Campos, Judy Huang, Rafael J Tamargo, Alexander L Coon
OBJECTIVE Flow diversion requires neointimal stent overgrowth to deliver aneurysm occlusion. The existing literature on aneurysm occlusion is limited by heterogeneous follow-up, variable antiplatelet regimens, noninvasive imaging modalities, and nonstandard occlusion assessment. Using a large, single-center cohort with low attrition and standardized antiplatelet tapering, the authors evaluated outcomes after flow diversion of anterior circulation aneurysms to identify predictors of occlusion and aneurysm persistence...
March 30, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29589047/-management-of-a-massive-cervical-hematoma-after-insertion-of-a-central-venous-catheter-under-tirofiban
#16
R Pfister, G Michels
An 81-year-old woman with infarct-related cardiogenic shock was admitted to the cardiac catheterization laboratory. Coronary angiography revealed an occlusion of the ramus interventricularis anterior. Due to incomplete flow after the percutaneous coronary intervention with implantation of three coronary stents and high thrombus burden, tirofiban was given as a bail out therapy. A central venous catheter (CVC) aimed at the internal jugular vein was incidentally inserted in the common carotid artery, resulting in acute dyspnea and a hemorrhagic shock due to a massive cervical hematoma...
March 27, 2018: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://www.readbyqxmd.com/read/29588727/use-of-embolic-protection-devices-in-peripheral-interventions
#17
Martin G Radvany
The use of embolic protection devices (EPDs) when treating coronary saphenous vein bypass grafts, performing carotid arterial stenting and treating acute coronary syndromes is well accepted. We will review currently available devices and approaches to reduce distal embolisation, first discussing their uses in carotid interventions and then in vertebral and peripheral vascular interventions.
May 2017: Interventional Cardiology
https://www.readbyqxmd.com/read/29588311/risk-of-stroke-or-death-is-associated-with-the-timing-of-carotid-artery-stenting-for-symptomatic-carotid-stenosis-a-secondary-data-analysis-of-the-german-statutory-quality-assurance-database
#18
Pavlos Tsantilas, Andreas Kuehnl, Michael Kallmayer, Christoph Knappich, Sofie Schmid, Thorben Breitkreuz, Alexander Zimmermann, Hans-Henning Eckstein
BACKGROUND: Subgroup analyses from randomized trials indicate that the time interval between the neurologic index event and carotid artery stenting is associated with periprocedural stroke and death rates in patients with symptomatic carotid stenosis. The aim of this article is to analyze whether this observation holds true under routine conditions in Germany. METHODS AND RESULTS: Secondary data analysis was done on 4717 elective carotid artery stenting procedures that were performed for symptomatic carotid stenosis...
March 27, 2018: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29581342/rescue-stenting-for-failed-mechanical-thrombectomy-in-acute-ischemic-stroke-a-multicenter-experience
#19
Yoonkyung Chang, Byung Moon Kim, Oh Young Bang, Jang-Hyun Baek, Ji Hoe Heo, Hyo Suk Nam, Young Dae Kim, Joonsang Yoo, Dong Joon Kim, Pyoung Jeon, Seung Kug Baik, Sang Hyun Suh, Kyung-Yul Lee, Hyo Sung Kwak, Hong Gee Roh, Young-Jun Lee, Sang Heum Kim, Chang-Woo Ryu, Yon-Kwon Ihn, Byungjun Kim, Hong Jun Jeon, Jin Woo Kim, Jun Soo Byun, Sangil Suh, Jeong Jin Park, Woong Jae Lee, Jieun Roh, Byoung-Soo Shin, Jeong-Min Kim
BACKGROUND AND PURPOSE: Effective rescue treatment has not yet been suggested in patients with mechanical thrombectomy (MT) failure. This study aimed to test whether rescue stenting (RS) improved clinical outcomes in MT-failed patients. METHODS: This is a retrospective analysis of the cohorts of the 16 comprehensive stroke centers between September 2010 and December 2015. We identified the patients who underwent MT but failed to recanalize intracranial internal carotid artery or middle cerebral artery M1 occlusion...
April 2018: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/29575634/impact-of-intravenous-thrombolysis-and-emergent-carotid-stenting-on-reperfusion-and-clinical-outcomes-in-acute-stroke-patients-with-tandem-lesion-treated-with-thrombectomy-a-collaborative-pooled-analysis
#20
Benjamin Gory, Diogo C C Haussen, Michel Piotin, Henrik Steglich-Arnholm, Markus Holtmannspötter, Julien Labreuche, Maeva Kyheng, Christian Taschner, Sebastian Eiden, Raul G Nogueira, Panagiotis Papanagiotou, Maria Boutchakova, Adnan H Siddiqui, Bertrand Lapergue, Franziska Dorn, Christophe Cognard, Monika Killer, Salvatore Mangiafico, Marc Ribo, Marios N Psychogios, Alejandro M Spiotta, Marc Antoine Labeyrie, Alessandra Biondi, Mikael Mazighi, Francis Turjman
BACKGROUND AND PURPOSE: Tandem anterior circulation lesions in the setting of acute ischemic stroke (AIS) are a complex endovascular situation which has not been specifically addressed in trials. We determined the predictors of successful reperfusion and good clinical outcome at 90 days after mechanical thrombectomy (MT) in AIS patients with tandem lesions in a pooled collaborative study. METHODS: A retrospective analysis of consecutive patients presenting to 18 comprehensive stroke centers with AIS due to tandem lesion of the anterior circulation who underwent MT...
March 25, 2018: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
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