Tag: carotid endarterectomy
Novel measure suggests 20% of elective carotid revascularizations fail to achieve...
One in five patients failed to achieve a textbook outcome after undergoing carotid endarterectomy (CEA), transcarotid artery revascularization (TCAR) or transfemoral carotid artery stenting...
CEA: The importance of doctor-patient conversations about quitting smoking for better...
A new analysis that shows current smokers who undergo carotid endarterectomy (CEA) for asymptomatic carotid stenosis are at increased risk of long-term stroke and...
SVS Vascular Quality Initiative launches Carotid Care Quality Champion program
The Society for Vascular Surgery Vascular Quality Initiative (SVS VQI) clinical registry today announced the Carotid Care Quality Champion recognition program.
The program honors healthcare...
Unmet needs and paradigm shifts: VESS scientific sessions set to plumb...
Selected research to be presented during the Wednesday afternoon, June 19, series of Vascular and Endovascular Surgery Society (VESS) Scientific Sessions (from 1:30 p.m....
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...
New survey shows transcarotid artery revascularization patients report faster recovery than...
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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...
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...
SVS urges members to make voices heard on CMS carotid stenting...
The SVS has created a template to help members transmit comments to the Centers for Medicare & Medicaid Services (CMS) regarding proposed major adjustments...
‘Sonolysis is back’ after safely reducing endarterectomy stroke risk in randomized...
Positive results from a clinical trial involving a novel therapeutic procedure known as sonolysis—deployed during a carotid endarterectomy (CEA)—were presented at the recent European...
Efforts to move towards routine patch closure or eversion endarterectomy among...
A nationwide cohort study of over 9,000 patients shows that the “controversial” practice of arteriotomy closure for carotid endarterectomy (CEA) is associated with an...
Vascular community split over ‘death’ of traditional carotid stenting
A debate between two prominent carotid interventionists—Peter Schneider, MD, professor of vascular and endovascular surgery at University of California San Francisco in San Francisco,...
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...
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...
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...
A brilliant plan to increase vascular surgeons’ income—and decrease the incidence...
I have come up with a brilliant plan that will decrease the incidence of stroke nationwide, provide an excellent source of income for vascular...
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,...
Carotid stenting demonstrates comparable short- and long-term results to endarterectomy
Pooled patient-level data from more than 2,500 asymptomatic, non-octogenarian subjects have shown that carotid artery stenting (CAS) achieved comparable short- and long-term results to...
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....
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,...
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...
Randomized trial suggests carotid endarterectomy does not affect dementia risk
Carotid endarterectomy (CEA) does not appear to either reduce or increase the risk of dementia, despite it having been shown to reduce stroke risk....
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...
Ontario registry risk model provides ‘reliable’ predictions of stroke, death following...
The Ontario carotid endarterectomy registry (OCER) model was found to be the most reliable predictor of stroke or death after carotid endarterectomy (CEA) among...
‘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...
TCAR has ‘statistically equivalent’ stroke and death outcomes to CEA, new...
Silk Road Medical has announced positive results from an independent analysis of standard surgical risk patients undergoing carotid endarterectomy (CEA) and transcarotid artery revascularization (TCAR) for atherosclerotic carotid...
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...
The top 10 most popular Vascular Specialist stories in May
A pointed letter aimed at electronic health record (EHR) behemoth Epic, an argument in favor of endovascular treatment of ruptured abdominal aortic aneurysms (rAAAs)...
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...
‘Highly implementable’ price sheet strategy sparks cost reduction in vascular procedures
A simple cost reduction strategy implemented among providers in an academic vascular surgery practice yielded data demonstrating sometimes significant cost savings—in the case of...
Hospital availability of TCAR associated with an improvement in overall outcomes...
Silk Road Medical has announced positive results from a comparative-effectiveness study involving transcarotid artery revascularization (TCAR) that was published in JAMA Network Open.
The study...
VA system delivers high quality services for veterans
Vascular surgery in the Veterans Health Administration has always been a robust service, developing into a mature specialty around the time of the Vietnam...
Cannabis use disorder linked to greater odds of perioperative myocardial infarction...
Active cannabis use disorder was associated with significantly higher odds of perioperative myocardial infarction in vascular surgery patients, researchers reveal.
Furthermore, people with the disorder...
Report: Safely executing CEA during COVID-19
A carotid endarterectomy (CEA) carried out on a 71-year-old stroke patient who tested positive for COVID-19 is highlighted in a recent case report as an...
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...