Abstract:
BACKGROUND/PURPOSE:This study analyzes the safety and efficacy of carotid angioplasty/stenting (CAS) with embolic protection devices in high surgical risk (HSR) patients. PATIENT POPULATION/METHODS: This study includes 100 consecutive HSR patients, who were followed prospectively, and had carotid duplex ultrasounds at 1 month and every 6 months thereafter. A Kaplan-Meier lifetable analysis was used to estimate survival rates, rates of freedom from stroke, and freedom from > or =50% in-stent restenosis. RESULTS:Mean age was 69.6 years. There were 59 men and 41 women. Mean follow-up was 26.1 months (range, 1-50). Indications for CAS were symptomatic > or =50% stenosis in 47% and > or =80% asymptomatic stenosis in 53%. Procedure success rate was 100%. HSR includes 33% with restenosis and cardiac comorbidity, 21% with restenosis and cardiac/medical comorbidities, 13% with restenosis only, and 33% with cardiac/medical comorbidities. The 30-day perioperative stroke rate was 2% with no perioperative deaths or MI. Stroke-free survival rates were 95%, 91%, 83%, 79%, and 73% at 1, 2, 3, and 4 years, respectively. There were no late strokes. Stroke-free rate was 98% at 1, 2, 3, and 4 years, respectively. Freedom from > or =50% in-stent restenosis was 98%, 93%, 90%, and 79% at 1, 2, 3, and 4 years, respectively. Six patients had asymptomatic > or =80% in-stent restenosis; 3 underwent reintervention (percutaneous transluminal angioplasty). The incidence of in-stent restenosis was not statistically significant between patients who had restenosis after carotid endarterectomy and patients with primary stenting (P = .21). CONCLUSIONS:CAS with embolic protection devices in HSR patients is safe and effective.
journal_name
Vasc Endovascular Surgjournal_title
Vascular and endovascular surgeryauthors
AbuRahma AF,Bates MC,Eads K,Armistead L,Flaherty SKdoi
10.1177/1538574408318477subject
Has Abstractpub_date
2008-10-01 00:00:00pages
433-9issue
5eissn
1538-5744issn
1938-9116pii
1538574408318477journal_volume
42pub_type
杂志文章abstract:PURPOSE:To understand why the false channel (FC) remains patent after surgery of type A acute aortic dissection (TAAAD). MATERIALS AND METHODS:Postoperative contrast-enhanced computed tomography scans of 129 patients operated for TAAAD were analyzed, and a color-Doppler ultrasound examination (CDUS) of the supra-aorti...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574413518611
更新日期:2014-04-01 00:00:00
abstract::This article presents a case in which covered stent-graft cuffs were used to treat a penetrating ulcer of the descending thoracic aorta. An 80-year-old woman presented with penetrating ulcer in the descending thoracic aorta. Two endovascular stent graft cuffs were used for total exclusion of the penetrating ulcer, bec...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1084713806296075
更新日期:2007-02-01 00:00:00
abstract:BACKGROUND:Tissue loss or gangrene in the setting of lower extremity peripheral artery disease (PAD) may result in amputation. Previous studies have demonstrated elevated mortality rates after major transtibial and transfemoral amputation. Also, amputation of 1 leg may be associated with subsequent major amputation of ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574413503715
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVES:After surgical or endovascular revascularization, some ischemic lesions will not heal, while some others will heal at a variable period of time from the intervention, indicating a multifactorial interaction between local and systematic "wound healing-promoting" factors. Our objective was to identify predicto...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574419868863
更新日期:2019-11-01 00:00:00
abstract::We present cases of complex, calcified iliac occlusive disease revascularized via a combined radial-femoral access strategy. Through a 6-French, 125-cm transradial guiding catheter, antegrade guidewires and catheters are advanced into the iliac occlusion, while retrograde devices are advanced transfemorally. The trans...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574418764819
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:To study the complications after cerebrospinal fluid (CSF) drainage and predictors of spinal cord ischemia (SCI) after advanced endovascular therapy with CSF drainage for complex aortic disease. METHODS:Between 2009 and 2012, 88 attempts of CSF drainage insertions/84 operations/83 patients, of the 658 operat...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574413495461
更新日期:2013-08-01 00:00:00
abstract:PURPOSE:Type A acute aortic dissection is a surgical emergency, and supra-aortic trunk involvement may be complicated by stroke in 6% to 20% of cases. A 66-year-old Caucasian female patient underwent a composite repair of the ascending aorta for type A aortic dissection. Postoperative period was complicated by episodes...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574411414301
更新日期:2011-10-01 00:00:00
abstract::This investigation was designed to determine whether minimally invasive radiofrequency or laser ablation of the saphenous vein corrects the hemodynamic impact and clinical symptoms of chronic venous insufficiency (CVI) in CEAP clinical class 3-6 patients with superficial venous reflux. Patients with CEAP clinical clas...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/153857440604000206
更新日期:2006-03-01 00:00:00
abstract::The increasing number of patients requiring hemodialysis and the limited number of access sites have resulted in an increase in multiple graft revisions to maintain access for hemodialysis. Venous outflow or anastomotic stenoses in vascular grafts tend to recur and contribute to the difficulty in maintaining a functio...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574406291803
更新日期:2006-08-01 00:00:00
abstract::Isolated external iliac vein compression syndrome is an uncommon cause of nonthrombotic venous stenosis that causes chronic venous hypertension leading to painful swelling, skin discoloration, and ulcer formation. We present a case of an 86-year old man with refractory lower extremity edema for several years who had b...
journal_title:Vascular and endovascular surgery
pub_type:
doi:10.1177/1538574420927551
更新日期:2020-08-01 00:00:00
abstract::Recanalization of an occluded iliac artery represents a technically challenging endovascular technique. Prior to attempting recanalization, the operator must have an approach in mind and understand the risks and complications associated with this endeavor. In this article, the authors provide 2 cases and review the te...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574407302848
更新日期:2007-10-01 00:00:00
abstract::Mycotic aneurysms of the internal carotid artery (ICA) are rare and often difficult to diagnose. They can have nonspecific signs and symptoms, an unclear etiology, and can lead to severe morbidity and mortality if left untreated. We present a case of a 47-year-old woman with an apparent mycotic aneurysm of the extracr...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574409340590
更新日期:2009-08-01 00:00:00
abstract::Cerebral reperfusion following carotid endarterectomy occasionally causes cerebral hyperperfusion syndrome. This is a rare but important complication and this case report acted as a stimulus for a literature review of this problem. A 60-year-old businessman had a right carotid endarterectomy for a severe stenosis whic...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/153857440203600407
更新日期:2002-07-01 00:00:00
abstract:INTRODUCTION:We report 2 cases where the Outback catheter facilitated extra-anatomical bypass after vessel perforation during attempted subintimal vessel dissection. REPORT:Attempted subintimal angioplasty of the superficial femoral artery (SFA) resulted in vessel perforation in 2 patients with chronic SFA occlusion a...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574411422959
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:To determine previous experience and results of autologous splenic vein graft repairs in traumatic superior mesenteric vein (SMV) avulsions. DESIGN OF STUDY:Systemic review was conducted for SMV trauma and methods of repair between 1897 and 2010. Articles were further analyzed for use of the splenic vein as ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574410390712
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:The carotid sheath contains clinically important and vital anatomical neurogenic, vascular, and lymphatic structures that allow for a great variety of lesions. Vascular anomalies found in the carotid sheath are rarely reported and may be easily misdiagnosed as arterial aneurysms, neurogenic tumors, paragangl...
journal_title:Vascular and endovascular surgery
pub_type:
doi:10.1177/1538574419879849
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:Regression of the residual sac is indicative of successful endovascular aortic aneurysm (EVAR) repair. Using color duplex ultrasound (CDU), we monitored the residual aneurysm sac following EVAR and correlated sac behavior with perioperative risk factors. METHODS:Of 145 patients with EVAR, 106 (73.1%) patien...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574413513846
更新日期:2014-02-01 00:00:00
abstract::Anatomical variations of the digestive system arteries are important due to their clinical significance. However, anomalies in the inferior mesenteric artery (IMA) are the least common compared with the celiac trunk and superior mesenteric artery. This report describes the case of a 67-year-old man with an extremely r...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574412445217
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVE:To examine the results of open or endovascular abdominal aortic aneurysm (AAA) repair following prior open or endovascular thoracic aortic surgery. METHODS:A retrospective review of all patients who underwent AAA repair in a delayed fashion following prior thoracic aortic surgery at a single university hospi...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574412474500
更新日期:2013-02-01 00:00:00
abstract::Abnormal aortic arch anatomy is relatively uncommon but most frequently involves an aberrant right subclavian artery. Rarely, it is associated with aneurysmal dilatation of a chronic type B dissection. Under such circumstances, the abnormal anatomy may complicate therapeutics options. Furthermore, controversy exists r...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574408328662
更新日期:2009-06-01 00:00:00
abstract::Visceral artery pseudoaneurysms are common complications of pancreatitis that carry a high mortality rate. Early detection and treatment of the pseudoaneurysms should be done as they carry high mortality following rupture. The splenic artery is the commonest artery involved followed by gastroduodenal and pancreaticodu...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574420954309
更新日期:2021-01-01 00:00:00
abstract::Aortocaval fistula is uncommon and often associated with a ruptured iliac or abdominal aortic aneurysm. It has a high mortality secondary to the aneurysmal rupture but also to a high output heart failure. Open surgery has been the standard; however, endovascular management has emerged with lower mortality. We present ...
journal_title:Vascular and endovascular surgery
pub_type:
doi:10.1177/1538574420939724
更新日期:2020-10-01 00:00:00
abstract:INTRODUCTION:Despite advances of endovascular interventions, bypass surgery remains the gold standard for treatment of long and complex arterial occlusions in the lower limb. Autologous vein is regarded superior to other options. As the graft of first choice, the great saphenous vein (GSV) is often not available due to...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574420980610
更新日期:2021-01-22 00:00:00
abstract::The aim of this study was to report the results of high-energy endovenous laser treatment to measure the relationship between the fluence and the outcome in terms of recanalization. In 97 patients, 129 great saphenous veins were treated with endovenous laser treatment, using a 980-nm diode laser. Follow-up visits were...
journal_title:Vascular and endovascular surgery
pub_type: 临床试验,杂志文章
doi:10.1177/1538574407311107
更新日期:2008-04-01 00:00:00
abstract::Reperfusion injury is the paradoxical and complex phenomenon of exacerbation of cellular dysfunction and increase in cell death after the restoration of blood flow to previously ischemic tissues. It involves biochemical and cellular changes causing oxidant production and complement activation, which culminates in an i...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574407304510
更新日期:2007-08-01 00:00:00
abstract::Coronary and peripheral angiography is associated with a low but significant risk of access site complications. While percutaneous devices have been shown to permit more rapid puncture site closure, previous reports have suggested the incidence and severity of complications associated with these devices are greater th...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/153857440203600208
更新日期:2002-03-01 00:00:00
abstract::Anomalous connections between the anterior and posterior cranial circulation are rare embryologic entities. A persistent hypoglossal artery has a reported incidence of 0.03% to 0.09% and has been linked to intracranial aneurysms, atherosclerosis, and posterior circulation ischemia. Identification of this anomaly is es...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574419859102
更新日期:2019-10-01 00:00:00
abstract::First-bite syndrome (FBS) is an infrequently encountered complication of parapharyngeal space surgery. Patients experience excruciating pain in the ipsiltateral parotid gland region at the first bite of each meal, which improves with subsequent mastication. This is thought to be due to parotid gland sympathetic denerv...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574411407084
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVES::To evaluate the effects on aortoiliac fluid dynamics after the implantation of an endograft based on endovascular aneurysm sealing (EVAS) versus endovascular aneurysm repair (EVAR) strategy. METHODS::An adaptive geometrical deformable model was used for aortic lumen segmentation in 8 patients before and af...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574418791059
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVE:A 24-hour venous duplex ultrasound (VDU) for suspected deep vein thrombosis (DVT) imposes significant resource burdens on a hospital. We hypothesize that termination of after-hours services increases empiric therapy without affecting clinical outcomes. METHODS:A retrospective review of patients evaluated by ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574410365731
更新日期:2010-07-01 00:00:00