Tag: Carotid disease
New analysis points to lack of vascular surgical voices in news...
A new study set to be aired at the 2024 Society for Clinical Vascular Surgery (SCVS) annual meeting (March 16–20) in Scottsdale, Arizona, sheds...
Vascular Specialist–March 2024
In this issue:
Learning curve: New data underscore physician experience levels required to derive benefit from transfemoral carotid artery stenting
New analysis points to...
Single-center analysis suggests improved longer-term outcomes with endarterectomy versus TCAR
A large, single-center analysis has found that, despite parity between the two procedures in terms of perioperative clinical outcomes, carotid endarterectomy (CEA) was associated...
Carotid stenting rebuttal: Those who live in glass houses…
Christopher J. White, MD, responds to a recent editorial by Malachi Sheahan III, MD, that took a critical look at the decision by the...
‘There is no reliable way to measure carotid stenosis—methods have changed...
The recent move to expand Medicare coverage of carotid stenting formed the basis of a recent debate over the wisdom of the decision taken...
New survey shows transcarotid artery revascularization patients report faster recovery than...
This advertorial is sponsored by Silk Road Medical.
For Scott Berman, MD, patient responses when confronted with an explanation of the extent of their asymptomatic...
Carotid disease: Getting to the right decision
The recent move by the Centers for Medicare & Medicaid Services (CMS) to expand coverage for carotid artery stenting brought with it the requirement...
CMS confirms broadened Medicare coverage of carotid artery stenting in final...
The Centers for Medicare & Medicaid Services (CMS) has released its final decision regarding National Coverage Determination (NCD) 20.7 covering carotid artery stenting (CAS),...
From the editor: Sex, lies, and carotid stents
First, a disclaimer. This commentary is woefully short of sex-related content. Not even the wholesome gender-based outcomes stuff. So, if that key term brought...
Enrollment of first patient in Neuroguard carotid stent system trial announced
Contego Medical has announced enrollment of the first patient in the prospective, multicenter PERFORMANCE III trial aimed at further evaluating the safety and effectiveness of the...
EVS 2023: New data chart underrepresentation of women at the head...
The underrepresentation of women vascular surgeons in national clinical trial leadership formed the central theme of data coming out of a new study that...
George Lavenson, Vietnam and Gulf War veteran, advocate for carotid disease...
George S. Lavenson Jr., lovingly referred to as “Doc” by his many friends, died Saturday, Aug. 19, 2023, on the beautiful island of Maui,...
SVS responds to CMS proposed coverage expansion for carotid stenting
The Society for Vascular Surgery (SVS) and its affiliated Patient Safety Organization (PSO)/Vascular Quality Initiative (VQI) have submitted a formal response to the Centers...
Comments sought on CMS proposed coverage expansion for carotid stenting
SVS members are encouraged to submit comments—due Aug. 10—to the Centers for Medicare & Medicaid Services (CMS) on its proposed national coverage determination on...
Carotid revascularization capable of improving mood in depressed patients with carotid...
A prospective study has demonstrated that carotid intervention can improve mood in depressed patients with advanced carotid disease, in addition to enabling cognitive improvements...
Initial case series indicates lithotripsy can help TCAR expand into high-risk...
Lithotripsy may hold the key to enabling more carotid artery disease patients who require calcification treatment to undergo stent placement via a transcarotid artery...
SCVS 2023: DAPT linked to better post-TCAR outcomes versus other drug...
Recent data presentations have revealed reduced risks of stroke and mortality among transcarotid artery revascularization (TCAR) patients who receive dual antiplatelet therapy (DAPT)—both preoperatively...
DAPT linked to better post-TCAR outcomes versus other drug regimens
Dual antiplatelet therapy (DAPT) has demonstrated improved clinical outcomes, including reduced in-hospital stroke and mortality risks, compared to other medication regimens in carotid disease...
Analysis finds no difference in TCAR outcomes between academic, community hospitals
A new study found no difference in perioperative outcomes and incidence of adverse events at follow-up after transcarotid artery revascularization (TCAR) between academic and...
The case for aggressive intervention on symptomatic carotid web
The lead investigator behind new research from a center in Louisiana outlines how his new study—believed to be the largest single-institution analysis of symptomatic...
Vascular Specialist–February 2023
In this issue:
Educate, and educate, and educate again: The continuing quest for appropriate venous care (p. 1 and 6)
Likes, dislikes and reposts:...
Equivalency to clinical practice ‘varies considerably’ across recent carotid intervention trials
The transferability to real-world clinical practice of contemporary randomized controlled trials (RCTs) investigating carotid artery stenosis interventions “varies considerably,” according to a recent analysis...
Sex found to be ‘important variable’ in study and treatment of...
A systematic review and meta-analysis have demonstrated “convincing evidence” that sex differences exist in carotid atherosclerosis, with all types of plaque features—including those relating...
CEA, TCAR ‘continue to show superior outcomes’ to transfemoral stenting
Researchers led by a vascular team in Indianapolis found that carotid endarterectomy (CEA) remains the most-used strategy in carotid revascularization, with CEA and transcarotid...
TCAR: First patient enrolled in ROADSTER 3 post-approval study
Silk Road Medical has announced enrollment of the first patient in ROADSTER 3, which the company claims is the the first prospective, multicenter, single-arm...
The top 10 most popular Vascular Specialist stories of August 2022
The top 10 most-read stories on the Vascular Specialist website in August included a look at the state of diversity, equity and inclusion (DEI)...
Female sex ‘should be considered an independent risk factor’ for new...
A preliminary report lends evidence to support female sex being considered as an independent risk factor for new stroke occurrence after carotid revascularization in...
Study of post-carotid endarterectomy surveillance prompts protocol discussion
The results of an analysis of nearly 2,000 carotid endarterectomies (CEAs) “challenge the notion” that patients benefit significantly from the current post-operative surveillance guidelines,...
Low rate of new white lesions detected after TCAR using diffusion-weighted...
New white lesions are not a common occurrence in patients who have undergone transcarotid artery revascularization (TCAR), a study in which patients were assessed...
Silk Road to evaluate TCAR in standard surgical risk patients with...
Silk Road Medical today announced a post-market study to evaluate the transcarotid artery revascularization (TCAR) system in the treatment of standard surgical risk patients...
Early TCAR results in higher ipsilateral postoperative stroke rates when compared...
Adham Elmously, MD, a fellow at New York Presbyterian Hospital, New York, is set to present outcomes of early transcarotid artery revascularization (TCAR) vs....
SVS has patient resources and guidelines on strokes
May was Stroke Awareness Month, and the Society for Vascular Surgery (SVS) and SVS Foundation offer educational resources for Society members to provide as...
A new pathway for preventing dementia?
Craig Weinkauf, MD, is leading a trial looking into a connection between Alzheimer's and carotid stenosis. ‘We want to try to quantify the brain:...
Research indicates low stroke risk and benefit of medication alone in...
The risk of having a future stroke caused by asymptomatic carotid stenosis is “so low” that most patients with this condition could potentially be treated with...
Expanded Medicare coverage for TCAR in standard surgical risk patients...
Silk Road Medical today announced that the Centers for Medicare and Medicaid Services (CMS), through collaboration with the Society of Vascular Surgery's Patient Safety...
Silent coronary ischemia: FFRCT reduces cardiac death, myocardial infarction in carotid...
Diagnosis of silent, or unsuspected, coronary ischemia in patients undergoing carotid endarterectomy (CEA) using fractional flow reserve-computed tomography (FFRCT), with selective postoperative coronary revascularization,...
ESVS publishes 2023 guidelines on management of atherosclerotic carotid and vertebral...
The European Society for Vascular Surgery (ESVS) has just released 2023 clinical practice guidelines on the management of atherosclerotic carotid and vertebral artery disease. The...
FDA approves expanded indications for TCAR’s Enroute stent
The Food and Drug Administration (FDA) approved expanded indications for the Enroute stent system—part of the transcarotid artery revascularization (TCAR) procedure—to include patients at...
Increased market competition linked to higher odds of revascularization among asymptomatic...
A vascular surgery research team with a growing reputation for its work investigating appropriateness in care in the peripheral vascular bed recently uncovered an...
Worldwide TCAR analysis provides ‘roadmap’ to evaluate future training approaches
An analysis of the worldwide experience of transcarotid artery revascularization (TCAR) has produced key objective proficiency metrics and an analytic framework to assess adequate...
Study highlights need to extend scope of cerebrovascular health disparities research
A new research letter in Stroke outlines use of the novel National Institutes of Health (NIH) All of Us research program dataset of diverse...
VESS 2022: Novel use of TCAR to treat complex brachiocephalic disease...
A "unique" case series of patients undergoing transcarotid artery revascularization (TCAR) in which the system was put to novel use for proximal intervention or...
TCAR affords greater quality-adjusted life years than carotid endarterectomy, cost-effectiveness model...
A cost-effectiveness model based on peer-reviewed sources suggests that although five-year costs for transcarotid artery revascularization (TCAR) were higher than those for carotid endarterectomy (CEA), TCAR afforded...
SVS issues new guidelines covering carotid disease and popliteal aneurysms
The Society for Vascular Surgery (SVS) has released updated clinical practice guidelines for the management of extracranial cerebrovascular disease and popliteal artery aneurysms in...
Canadian Vascular: Spin in RCTs
A large proportion of statistically nonsignificant randomized controlled trials (RCTs) yielded interpretations that were inconsistent with their results, according to an analysis of 31...
The top 10 most popular Vascular Specialist stories in September
Five-year data from the ACST-2 trial comparing carotid endarterectomy and carotid artery stenting, a report from the Crawford Forum at the 2021 Vascular Annual...
‘TCAR yields high technical success with an extraordinarily low stroke and...
Outcomes in a cohort of patients who consented to one year of follow-up after transcarotid revascularization (TCAR) treatment for carotid stenosis in the ROADSTER...
TCAR may be associated with favorable outcomes in restenotic carotid lesions,...
Transcarotid artery revascularization (TCAR) may be associated with favorable in-hospital outcomes for the treatment of restenotic carotid lesions after carotid endarterectomy (CEA), suggests a...
Five-year ACST-2 results: Carotid artery surgery and stenting have similar long-term...
Carotid artery surgery and stenting have comparable long-term effects on fatal or disabling stroke in asymptomatic patients with severe carotid artery stenosis. That is the finding of...
Females were 30% less likely to undergo surgery for PAD, national...
A review of more than 1 million patients receiving vascular surgery over a 16-year period identified significant sex-related disparities in the treatment of abdominal...
Carotid endarterectomy shows ‘improved long-term durability’ over transfemoral carotid artery stenting
An increased postoperative stroke rate associated with transfemoral carotid artery stenting “seems to extend up to five years’ follow-up” compared to carotid endarterectomy. This...
SVS releases updated clinical practice guidelines covering carotid disease
The Society for Vascular Surgery (SVS) has released updated clinical practice guidelines accompanied by an implementation document on the management of patients with extracranial...
A lifetime of achievement: Former SVS president looks back on career...
The first time Bruce A. Perler, MD, attended the Southern Association for Vascular Surgery (SAVS) annual meeting, he was a young faculty member who...
TCAR vs CEA: Research shows fewer myocardial infarctions after TCAR with...
A Vascular Quality Initiative (VQI) analysis uncovered a reduction in the risk of myocardial infarction after transcarotid artery revascularization (TCAR) compared to carotid endarterectomy...
SVS solicits comments on clinical practice guidelines covering carotid disease
The Society for Vascular Surgery (SVS) is seeking comments by Feb. 24 on proposed clinical practice guidelines for the management of extracranial cerebrovascular disease—which...
Study: The ‘successful’ operation of TCAR in a community practice setting
A research team in Dallas demonstrated the successful operation of transcarotid artery revascularization (TCAR) in a community practice setting, reporting results in line with...
Unveiling an AI-driven risk stratification tool to attain better stroke prediction
It’s one of the most intractable areas of focus in all of vascular disease, and the source of—inarguably, Brajesh K. Lal, MBBS, emphasizes—the most...
‘Risk prediction models can be used for targeted screening for asymptomatic...
Most prediction models can “reliably” identify individuals at high risk of significant asymptomatic carotid stenosis (ACS), a new study shows.
Michael H. F. Poorthuis, MD,...
Patients with asymptomatic severe carotid stenosis may be successfully managed medically,...
STEAMBOAT SPRINGS, Colo.—High-risk patients with asymptomatic severe carotid stenosis may be successfully managed medically, delegates at the winter meeting of the Vascular & Endovascular...