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The Hybrid Surgery Combined Carotid Endarterectomy And Carotid Artery Stenting Improved The Outcome Of Patients With High Risk Carotid Stenosis
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Book Synopsis THE HYBRID SURGERY COMBINED CAROTID ENDARTERECTOMY AND CAROTID ARTERY STENTING IMPROVED THE OUTCOME OF PATIENTS WITH HIGH RISK CAROTID STENOSIS by : Hiromi Wada
Download or read book THE HYBRID SURGERY COMBINED CAROTID ENDARTERECTOMY AND CAROTID ARTERY STENTING IMPROVED THE OUTCOME OF PATIENTS WITH HIGH RISK CAROTID STENOSIS written by Hiromi Wada and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Aims:The perioperative complication rate of carotid stenosis patients should be controlled in fewer than 6% of symptomatic cases and 3% of asymptomatic cases.Therefore, we evaluate various factors and select the surgical option, carotid endarterectomy (CEA) or carotid artery stenting (CAS), whichever is safer. However,in case of long carotid plaque formation, both CEA and CAS could be high risk options.Based on our clinical experience, we developed hybrid surgery combined CEA andCAS and got successful outcome.Methods:We prospectively analyzed 238 consecutive surgical cases in patients with carotid stenosis in New Tokyo Hospital, between January 2016 and December 2018. As our first option for carotid stenosis with short lesion, we choose CEA and for CEA high risk cases including re-stenosis type or long lesion type, we choose CAS.In case of long vulnerable plaque, as unusually high-risk group, we performed hybrid surgery combined CEA for vulnerable plaque part and CAS for distal or proximal part of carotid stenosis at one time.Results:We performed CEA for 185 cases, CAS for 43 cases and hybrid surgery combined CEA and CAS for 10 cases. The perioperative complication rate was 0.8% in total cases including one acute occlusion case and one postoperative bleeding case in wound area of CEA group. During postoperative 30 days, we had no cerebral infarction case or fetal case.Conclusions:We demonstrated the successful surgical outcome of carotid stenosis cases with developing hybrid surgery combined CEA and CAS.
Book Synopsis Does Carotid Endarterectomy Improve the Outcome in Patients with High-grade Carotid Artery Stenosis who Undergo Coronary Artery Bypass by : Manish Mehta
Download or read book Does Carotid Endarterectomy Improve the Outcome in Patients with High-grade Carotid Artery Stenosis who Undergo Coronary Artery Bypass written by Manish Mehta and published by . This book was released on 1994 with total page 39 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Practical Carotid Artery Stenting by : Sumaira Macdonald
Download or read book Practical Carotid Artery Stenting written by Sumaira Macdonald and published by Springer Science & Business Media. This book was released on 2010-03-11 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the management of vascular disease, there has been an inexorable drive towards less invasive endovascular treatment options. Endovascular treatment of carotid stenosis for stroke is no exception. Several sizeable multicentre trials are running concurrently, which are comparing carotid endarterectomy (CEA), the "gold standard," with the less invasive alternative, carotid stenting (CAS) for low-risk patients with symptomatic carotid stenoses who are considered to be surgical candidates. The endovascular option is in itself a newcomer but state-of-the-art CAS with regards use of all the available technical refinements, to include low-profile monorail dedicated systems with contemporary pharmacological support, is perhaps all but five years old. There is considerable interest from clinicians from a variety of clinical backgrounds and from industry in this technique and, therefore, scope for a contemporary practical guide.
Book Synopsis Carotid Artery Stenting by : Nadim Al-Mubarak
Download or read book Carotid Artery Stenting written by Nadim Al-Mubarak and published by Lippincott Williams & Wilkins. This book was released on 2004 with total page 366 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by internationally recognized experts in interventional cardiology, this comprehensive clinical reference on carotid artery stenting provides illustrated, step-by-step descriptions of techniques and details on indications, contraindications, patient selection, complications, technology, and clinical trials. The first section reviews clinical results and experience, including the CAVATAS trial findings on stroke prevention. The second section describes stenting techniques and includes information from major trials on design and application of devices. The third section presents guidelines and current regulations on establishing a carotid stenting program. The book concludes with a preview of future directions.
Book Synopsis Vascular Medicine: A Companion to Braunwald's Heart Disease by : Mark Creager
Download or read book Vascular Medicine: A Companion to Braunwald's Heart Disease written by Mark Creager and published by Elsevier Health Sciences. This book was released on 2019-05-22 with total page 963 pages. Available in PDF, EPUB and Kindle. Book excerpt: With authoritative coverage of everything from recent discoveries in the field of vascular biology to recent clinical trials and evidence-based treatment strategies, Vascular Medicine, 3rd Edition, is your go-to resource for improving your patients’ cardiovascular health. Part of the Braunwald family of renowned cardiology references, this updated volume integrates a contemporary understanding of vascular biology with a thorough review of clinical vascular diseases, making it an ideal reference for vascular medicine specialists, general cardiologists, interventional cardiologists, vascular surgeons, and interventional radiologists. Incorporates technologic advances in vascular imaging – including ultrasound, MRI, CTA, and catheter-based angiography – along with more than 230 new figures, providing an up-to-date and complete view of the vascular system and vascular diseases. Covers novel antithrombotic therapies for peripheral artery disease and venous thromboemboism, advances in endovascular interventions for aortic aneurysms, and today’s best surgical treatments for vascular diseases. Includes seven new chapters: Pathobiology of Aortic Aneurysms; Pathobiology and Assessment of Cardiovascular Fibrosis; Large Vessel Vasculitis; Medium and Small Vessel Vasculitis; Epidemiology and Prognosis of Venous Thromboembolic Disease; Fibromuscular Dysplasia; and Dermatologic Manifestations of Vascular Disease. Discusses methods for aggressive patient management and disease prevention to ensure minimal risk of further cardiovascular problems. Keeps you current with ACC/AHA and ECC guidelines and the best ways to implement them in clinical practice.
Book Synopsis Carotid Artery Stenting: The Basics by : Jacqueline Saw
Download or read book Carotid Artery Stenting: The Basics written by Jacqueline Saw and published by Springer Science & Business Media. This book was released on 2009-06-26 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past three decades, carotid artery stenting has evolved to become a promising and viable alternative to carotid endarterectomy, especially for patients deemed to have high surgical risks. In Carotid Artery Stenting: The Basics, Jacqueline Saw and a panel of international experts on carotid artery stenting discuss in depth the details of all contemporary aspects of carotid stenting, while reviewing supporting studies, guidelines, technical perspectives, and peri-procedural management. This textbook serves as a learning resource on the multifaceted management of patients with carotid artery stenosis, with the key focus on extracranial carotid artery stenting. Additional sections detail the specifics of setting up and maintaining a laboratory and discuss the preparation of the carotid artery stenting procedure from both the patient and operator’s perspective. Authoritative and highly practical, Carotid Artery Stenting: The Basics is an accessible guide and valuable resource for today’s cardiologists, radiologists, and vascular surgeons.
Book Synopsis Carotid Interventions by : Peter Schneider
Download or read book Carotid Interventions written by Peter Schneider and published by CRC Press. This book was released on 2004-08-30 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: From patient selection and monitoring to follow-up care, Carotid Interventions is the first source to offer a practical how-to approach to carotid angioplasty and stenting-providing maneuvers and strategies for difficult situations, as well as step-by-step guidance on specific surgical procedures, equipment selection and instrumentation, protection
Book Synopsis Carotid Artery Stenosis by : Seemant Chaturvedi
Download or read book Carotid Artery Stenosis written by Seemant Chaturvedi and published by CRC Press. This book was released on 2005-07-28 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: Providing a thorough overview of rapid developments in medical therapy, surgery, and angioplasty, this reference provides a complete review of carotid artery stenosis treatment, as well as a clear overview of carotid surgery and stenting. Offering chapters by seasoned authorities on epidemiology, imaging with ultrasound and angiography, cholesterol
Book Synopsis Handbook of Complex Percutaneous Carotid Intervention by : Jacqueline Saw
Download or read book Handbook of Complex Percutaneous Carotid Intervention written by Jacqueline Saw and published by Springer Science & Business Media. This book was released on 2008-08-17 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook supplements hands-on training in interventional cardiology with a specific focus on percutaneous intervention in patients with extracranial carotid artery stenosis. It carries reviews of landmark studies supporting carotid endarectomy and stenting and is a comprehensive guide to this exciting and burgeoning field.
Book Synopsis Textbook of Stroke Medicine by : Michael Brainin
Download or read book Textbook of Stroke Medicine written by Michael Brainin and published by Cambridge University Press. This book was released on 2014-09-11 with total page 425 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully revised throughout, the new edition of this concise textbook is aimed at doctors preparing to specialize in stroke care.
Book Synopsis Angioplasty in Asymptomatic Carotid Artery Stenosis Vs. Endarterectomy Compared to Best Medical Treatment: One-year Interim Results of SPACE-2 by : Tilman Reiff
Download or read book Angioplasty in Asymptomatic Carotid Artery Stenosis Vs. Endarterectomy Compared to Best Medical Treatment: One-year Interim Results of SPACE-2 written by Tilman Reiff and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Background Treatment of individuals with asymptomatic carotid artery stenosis is still handled controversially. Recommendations for treatment of asymptomatic carotid stenosis with carotid endarterectomy (CEA) are based on trials having recruited patients more than 15 years ago. Registry data indicate that advances in best medical treatment (BMT) may lead to a markedly decreasing risk of stroke in asymptomatic carotid stenosis. The aim of the SPACE-2 trial (ISRCTN78592017) was to compare the stroke preventive effects of BMT alone with that of BMT in combination with CEA or carotid artery stenting (CAS), respectively, in patients with asymptomatic carotid artery stenosis of ≥70% European Carotid Surgery Trial (ECST) criteria. Methods SPACE-2 is a randomized, controlled, multicenter, open study. A major secondary endpoint was the cumulative rate of any stroke (ischemic or hemorrhagic) or death from any cause within 30 days plus an ipsilateral ischemic stroke within one year of follow-up. Safety was assessed as the rate of any stroke and death from any cause within 30 days after CEA or CAS. Protocol changes had to be implemented. The results on the one-year period after treatment are reported. Findings It was planned to enroll 3550 patients. Due to low recruitment, the enrollment of patients was stopped prematurely after randomization of 513 patients in 36 centers to CEA (n = 203), CAS (n = 197), or BMT (n = 113). The one-year rate of the major secondary endpoint did not significantly differ between groups (CEA 2.5%, CAS 3.0%, BMT 0.9%; p = 0.530) as well as rates of any stroke (CEA 3.9%, CAS 4.1%, BMT 0.9%; p = 0.256) and all-cause mortality (CEA 2.5%, CAS 1.0%, BMT 3.5%; p = 0.304). About half of all strokes occurred in the peri-interventional period. Higher albeit statistically non-significant rates of restenosis occurred in the stenting group (CEA 2.0% vs. CAS 5.6%; p = 0.068) without evidence of increased stroke rates. Interpretation The low sample size of this prematurely stopped trial of 513 patients implies that its power is not sufficient to show that CEA or CAS is superior to a modern medical therapy (BMT) in the primary prevention of ischemic stroke in patients with an asymptomatic carotid stenosis up to one year after treatment. Also, no evidence for differences in safety between CAS and CEA during the first year after treatment could be derived. Follow-up will be performed up to five years. Data may be used for pooled analysis with ongoing trials
Book Synopsis The ESC Textbook of Cardiovascular Medicine by : A. John Camm
Download or read book The ESC Textbook of Cardiovascular Medicine written by A. John Camm and published by . This book was released on 2019 with total page 3198 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :Agency for Healthcare Research and Quality/AHRQ Publisher :Government Printing Office ISBN 13 :1587634333 Total Pages :396 pages Book Rating :4.5/5 (876 download)
Book Synopsis Registries for Evaluating Patient Outcomes by : Agency for Healthcare Research and Quality/AHRQ
Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Book Synopsis Complications in Anesthesia by : John L. Atlee
Download or read book Complications in Anesthesia written by John L. Atlee and published by Elsevier Health Sciences. This book was released on 2007-01-01 with total page 1030 pages. Available in PDF, EPUB and Kindle. Book excerpt: Practical text focuses on complications in the practice of anesthesia. Divided into sections similar to the thought processes involved in decision-making. Thumb indexing and cross-references are also included. All chapters have a case synopsis, problem analysis, and discussion of management and prevention.
Book Synopsis Management of Extracranial Cerebrovascular Disease by : Keith D. Calligaro
Download or read book Management of Extracranial Cerebrovascular Disease written by Keith D. Calligaro and published by Lippincott Williams & Wilkins. This book was released on 1997 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Atherosclerosis, Arteriosclerosis and Arteriolosclerosis by : Luigi Gianturco
Download or read book Atherosclerosis, Arteriosclerosis and Arteriolosclerosis written by Luigi Gianturco and published by BoD – Books on Demand. This book was released on 2020-05-20 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: With high morbidity and mortality rates, atherosclerosis (ATS) is a major concern worldwide. This book provides comprehensive information on ATS, including chapters on cardiovascular disease and obstructive sleep apnea, rheumatology and cardiovascular risk, and the differences of ATS among men and women. Let’s hope for the best and thank you to all my team for collaborating in this book production. In particular, thanks • to Bruno (my expert colleague) and Aurel (my secretary) for analyzing and reading with me all the texts • to Vincenzo, Stefano and Andrea for English evaluation • and finally to Rebecca (my future wife) for sustaining me in all professional activities giving me power in daily life!
Book Synopsis Diagnosis and Treatment of Aortic Diseases by : C.A. Nienaber
Download or read book Diagnosis and Treatment of Aortic Diseases written by C.A. Nienaber and published by Springer Science & Business Media. This book was released on 1999-03-31 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: Describes recent surgical techniques developed to improve prognosis in aortic diseases, and discusses recent interventional strategies such as endovascular stent-graft placement and non-surgical reconstruction of the aorta. Chapters deal with aortic dissection, aortic aneurysm, surgical treatment of aortic aneurysms and dissections, inherited disorders of the aorta, aortic trauma, aortitis, and etiology and pathology of aortic malformations. Each chapter is organized in a similar fashion, with information on demographic aspects, pathology, clinical presentation, and diagnostic and therapeutic approaches. Annotation copyrighted by Book News, Inc., Portland, OR