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paraphrased artery stenosis patients with Carotid artery stenosis, and Carotid angioplasty and stenting may be useful in preventing strokes in patients with carotid artery stenosis. Methods This is a retrospective cohort study at Shiraz University of Medical Sciences from March 2011 to March 2019. Patients with elevated risk and atypical risk of carotid endarterectomy were included in this group. In 2. 5 percent of patients, primary composite outcomes were present in 29 percent. Atrial fibrillation was a predictor of primary composite results in multivariate logistic regression. In univariate logistic regression, the presence of complete occlusion in the contralateral carotid artery was strongly associated with stroke risk. Overall survival rate for all-cause mortality was 93. 8 percent at 1 year, 77. 2 percent at 5 years, and 52. 92% at 8 years. Patients with symptomatic carotid stenosis were significantly elevated among patients with symptomatic carotid stenosis.
Source link: https://europepmc.org/article/MED/35969379
In carotid angioplasty and stenting, the object is to investigate the correlation between annular plaque calcification in the carotid sinus and perioperative hemodynamic disorder. Based on the occurrence of HD in the perioperative period of CAS, all patients underwent preoperative carotid computed tomography angiography and were divided into HD and non-HD groups. The average hospital stay in the HD group was significantly longer than that of the non-HD group. Patients in the HD group had significantly more prominent lumen stenosis and longer plaque length than those in the non-HD group. Conclusions In CAS, the occurrence of annular plaque calcification in the carotid sinus was an independent risk factor for perioperative HD. Preoperative carotid CTA aids in the early detection of high-risk patients who may experience HD.
Source link: https://europepmc.org/article/MED/35963212
Angioplasty can be used to reduce the chances of acute occlusion or long-term restenosis of the carotid artery and subsequent ischaemic stroke in people undergoing carotid endarterectomy. Objectives Objectives: Objectives Compared to primary closure in people undergoing CEA, it's possible and efficacy of standard or selective carotid patch angioplasty with either a venous patch or a synthetic patch. Without a significant rise in perioperative complications, we wanted to investigate the primary hypothesis that carotid patch angioplasty results in a reduced incidence of severe arterial stiffnosis and therefore less recurrent strokes and stroke-related deaths. Patients undergoing CEA were subjected to randomised controlled trials and quasi-randomised studies comparing carotid patch angioplasty with primary closure in people undergoing CEA. Carotid patch angioplasty may make no difference to the risk of any stroke during the perioperative period, but it may reduce the risk of a stroke during a long-term follow-up compared to primary closure, but may reduce the risk of a stroke during the perioperative period. In addition, the included studies indicate that carotid patch angioplasty may reduce the risk of perioperative arterial occlusion, as well as reducing the risk of restenosis during long-term follow-up. We found no correlation between patch angioplasty use and the risk of either perioperative or long-term stroke-related death or all-cause mortality rates. When compared to primary closure, it seems to reduce the risk of ipsilateral stroke during the perioperative and long-term period and minimize the chance of a stroke in the long run.
Source link: https://europepmc.org/article/MED/35920689
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