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In the present research, the authors reviewed 4494 patients with carotid artery stenosis who had undergone CEA or CAS to help clarify the clinicopathologic characteristics and outcomes of those with CHS and associated intracranial hemorrhage. Patients with CHS were significantly associated with poor postoperative management of blood pressure, which was directly connected to the outbreak of intracranial hemorrhage in patients with CHS following CEA. Following CAS, however, no of the tested variables were significantly related to the onset of intracranial hemorrhage in patients with CHS. Patients with intracranial hemorrhage were significantly higher than those without. Patients with CHS after CEA have no correlation between blood pressure monitoring and intracranial hemorrhage, according to those with CHS after CAS, although tighter control of postoperative blood pressure prevents intracranial hemorrhage in patients with CHS after CEA.
Source link: https://doi.org/10.3171/jns-07/12/1130
OBJECTIVE INTERNATIVE Hipporrhage related to cerebral hyperperfusion syndrome is a rare but significant complication of carotid artery revascularization. The primary outcome was the rate of ICH in patients who were in the 90 days after carotid artery intervention in a cadaveric hospital setting compared to those who underwent CEA. In the overall cohort, the 180-day mortality risk after ICH was 2. 7%, whereas the 180-day mortality rate among patients with ICH was 42. 5%. Patients treated between 2010 and 2015 were treated with asymptomatic and asymptomatic patients with carotid artery stenosis, and consistent among patients with carotid artery stenosis, and among the subgroup of patients treated between 2010 and 2015, with a standardized for medication use.
Source link: https://doi.org/10.3171/2017.8.jns171142
paraphrased stenosis treatment with carotid artery stenting is more appropriate than carotid artery stenting for carotid stenosis treatment. This review was conducted to determine long-term effects after CAS was found to be lower than CEA. Methods: During the study period, we obtained all records from the national database of Health Insurance Review & Assessment Service, using various codes relating to the procedure or operation. Results: A total of 16,990 eligible patients who were treated with CAS or CEA between 1 January 2007 and December 2016 were reviewed. The number of patients with CAS and CEA was 12,974 and 4016, respectively. During the follow-up period, 2945 patients with CAS and 675 patients with CEA died. 0. 3 percent, 1. 55%, and 5. 2 percent were the 30-day, 90-day, 1-year death rate in the 30-day, 90-day, 1-year mortality rate. Conclusions: The overall mortality rate in patients with CAS in this national study was higher than those with CAS over a long time.
Source link: https://doi.org/10.1161/str.50.suppl_1.wp179
BACKGROUND: Stosis of the internal carotid artery stenosis can cause cognitive impairment as well as ischemic stroke. Although carotid endarterectomy and carotid artery stenting can prevent future strokes, cognitive function can be deferred, the effect of revascularization on cognitive function is uncertain. We investigated the resting-state functional connectivity in ICS patients undergoing revascularization surgery, with a particular focus on the Default Mode Network in this research. The Mini-Mental State Examination, the Frontal Assessement Battery, and the Japanese version of the Montreal Cognitive Assessment and rs-fMRI were all administered 1 week preoperatively and postoperatively at 1 week. The CAS and CEA groups' assessment showed statistically significant improvements, according to the MoCA-J scores and the CAS group's MMSE rating. Seed-to-Voxel, one of the CAS and CEA groups, found improved connectivity between medial prefrontal cortex and precuneus, according to both CAS and CEA groups.
Source link: https://doi.org/10.1161/str.51.suppl_1.wp474
We used "real-world" data from a national surgical quality registry to determine the differences in the characteristics of octogenarians undergoing carotid endarterectomy and carotid artery stenting for carotid stenosis in the latest research. Patients in both groups were symptomatic, with the majority of patients in the CAS group and 2,775 in the CEA group suffering with an ipsilateral stroke. Among asymptomatic patients, 64 in the CAS group and 2222 in the CEA group, the ipsilateral carotid had severe/total stenosis of the ipsilateral carotid, while 13 in the CAS group and 302 in the CEA group had severe or complete stenosis of contralateral carotid. With a single tapered stent with CPD, 29. 4% underwent CAS with a single tapered stent, 11. 4% single stent alone, and 1. 6% a single straight stent alone, 52. 4% underwent CAS with single tapered stent with CPD.
Source link: https://doi.org/10.1161/str.52.suppl_1.p489
Introduction: According to the new guidelines, carotid endartarterectomy or carotid artery stenting should be limited to patients with life expectancies of > 3 to 5 years. Following CEA and CAS in the Japanese population, we wanted to determine how long-term survival would be determined. Methods: In our lab, there were 262 consecutive carotid revascularizations between August 2006 and June 2015. Patients who underwent hospitalization by bilateral carotid artery stenosis or retreatment were regarded as the starting point in their cases. Independent risk factors correlated to survival, according to the age and CAS, Cox's regression model showed independent risk factors related to survival, including age and CAS. Conclusion: In the current study, the life-expectancy of patients in the latest study is comparable to the new recommendations, and long-term survival was tied to age and CAS. The inclusion of higher risk patients in the CAS group may have contributed to CAS being a risk factor.
Source link: https://doi.org/10.1161/str.49.suppl_1.wp120
Background: The success of comprehensive stroke center programs regarding carotid endarterectomy and carotid artery stenting is uncertain. Methods: We reviewed 12,943 carotid artery stenosis patients treated with CEA or CAS in 35 accredited training centers in Japan. The 749 accredited training organizations in Japan surveyed the availability of staff, diagnostic tools, industry, and educational components recommended for CSCs, which reported to a questionnaire survey that challenged the availability of staff, diagnostic instruments, specific expertise, infrastructure, and education components suggested for CSCs. With high total CSC scores in patients with CEA, mortality rates in patients with CEA were expected to be lower, but there were no differences with CAS. With high CSC scores in CEA and CAS, the Ischemic stroke was significantly lower. In CEA and CAS, myocardial infarction had no relationship with CSC scores. Using CEA and CAS, we established that CSC capabilities were associated with reduced in-hospital ischemic stroke in patients with CEA and CAS.
Source link: https://doi.org/10.1161/str.48.suppl_1.wp309
Introduction: We looked at long-term outcomes of carotid endarterectomy and carotid artery stenting in our hospital to see the effects of real-world practice in a single institute of Japan. Methods: We offer you two types of carotid revascularizations in our institute between August 2006 and July 2014 – either CEA or CAS. The initial therapy was regarded as the starting point in the cases of patients undergoing or retreating from bilateral carotid artery stenosis or retreatment. From the primary end point using competing risk analysis, there were 3. 1% for CEA and 8. 6% for CAS. According to Kaplan-Meier's estimates, the 4-year event-free rate from the secondary end point was 12. 8% for CEA and 20. 1% for CAS. The inclusion of higher risk patients in the CAS group may have contributed to CAS being a risk factor.
Source link: https://doi.org/10.1161/str.47.suppl_1.wp133
We investigated the current trends in the use of CAS and CEA in ischemic stroke patients. Methods: Patients aged 18 years from the Nationwide Inpatient Sample 2007-2011 were found with Ischemic stroke hospitalizations. Overall, the percentage of stroke patients who received CAS remained relatively stable over time, while the number of patients who received CEA decreased. CAS rates in the three Central Regions soared in the three Central Regions, but not in New England; CEA declines were similar across regions. In adjusted results, CAS rises marginally for white men, decreased for black men, and women of other races, but most of the remaining groups remained stable; CEA rates slowed for all sex-race groups. Conclusions: The percentage of hospitalized stroke patients receiving CEA gradually decreased over time, but CAS numbers remained relatively stable, with modest increases seen in the Central regions of the United States' central regions.
Source link: https://doi.org/10.1161/str.45.suppl_1.wp310
Objective: Coronary artery disease is a common comorbidity that is common in patients with carotid artery stenosis and raises the risk of revascularization in these patients. At a single center, we retrospectively assessed the effects of CAD on the outcomes of carotid endarterectomy and carotid artery stenting at a single facility. As previous CAD and > 75% stenosis in more than two coronary artery regions as multivessel CAD, we established a history of myocardial infarction, coronary artery bypass surgery, or percutaneous coronary intervention. Conclusions: The number of cases of multivessel CAD was significantly higher in the CAS group than the CEA group, with 123 being categorized as "previous CAD" and 73 as "multivessel CAD" and 73 as "multivessel CAD. " Conclusion: Prioritizing stroke after CAS, whether new or multivessel CAD did not raise the risk of MI or death within 1 year after revascularization of carotid artery stenosis, but multivessel CAD was a risk factor for stroke after CAS.
Source link: https://doi.org/10.1161/str.45.suppl_1.wp104
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