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Condition: Stroke

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Total 73147 results found since Jan 2013.

Impact of Cerebral Monitoring and Shunting on Outcomes in Carotid Endarterectomy
Carotid endarterectomy has been a staple of vascular surgery for decades, yet significant variation in practice patterns exists. While many studies have evaluated the accuracy of cerebral monitoring techniques, we aim to compare the impact of cerebral monitoring and anesthesia choices on outcomes, including death and stroke, as well as length of stay.
Source: Journal of Vascular Surgery - December 22, 2015 Category: Surgery Authors: Clay P. Wiske, Robert B. Patterson Tags: Abstract from the 2016 Southern Association for Vascular Surgery Annual Meeting Source Type: research

Carotid replacement with Dacron graft in 292 patients.
CONCLUSION: Low number of patients with carotid stenosis has extensive atherosclerotic process longer than 4 cm that might jeopardise eversion endarterectomy. Carotid graft replacement with Dacron graft provide early results that are comparable with other conduits; however, in such patients reconstruction should be selected individually based on surgical experience and anatomical distribution of stenotic disease. Due to high risk of stroke, only symptomatic patients with such extensive atherosclerotic disease should be operated. PMID: 26787655 [PubMed - as supplied by publisher]
Source: Vascular - January 19, 2016 Category: Surgery Authors: Koncar I, Ribac JZ, Ilic NS, Dragas M, Mutavdzic P, Tomic IZ, Ristanovic N, Kostic D, Davidovic L Tags: Vascular Source Type: research

Early outcomes after left subclavian artery revascularisation in association with thoracic endovascular aortic repair.
In this study, 70 left subclavian artery revascularisation procedures, performed on thoracic endovascular aortic repair patients at a tertiary hospital, were retrospectively reviewed. Particular emphasis was placed on revascularisation-related outcomes during staging interval between revascularisation and thoracic endovascular aortic repair. Forty-six (66%) carotid-subclavian bypass, 17 (24%) carotid-carotid-subclavian bypass and 7 (10%) aorto-inominate-carotid-subclavian bypass procedures were performed. There were no strokes or mortalities following left subclavian artery revascularisation procedures alone. Three (10%) m...
Source: Vascular - April 30, 2016 Category: Surgery Authors: Oladokun D, Patterson BO, Brownrigg JR, deBruin JL, Holt PJ, Loftus I, Thompson MM Tags: Vascular Source Type: research

Carotid intervention following transient ischaemic attack: What are we waiting for?
Abstract Transient ischaemic attack secondary to carotid stenosis has the highest risk of stroke recurrence compared with other aetiological subtypes. International guidelines advocate carotid intervention within one to two weeks of the index neurological event. Traditionally, delayed carotid intervention was perceived to be a safer management strategy, yet classic trials of endarterectomy and recent meta-analysis of carotid intervention demonstrate the safety of hyperacute carotid intervention. Data from international studies suggest that targets are not being met, the reasons for which are multifactorial, but pa...
Source: Vascular - April 30, 2016 Category: Surgery Authors: Qureshi MI, Davies AH Tags: Vascular Source Type: research

Midterm outcomes of catheter-directed interventions for the treatment of acute pulmonary embolism.
CONCLUSIONS: Catheter-directed thrombolysis is safe and effective for treatment of acute pulmonary embolism, with sustained hemodynamic improvement at one year. Further prospective large-scale studies are needed to determine comparative effectiveness of interventions for acute pulmonary embolism. PMID: 27271537 [PubMed - as supplied by publisher]
Source: Vascular - June 6, 2016 Category: Surgery Authors: Liang NL, Chaer RA, Marone LK, Singh MJ, Makaroun MS, Avgerinos ED Tags: Vascular Source Type: research

Increased Cardiac Workload in the Upright Posture in Men: Noninvasive Hemodynamics in Men Versus Women Vascular Medicine
Conclusions The foremost difference in cardiovascular regulation between sexes was higher upright hemodynamic workload for the heart in men, a finding not explained by known cardiovascular risk factors or hormonal differences before menopause. Heart rate variability analyses indicated higher sympathovagal balance in men regardless of body position. The deviations in upright hemodynamics could play a role in the differences in cardiovascular risk between men and women. Clinical Trial Registration URL: http://www.clinicaltrials.gov. Unique identifier: NCT01742702.
Source: JAHA:Journal of the American Heart Association - June 20, 2016 Category: Cardiology Authors: Kangas, P., Tahvanainen, A., Tikkakoski, A., Koskela, J., Uitto, M., Viik, J., Kähönen, M., Kööbi, T., Mustonen, J., Pörsti, I. Tags: Autonomic Nervous System, Clinical Studies, Hemodynamics Vascular Medicine Source Type: research

Surgical management of carotid body tumor - Is Shamblin classification sufficient to predict surgical outcome?
CONCLUSIONS: This small cohort showed that Shamblin class was significant in predicting technical difficulties but could not predict occurrence of complications. PMID: 27357283 [PubMed - as supplied by publisher]
Source: Vascular - June 28, 2016 Category: Surgery Authors: Y L, Yc C, Sw C Tags: Vascular Source Type: research

Prognostic significance of ankle brachial pressure index: A systematic review and meta-analysis.
CONCLUSIONS: A low ankle-brachial pressure index is associated with an increased risk of subsequent cardiovascular and cerebrovascular morbidity and mortality. Randomised controlled trials are required to investigate the effectiveness of screening for PAD in asymptomatic and undiagnosed individuals and to evaluate benefits of early treatment of screen-detected PAD. PMID: 27411571 [PubMed - as supplied by publisher]
Source: Vascular - July 11, 2016 Category: Surgery Authors: Hajibandeh S, Hajibandeh S, Shah S, Child E, Antoniou GA, Torella F Tags: Vascular Source Type: research

Vascular Cell Adhesion Molecule 1 Is a Promising Target to Identify High-Risk Carotid Plaques Using Contrast-Enhanced Duplex Ultrasound
The objective of this study was to identify molecular targets expressed on high-risk carotid plaques that can be imaged with contrast-enhanced ultrasound techniques to better risk stratify patients for stroke who have asymptomatic carotid stenosis.
Source: Journal of Vascular Surgery - July 21, 2016 Category: Surgery Authors: Craig C. Weinkauf, Scott S. Berman, Kay Goshima, Luis R. Leon, Edmund R. Marinelli, Rebecca Millius, Evan C. Unger Tags: Abstract from the 2016 Western Vascular Society Annual Meeting Source Type: research

Development of a Validated Model to Predict 30-Day Stroke and One-Year Survival After Carotid Endarterectomy for Asymptomatic Stenosis Using the Vascular Quality Initiative
Carotid endarterectomy (CEA) has been shown to be an effective treatment for patients with asymptomatic carotid artery stenosis when perioperative stroke rates are low and patients survive long enough to benefit from the intervention. Our objective was to develop and to validate a simple risk prediction index for 30-day stroke and 1-year mortality to guide optimal selection of patients for CEA.
Source: Journal of Vascular Surgery - August 23, 2016 Category: Surgery Authors: Randall DeMartino, Benjamin Brooke, Dan Neal, Adam W. Beck, Mark Conrad, Shipra Arya, Sapan Desai, Faisal Aziz, Patrick Ryan, Larry Kraiss Tags: Abstract from the 2016 Midwestern Vascular Surgical Society Annual Meeting Source Type: research

Long-Term Revisional or Contralateral Treatments After Carotid Revascularization in the Vascular Quality Initiative
Significant work has detailed the risk of long-term stroke, myocardial infarction, and death in patients undergoing carotid endarterectomy (CEA) and carotid artery stenting (CAS). However, little is known about the relative rates of subsequent intervention following these procedures. We aimed to compare the rates of subsequent carotid artery intervention —either ipsilateral or contralateral—for patients undergoing CEA and CAS.
Source: Journal of Vascular Surgery - August 23, 2016 Category: Surgery Authors: Ryan M. Svoboda, Karina Newhall, Art Sedrakyan, Jonathan Skinner, David H. Stone, Philip P. Goodney Tags: Abstract from the 2016 Eastern Vascular Society Annual Meeting Source Type: research

Carotid stenting versus endarterectomy in the same patient: A "direct" comparison.
Abstract The aim of this study was to evaluate outcomes and feasibility of carotid artery stenting versus carotid endarterectomy, both procedures performed in the same patient. Forty-five subjects (33 males, 70 ± 7 years) underwent carotid endarterectomy or carotid artery stenting, the counter procedure on the contralateral carotid performed after a variable period. We evaluated the post-procedural percentage of carotid stenosis at 30, 180 days and one-year follow-up, and the occurrence of acute myocardial infarction, New York Heart Association class progression, stroke, death, cardiovascular death, angina, t...
Source: Vascular - November 2, 2016 Category: Surgery Authors: Ciccone MM, Scicchitano P, Cortese F, Gesualdo M, Zito A, Carbonara R, Dentamaro I, Pulli R, Salerno C, Impedovo G, Marinazzo D, Angiletta D, Guido D, Regina G Tags: Vascular Source Type: research

Carotid replacement with Dacron graft in 292 patients.
CONCLUSION: Low number of patients with carotid stenosis has extensive atherosclerotic process longer than 4 cm that might jeopardise eversion endarterectomy. Carotid graft replacement with Dacron graft provide early results that are comparable with other conduits; however, in such patients reconstruction should be selected individually based on surgical experience and anatomical distribution of stenotic disease. Due to high risk of stroke, only symptomatic patients with such extensive atherosclerotic disease should be operated. PMID: 26787655 [PubMed - in process]
Source: Vascular - November 5, 2016 Category: Surgery Authors: Koncar I, Ribac JZ, Ilic NS, Dragas M, Mutavdzic P, Tomic IZ, Ristanovic N, Kostic D, Davidovic L Tags: Vascular Source Type: research

Aerobic exercise and vascular cognitive impairment: A randomized controlled trial
Conclusions: This study provides preliminary evidence for the efficacy of 6 months of thrice-weekly progressive aerobic training in community-dwelling adults with mild SIVCI, relative to usual care plus education. ClinicalTrials.gov identifier: NCT01027858. Classification of evidence: This study provides Class II evidence that for adults with mild SIVCI, an aerobic exercise program for 6 months results in a small, significant improvement in ADAS-Cog performance.
Source: Neurology - November 13, 2016 Category: Neurology Authors: Liu-Ambrose, T., Best, J. R., Davis, J. C., Eng, J. J., Lee, P. E., Jacova, C., Boyd, L. A., Brasher, P. M., Munkacsy, M., Cheung, W., Hsiung, G.-Y. R. Tags: All Cerebrovascular disease/Stroke, Clinical trials Randomized controlled (CONSORT agreement), Vascular dementia, Class I ARTICLE Source Type: research