Intracranial hemorrhage after carotid endarterectomy.


:Among 1500 carotid endarterectomies performed between 1975 and 1984, 11 ipsilateral intracranial hemorrhages (IH) occurred between the first and tenth postoperative days for an incidence of 0.7%. The mortality rate among these patients was 36%. The only recognizable predisposing factor was relief of high-grade carotid stenosis (greater than 90%) whereas other factors such as age (58 to 81 years), preoperative hypertension (systolic blood pressure 120 to 160 mm Hg), preoperative head CT scans showing recent infarction (only one in five positive), and preoperative cerebral infarction (only 1 of 11 patients) did not play a role. All patients had normal coagulation studies. No patient required a shunt because all tolerated cross-clamping of the carotid artery. Postoperative systolic blood pressures were 200 to 240 mm Hg in 6 of 11 patients. The time of occurrence of IH extended from the immediate postoperative period to the tenth postoperative day (mean interval 3.3 days). Treatment consisted of craniotomy in five patients; four survived and one recovered completely. Of the six patients treated nonoperatively, three survived and two completely recovered. IH shares equal incidence with recurrent thrombosis, cross-clamping ischemia, and embolization as a cause of perioperative stroke. Although all except IH can be prevented by current practice, the means of preventing IH are not apparent; however, careful monitoring of blood pressure to prevent uncontrolled hypertension deserves consideration.


J Vasc Surg


Pomposelli FB,Lamparello PJ,Riles TS,Craighead CC,Giangola G,Imparato AM


Has Abstract


1988-02-01 00:00:00














  • Endovascular repair of an infected carotid artery pseudoaneurysm.

    abstract::Pseudoaneurysm formation after carotid endarterectomy is a rare but potentially lethal complication. The risks for embolization and continued expansion necessitate repair. Traditional surgical repair of carotid pseudoaneurysms is often technically demanding, and is associated with relatively high morbidity and mortali...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Baril DT,Ellozy SH,Carroccio A,Patel AB,Lookstein RA,Marin ML

    更新日期:2004-11-01 00:00:00

  • Aortic Slimgraft: ex vivo and in vivo study.

    abstract::In this article we describe a method for assembling an endovascular graft within the aorta with a graft and then a stent introduced sequentially over a guidewire as separate components. In the ex vivo study, an endovascular graft that was 25 mm in diameter was introduced through a 9F introducer. In the in vivo study, ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Kerr AS,Osende J,Fallon JT,Badimon J

    更新日期:2001-08-01 00:00:00

  • Failure of endovascular aortoaortic tube grafts: a plea for preferential use of bifurcated grafts.

    abstract:OBJECTIVE:Aortoaortic tube graft repair was the first technique used for the endovascular treatment of abdominal aortic aneurysms (AAAs). However, progressive changes in the morphology of the distal aortic neck may be responsible for procedural failure. This study examines the use of aortoaortic tube prostheses and ana...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Faries PL,Briggs VL,Rhee JY,Burks JA Jr,Gravereaux EC,Carroccio A,Morrissey NJ,Teodorescu V,Hollier LH,Marin ML

    更新日期:2002-05-01 00:00:00

  • Secondary vascular procedures with polytetrafluoroethylene grafts for lower extremity ischemia in a male veteran population.

    abstract::Secondary vascular procedures to below-knee vessels for lower extremity ischemia present a challenge to the vascular surgeon. Autogenous vein is often unavailable and failure of the previous bypass often limits the choice of distal vessels suitable for revascularization. This dilemma raises the question of amputation ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Dennis JW,Littooy FN,Greisler HP,Baker WH

    更新日期:1988-08-01 00:00:00

  • Superficial femoral artery access for endovascular aortic repair.

    abstract:OBJECTIVE:The majority of endovascular aneurysm repair procedures are performed through the common femoral artery (CFA). Arterial access is gained by surgical cutdown or percutaneous approach. The surgical approach has a relatively high local complication rate. We describe superficial femoral artery (SFA) access as an ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Avraham E,Natour M,Obaid W,Karmeli R

    更新日期:2020-05-01 00:00:00

  • Follow-up compliance after endovascular abdominal aortic aneurysm repair in Medicare beneficiaries.

    abstract:OBJECTIVE:Lifelong imaging follow-up is essential to the safe and appropriate management of patients who undergo endovascular abdominal aortic aneurysm repair (EVAR). We sought to evaluate the rate of compliance with imaging follow-up after EVAR and to identify factors associated with being lost to imaging follow-up. ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Schanzer A,Messina LM,Ghosh K,Simons JP,Robinson WP 3rd,Aiello FA,Goldberg RJ,Rosen AB

    更新日期:2015-01-01 00:00:00

  • A systematic review and meta-analysis of endovascular and surgical revascularization techniques in acute limb ischemia.

    abstract:BACKGROUND:The initial treatment of patients with acute limb ischemia (ALI) remains undefined. The aim of this article was to compare the safety and effectiveness of catheter-driven thrombolysis (CDT) with surgical revascularization and evaluate the various fibrinolytic agents, endovascular, and pharmacochemical approa...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,meta分析


    authors: Veenstra EB,van der Laan MJ,Zeebregts CJ,de Heide EJ,Kater M,Bokkers RPH

    更新日期:2020-02-01 00:00:00

  • Acute upper limb ischemia resulting from cleidocranial dysostosis.

    abstract::A case is reported of a woman with an ischemic arm as a result of damage to the subclavian artery by the clavicular anomaly associated with cleidocranial dysostasis. Only one similar case has been reported previously. ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Qureshi KN,Lees TA,Holdsworth J

    更新日期:1997-11-01 00:00:00

  • Ruptured aneurysm of the inferior thyroid artery: repair with coil embolization.

    abstract::Although pseudoaneurysm of the thyrocervical trunk is seen with increasing frequency as a result of trauma or central venous cannulation, true aneurysm of the thyrocervical trunk is exceedingly rare. A 44-year-old woman presented with acute left neck swelling that progressed rapidly to respiratory distress and subsequ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Garrett HE Jr,Heidepriem RW 3rd,Broadbent LP

    更新日期:2005-12-01 00:00:00

  • Molecular cloning of the complementary DNA for an additional member of the family of aortic aneurysm antigenic proteins.

    abstract:PURPOSE:We have purified and partially sequenced a protein from the adventitia of the human aorta (aortic aneurysm antigenic protein 40 kDa; AAAP-40) that has homologies to bovine aortic microfibril-associated glycoprotein (MAGP-36). It is immunoreactive with immunoglobulin G (IgGs) purified from the serum and aortic w...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Hirose H,Ozsvath KJ,Xia S,Tilson MD

    更新日期:1997-08-01 00:00:00

  • Endovascular repair of a descending thoracic aortic aneurysm: a tip for systemic pressure reduction.

    abstract::A proposed technique for systemic pressure reduction during deployment of a stent graft was studied. A 67-year-old man, who had a descending thoracic aneurysm, was successfully treated with an endovascular procedure. An occluding balloon was introduced into the inferior vena cava (IVC) through the femoral vein. The ba...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Hata M,Tanaka Y,Iguti A,Saito H,Ishibashi T,Tabayashi K

    更新日期:1999-03-01 00:00:00

  • Visceral stent patency after fenestrated endovascular aneurysm repair using bare-metal stent extensions versus covered stents only.

    abstract:OBJECTIVE:Fenestrated endovascular aneurysm repair (FEVAR) is an alternative to treat complex abdominal aortic aneurysms. Patency of visceral vessels remains high when covered stents are used. The use of distal uncovered stents to prevent kinking has been associated with loss of branch patency. The aim of this study wa...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Khoury MK,Timaran DE,Knowles M,Timaran CH

    更新日期:2020-01-01 00:00:00

  • Lateral approach to the popliteal artery.

    abstract::Techniques for exposure of the popliteal artery via lateral approaches above and below the knee are described. These techniques were used successfully in 21 patients who required secondary arterial reconstructions in the presence of extensive scarring, infection, or both in the standard medial access routes. ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Veith FJ,Ascer E,Gupta SK,Wengerter KR

    更新日期:1987-08-01 00:00:00

  • Development of a risk prediction model for transfusion in carotid endarterectomy and demonstration of cost-saving potential by avoidance of "type and screen".

    abstract:OBJECTIVE:Preoperative testing for carotid endarterectomy (CEA) often includes blood typing and antibody screen (T&S). In our institutional experience, however, transfusion for CEA is rare. We assessed transfusion rate and risk factors in a national clinical database to identify a cohort of patients in whom T&S can saf...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Stangenberg L,Curran T,Shuja F,Rosenberg R,Mahmood F,Schermerhorn ML

    更新日期:2016-12-01 00:00:00

  • Defining the threshold surgeon volume associated with improved patient outcomes for carotid endarterectomy.

    abstract:OBJECTIVE:The outcomes for common vascular operations, such as carotid endarterectomy (CEA), are associated with surgeon volume. However, the number of operations associated with an improved stroke or death rate for CEA is not known. The objective of the current study was to define the annual surgeon volume of CEAs tha...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,多中心研究


    authors: Modrall JG,Tsai S,Ramanan B,Kirkwood ML,Ali M,Rectenwald JE,Timaran CH,Rosero EB

    更新日期:2020-07-01 00:00:00

  • Closed incision negative pressure wound therapy may decrease wound complications in major lower extremity amputations.

    abstract:OBJECTIVE:Wound complications after major lower extremity amputations (LEAs) are a cause of significant morbidity in vascular surgery patients. Recent publications have demonstrated the efficacy of the closed incision negative pressure dressing at preventing surgical site infections (SSIs); however, there are few data ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Chang H,Maldonado TS,Rockman CB,Cayne NS,Berland TL,Barfield ME,Jacobowitz GR,Sadek M

    更新日期:2020-07-21 00:00:00

  • Mortality rates and mortality predictors in patients with symptomatic peripheral artery disease stratified according to age and diabetes.

    abstract:OBJECTIVE:Atherosclerotic peripheral arterial disease (PAD) is one of the most prevalent, morbid, and mortal diseases. The aim of this study was to evaluate mortality rates of patients with atherosclerotic PAD stratified according to age and diabetes and to determine predictors of death. METHODS:We studied 487 patient...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Mueller T,Hinterreiter F,Luft C,Poelz W,Haltmayer M,Dieplinger B

    更新日期:2014-05-01 00:00:00

  • Feasibility and validity of self-reported walking capacity in patients with intermittent claudication.

    abstract:OBJECTIVE:The primary aim of this study was to assess if self-reported measures of walking limitation correlate better with a community-based assessment of maximum walking distance (MWD) than they do with laboratory-based tests in patients with intermittent claudication. A secondary aim was to examine the effect of pri...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Tew G,Copeland R,Le Faucheur A,Gernigon M,Nawaz S,Abraham P

    更新日期:2013-05-01 00:00:00

  • Treatment of portal venous thrombosis with selective superior mesenteric artery infusion of recombinant tissue plasminogen activator.

    abstract::Portal and mesenteric venous thrombosis is an uncommon condition that is usually treated with systemic anticoagulation. Catheter-directed thrombolysis via the superior mesenteric artery may be a viable adjunct to treatment of this potentially morbid condition. We present a case of portal and mesenteric venous thrombos...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Henao EA,Bohannon WT,Silva MB Jr

    更新日期:2003-12-01 00:00:00

  • Minimal physiologic temperature variations during renal ischemia alter functional and morphologic outcome.

    abstract::Aortic and renal vascular reconstruction often involve significant renal ischemia. Profound hypothermia during renal ischemia preserves renal tissue. However, in the clinical setting of vascular reconstruction specific attempts at cooling the kidney are often impractical, and renal ischemia frequently occurs at physio...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Pelkey TJ,Frank RS,Stanley JJ,Frank TS,Zelenock GB,D'Alecy LG

    更新日期:1992-04-01 00:00:00

  • Supraclavicular reoperation for neurogenic thoracic outlet syndrome.

    abstract::Thirty-nine reoperations in 38 patients with recurrent symptoms of neurogenic thoracic outlet syndrome were performed by the supraclavicular approach. Scarring around the brachial plexus was the primary cause in 59% of procedure, whereas in 41% of reoperations residual osseous and soft tissue anomalies were identified...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Cheng SW,Stoney RJ

    更新日期:1994-04-01 00:00:00

  • Mandibular subluxation for distal internal carotid artery exposure in edentulous patients.

    abstract::Four patients with high internal carotid artery (ICA) occlusive disease were indicated for surgical endarterectomy and needed additional exposure besides regular head rotation and extension. When indicated, in our clinic this is usually achieved by mandibular subluxation with interdental wiring. Due to dental wear and...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Jaspers GW,Witjes MJ,van den Dungen JJ,Reintsema H,Zeebregts CJ

    更新日期:2009-12-01 00:00:00

  • Urine hemosiderin: a novel marker to assess the severity of chronic venous disease.

    abstract:OBJECTIVE:Impaired venous drainage in severe chronic venous insufficiency (CVI) leads to microcirculatory overload, characterized by erythrocyte diapedesis and subsequent extravascular hemolysis, resulting in typical dermal hemosiderin deposition. We hypothesized that hemosiderin, normally absent, could be present in t...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Zamboni P,Izzo M,Fogato L,Carandina S,Lanzara V

    更新日期:2003-01-01 00:00:00

  • Aortic curvature as a predictor of intraoperative type Ia endoleak.

    abstract:OBJECTIVE:Hostile infrarenal neck characteristics are associated with complications such as type Ia endoleak after endovascular aneurysm repair. Aortic neck angulation has been identified as one such characteristic, but its association with complications has not been uniform between studies. Neck angulation assumes tri...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章,多中心研究


    authors: Schuurmann RC,Ouriel K,Muhs BE,Jordan WD Jr,Ouriel RL,Boersen JT,de Vries JP

    更新日期:2016-03-01 00:00:00

  • Mesenteric and celiac duplex scanning: a validation study.

    abstract:PURPOSE:To validate the accuracy of previously established duplex ultrasound criteria for > or =50% superior mesenteric artery (SMA) and celiac artery (CA) stenosis by comparison with arteriography. METHODS:Duplex criteria established retrospectively in our laboratory in 1991 identified an end-diastolic velocity (EDV)...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Zwolak RM,Fillinger MF,Walsh DB,LaBombard FE,Musson A,Darling CE,Cronenwett JL

    更新日期:1998-06-01 00:00:00

  • The 10-year outcomes of a regional abdominal aortic aneurysm screening program.

    abstract:OBJECTIVE:In 2007, Medicare established ultrasound screening guidelines to identify patients at risk for abdominal aortic aneurysm (AAA). The purpose of this study was to evaluate AAA diagnosis rates and compliance with screening during 10 years (2007-2016) of the Screen for Abdominal Aortic Aneurysms Very Efficiently ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Chun KC,Dolan KJ,Smothers HC,Irwin ZT,Anderson RC,Gonzalves AL,Lee ES

    更新日期:2019-10-01 00:00:00

  • Determining who trains vascular surgery fellows in endovascular techniques.

    abstract:OBJECTIVES:Vascular surgery training has evolved from a single clinical year after general surgery training to a multi-year training program to encompass such entities as noninvasive vascular laboratory, office-based procedures, and endovascular techniques. Simultaneously, members of the vascular surgery community have...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Reed AB,Rhodes R,Ricotta J

    更新日期:2010-03-01 00:00:00

  • Bovine carotid artery biologic graft outperforms expanded polytetrafluoroethylene for hemodialysis access.

    abstract:OBJECTIVE:Arteriovenous grafts remain reliable substitutes for permanent hemodialysis access in patients without a suitable autogenous conduit. Advances in conduit design and endovascular management of access-related complications question the preference for synthetic conduits over biologic grafts in contemporary pract...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Arhuidese I,Reifsnyder T,Islam T,Karim O,Nejim B,Obeid T,Qazi U,Malas M

    更新日期:2017-03-01 00:00:00

  • Radiation exposure to operating room personnel and patients during endovascular procedures.

    abstract:OBJECTIVE:To characterize radiation exposure to patients and operating room personnel during fluoroscopic procedures. METHODS:Patient dose information was collected from the imaging equipment. Real-time dosimetry was used to measure doses to the operators, scrub nurse, radiologic technologist (RT), and anesthesiologis...

    journal_title:Journal of vascular surgery

    pub_type: 临床试验,杂志文章


    authors: Mohapatra A,Greenberg RK,Mastracci TM,Eagleton MJ,Thornsberry B

    更新日期:2013-09-01 00:00:00

  • Regional variation in patient outcomes in carotid artery disease treatment in the Vascular Quality Initiative.

    abstract:OBJECTIVE:Quality metrics were developed to improve outcomes after carotid artery revascularization; however, few studies have evaluated regional differences in perioperative outcomes. This study aimed to evaluate regional variation in mortality and perioperative outcomes after carotid endarterectomy (CEA) and carotid ...

    journal_title:Journal of vascular surgery

    pub_type: 杂志文章


    authors: Shean KE,O'Donnell TFX,Deery SE,Pothof AB,Schneider JR,Rockman CB,Nolan BW,Schermerhorn ML,Society for Vascular Surgery Vascular Quality Initiative.

    更新日期:2018-09-01 00:00:00