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Condition: Stroke

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Total 73147 results found since Jan 2013.

Uptake of Carotid Artery Stenting in England and Subsequent Vascular Admissions: An Appropriate Response to Emerging Evidence?
Conclusion: Despite the early promise of CAS and numerous randomised controlled trials evaluating efficacy, it has not been rapidly adopted in England. Cautious adoption may be appropriate given the higher periprocedural risk of stroke or death after CAS, particularly in recently symptomatic patients.
Source: European Journal of Vascular and Endovascular Surgery - May 22, 2013 Category: Surgery Authors: A.H.Y. Lee, J. Busby, M. Brooks, W. Hollingworth Tags: Carotid Disease Source Type: research

Prevention of stroke and systemic embolism with rivaroxaban compared with warfarin in Chinese patients with atrial fibrillation.
In conclusion, oral administration of rivaroxaban reduced the risk of stroke or systemic embolism without significantly increasing the safety concern. PMID: 23929423 [PubMed - as supplied by publisher]
Source: Vascular - June 18, 2013 Category: Surgery Authors: Mao L, Li C, Li T, Yuan K Tags: Vascular Source Type: research

Spontaneous bilateral carotid artery dissection in a patient with bovine aortic arch.
Abstract Carotid artery dissections are commonly associated with trauma or various connective tissue disorders. Dissection of the cerebrovascular arteries can result in ischemic stroke and is a frequent stroke etiology in younger patients. Anatomical variants of aortic arch branching, such as the 'bovine' aortic arch, are assumed to have little or no physiological consequence. To the best of our knowledge, we present for the first time a case of spontaneous dissection of the common origin of the innominate and left common carotid artery in a bovine aortic arch, resulting in bilateral dissection of the carotid arte...
Source: Vascular - July 1, 2013 Category: Surgery Authors: Cock DD, Meuris B, Benett J, Desmet W Tags: Vascular Source Type: research

Evaluation on the compliance with secondary prevention and influence factors of ischemic stroke in Hainan province, China.
In conclusion, the importance of antiplatelet therapy should not be ignored any more. Besides, health education will raise patients' attention to ischemic stroke. PMID: 23929417 [PubMed - as supplied by publisher]
Source: Vascular - June 18, 2013 Category: Surgery Authors: Su Q, Yuan K, Long F, Wan Z, Li C, Cai Y, Zeng C, Wu Y, Wu H, Liu S, Li P, Zhou J, Chen C, Wang D, Yan L, Zhang Y, Dai M Tags: Vascular Source Type: research

Standardized Protocols Enable Early Stroke Recognition and Treatment of Carotid Stenosis
To examine the impact of acute stroke care coordination between vascular surgery and stroke neurology services with primary focus on acute patient stabilization and expeditious carotid endarterectomy (CEA).
Source: Journal of Vascular Surgery - August 28, 2013 Category: Surgery Authors: R. Clement Darling, Philip S.K. Paty, Gary Bernardini, Manish Mehta, Dhiraj M. Shah, Benjamin B. Chang, Sean P. Roddy, Paul B. Kreienberg Tags: Abstracts from the 2013 New England Society for Vascular Surgery Annual Meeting Source Type: research

Risk of incident stroke in patients with Alzheimer disease or vascular dementia
Conclusions: Patients with VD, but not AD, have a markedly higher risk of developing an ischemic stroke than those without dementia. In patients with AD, but not VD, use of atypical antipsychotic drugs was associated with an increased risk of TIA.
Source: Neurology - September 2, 2013 Category: Neurology Authors: Imfeld, P., Bodmer, M., Schuerch, M., Jick, S. S., Meier, C. R. Tags: All Cerebrovascular disease/Stroke, Alzheimer's disease, Vascular dementia, Case control studies, Incidence studies ARTICLE Source Type: research

Routine revascularization is unnecessary in the majority of patients requiring zone II coverage during thoracic endovascular aortic repair: A longitudinal outcomes study using United States Medicare population data.
ConclusionsTEVAR + SUB were associated with lower rates of mortality and complications. Only a small percentage of TEVAR + SUB required a bypass at one year after procedure. Our data suggest that routine LSA bypass during TEVAR is unnecessary and associated with increase morbidity and mortality. PMID: 24003009 [PubMed - as supplied by publisher]
Source: Vascular - September 3, 2013 Category: Surgery Authors: Wilson JE, Galiñanes EL, Hu P, Dombrovskiy VY, Vogel TR Tags: Vascular Source Type: research

Standardized Protocols Enable Early Stroke Recognition and Treatment of Carotid Stenosis
To examine the impact of acute stroke care coordination between vascular surgery and stroke neurology services with primary focus on acute patient stabilization and expeditious carotid endarterectomy (CEA).
Source: Journal of Vascular Surgery - September 1, 2013 Category: Surgery Authors: R. Clement Darling, Philip S.K. Paty, Gary Bernardini, Manish Mehta, Dhiraj M. Shah, Benjamin B. Chang, Sean P. Roddy, Paul B. Kreienberg Tags: Abstracts from the 2013 New England Society for Vascular Surgery Annual Meeting Source Type: research

Population-Based Study of Disability and Institutionalization After Transient Ischemic Attack and Stroke: 10-Year Results of the Oxford Vascular Study Basic Sciences
Conclusions— Our results show that 70% of patients with stroke are either dead or disabled 5 years after the event. Thus, there remains considerable scope for improvements in acute treatment and secondary prevention to reduce postevent disability and institutionalization.
Source: Stroke - September 23, 2013 Category: Neurology Authors: Luengo-Fernandez, R., Paul, N. L. M., Gray, A. M., Pendlebury, S. T., Bull, L. M., Welch, S. J. V., Cuthbertson, F. C., Rothwell, P. M., on behalf of the Oxford Vascular Study Tags: Health policy and outcome research, Cerebrovascular disease/stroke Basic Sciences Source Type: research

Long-Term Clinical Outcomes and Cardiovascular Events Following Carotid Endarterectomy
Long-term atherosclerotic adverse events are anticipated in patients undergoing carotid endarterectomy (CEA); however, their incidence and risk predictors remain unknown. A consecutive cohort of CEAs between January 1, 2000 and December 31, 2007 was analyzed. End points were any stroke, coronary event (myocardial infarction, coronary bypass, or stenting), vascular interventions for critical limb ischemia, aortic aneurysm or carotid disease, and death. Survival analysis and Cox regression models were used to identify clinical predictors.
Source: Journal of Vascular Surgery - October 1, 2013 Category: Surgery Authors: Efthymios Avgerinos, Rabih Chaer, Catherine Go, Joe Wazen, Jennifer Ling, Luke Marone, Larry Fish, Michel Makaroun Tags: Abstracts from the 2013 Eastern Vascular Society Annual Meeting Source Type: research

Quality of life after TIA and stroke: Ten-year results of the Oxford Vascular Study
Conclusion: Quality-adjusted survival is low over the 5 years after stroke and TIA, with severity and recurrent stroke being major predictors. There remains considerable scope for improvements in acute treatment and secondary prevention to improve the quality of life after TIA and stroke.
Source: Neurology - October 28, 2013 Category: Neurology Authors: Luengo-Fernandez, R., Gray, A. M., Bull, L., Welch, S., Cuthbertson, F., Rothwell, P. M., For the Oxford Vascular Study Tags: Outcome research, Quality of life, All Cerebrovascular disease/Stroke ARTICLE Source Type: research

There is No Benefit to Universal Carotid Artery Duplex Screening before a Major Cardiac Surgical Procedure
Conclusions: The majority of postoperative strokes after cardiac surgery are not related to extracranial carotid artery disease and they are not predicted by preoperative carotid artery duplex scan screening. Consequently, universal carotid artery duplex scan screening cannot be recommended and a selective approach should be adopted.
Source: Annals of Vascular Surgery - November 11, 2013 Category: Surgery Authors: Brian C. Adams, Ross M. Clark, Christina Paap, James M. Goff Tags: Papers Presented to the Peripheral Vascular Surgery Society - 23rd Annual Winter Meeting Source Type: research

Carotid stenting versus endarterectomy in patients undergoing reintervention after prior carotid endarterectomy
Conclusions: In the VSGNE, CEA and CAS showed statistically equivalent outcomes in asymptomatic and symptomatic patients treated for restenosis after prior ipsilateral CEA. However, regardless of symptom status, the risk of reintervention was increased compared with patients undergoing primary CEA.
Source: Journal of Vascular Surgery - August 26, 2013 Category: Surgery Authors: Margriet Fokkema, Gert Jan de Borst, Brian W. Nolan, Ruby C. Lo, Robert A. Cambria, Richard J. Powell, Frans L. Moll, Marc L. Schermerhorn, Vascular Study Group of New England Tags: Clinical research studies Source Type: research

The need for treatment of hemodynamic instability following carotid endarterectomy is associated with increased perioperative and 1-year morbidity and mortality
The objective of this study was to evaluate the outcomes of patients after carotid endarterectomy (CEA) who developed postoperative hypertension or hypotension requiring the administration of intravenous vasoactive medication (IVMED).Methods: We examined consecutive, primary elective CEA performed by 128 surgeons within the Vascular Study Group of New England (VSGNE) database (2003-2010) and compared outcomes of patients who required postoperative IVMED to treat hyper- or hypotension with those who did not. Outcomes included perioperative death, stroke, myocardial infarction (MI), congestive heart failure (CHF), hospital l...
Source: Journal of Vascular Surgery - September 3, 2013 Category: Surgery Authors: Tze-Woei Tan, Mohammad H. Eslami, Jeffrey A. Kalish, Robert T. Eberhardt, Gheorghe Doros, Philip P. Goodney, Jack L. Cronenwett, Alik Farber, Vascular Study Group of New England Tags: Clinical research studies Source Type: research

Clinical Relevance of Cranial Nerve Injury following Carotid Endarterectomy
Objectives: The benefit of carotid endarterectomy (CEA) may be diminished by cranial nerve injury (CNI). Using a quality improvement registry, we aimed to identify the nerves affected, duration of symptoms (transient vs. persistent), and clinical predictors of CNI.Methods: We identified all patients undergoing CEA in the Vascular Study Group of New England (VSGNE) between 2003 and 2011. Surgeon-observed CNI rate was determined at discharge (postoperative CNI) and at follow-up to determine persistent CNI (CNIs that persisted at routine follow-up visit). Hierarchical multivariable model controlling for surgeon and hospital w...
Source: European Journal of Vascular and Endovascular Surgery - October 23, 2013 Category: Surgery Authors: M. Fokkema, G.J. de Borst, B.W. Nolan, J. Indes, D.B. Buck, R.C. Lo, F.L. Moll, M.L. Schermerhorn, Vascular Study Group of New England Tags: Carotid Disease Source Type: research