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Carotid Endarterectomy - DOAJ

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Last Updated: 03 September 2022

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Comparison of Subjective and Objective Assessments on Improvement in Gait Function after Carotid Endarterectomy

After carotid endarterectomy, the patient's subjective improvement in gait measured by a tri-axial accelerometer was determined by the patient. At six months after CEA, each patient undergoing CEA for ipsilateral internal carotid artery stenosis determined whether their gait was subjectively improved after CEA, as compared to preoperatively. Objective gait test scores obtained using the tri-axial accelerometer can reveal subjective gait changes after CEA.

Source link: https://doi.org/10.3390/s20226590


Limited Impact of 2 g/day Omega-3 Fatty Acid Ethyl Esters (OmacorĀ®) on Plasma Lipids and Inflammatory Markers in Patients Awaiting Carotid Endarterectomy

In patients awaiting carotid endarterectomy, the aim of this research was to determine the effects of prescription omega-3 fatty acid ethyl esters on blood pressure, plasma lipids, and inflammatory marker levels. Patients undergoing carotid endarterectomy were randomly assigned to Omacoru00ae or olive oil as placebo before surgery. Compared to placebo, the degree of triglyceride lowering with Omacoru00ae was much higher than with placebo. The Omacoru00ae group's Soluble E-selectin concentration was markedly reduced, but in the placebo group, it was significantly higher. There were no differences in blood pressure or plasma lipid and inflammatory marker concentrations between the two groups at the end of the supplementation period. Omacoru00ae treatment of patients with advanced carotid atherosclerosis gives lower triglycerides and soluble E-selectin concentrations, but has no effect on plasma lipid profile or inflammatory markers, according to the paper lipid profile or inflammatory markers.

Source link: https://doi.org/10.3390/md11093569


Intraoperative Cerebral Hemodynamic Monitoring during Carotid Endarterectomy via Diffuse Correlation Spectroscopy and Near-Infrared Spectroscopy

The aim of this pilot study is to demonstrate the feasibility of noninvasive and real-time cerebral hemodynamic monitoring after carotid endarterectomy by diffuse correlation spectroscopy and near-infrared spectroscopy. Methods: The cerebral blood flow index was measured unilaterally in seven patients and bilaterally in seventeen patients via DCS. We saw partial improvement in CBF, an increase in blood volume, and a decrease in CVR in the ipsilateral hemisphere from the initial drop. There were no significant changes in compensatory responses between various stenosis levels during the CEA period, but CAR was intact in both hemispheres during the CEA period. CBF i reveals lower ipsilateral CBF i during the CEA and post-CEA phases, according to a comparison. Conclusion: DCS alone or mixed with NIRS is a useful monitoring device for real-time assessment of cerebral hemodynamic changes in the United States and helps foster cerebral perfusion during CEA by identifying different hemodynamic parameters.

Source link: https://doi.org/10.3390/brainsci12081025


Comparison of haemodynamics in carotid endarterectomy: primary closure versus patch angioplasty

We investigated differences in haemodynamic effects between carotid arteries that underwent primary closure or patch angioplasty using computational fluid dynamics. This study included ten subjects who underwent PC, ten who underwent PA, and ten healthy controls, with ten subjects falling into 30 people. As the outflow with a rigid wall assumption, boundary conditions used patient-specific velocity profiles as the inflow and lumped parameters of the three-element Windkessel model. In a smaller to normal arteries, the PC group's carotid arteries were exposed to abnormal haemodynamic responses related to the development of atherosclerosis.

Source link: https://doi.org/10.1080/19942060.2022.2102078

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions