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‘TCAR yields high technical success with an extraordinarily low stroke and death rate at one year’
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 2 trial showed a 97.4% rate of technical success, no incidences of ipsilateral stroke and a…
TCAR may be associated with favorable outcomes in restenotic carotid lesions, study suggests
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 study that also evaluated in-hospital outcomes of transfemoral carotid artery stenting (TFCAS) and redo-CEA. Writing in…
TCAR has ‘statistically equivalent’ stroke and death outcomes to CEA, new study finds
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 disease. The data were presented at the Society for Vascular Surgery (SVS) 2021 Vascular Annual Meeting…
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 is the conclusion set to be presented by Kevin S. Yei, BS, of the University of…
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) and the first-ever Corner Stitch column were among the best-read stories here on the Vascular Specialist…
TCAR vs CEA: Research shows fewer myocardial infarctions after TCAR with use of general anesthesia
A Vascular Quality Initiative (VQI) analysis uncovered a reduction in the risk of myocardial infarction after transcarotid artery revascularization (TCAR) compared to carotid endarterectomy (CEA) when general anesthesia is used—an observation mainly found in patients with symptomatic carotid artery stenosis.…
‘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 common femoral endarterectomy of nearly 70%. The researchers behind the study found significant savings made across…
Hospital availability of TCAR associated with an improvement in overall outcomes for carotid revascularization
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 found the availability of TCAR at a hospital was associated with a significant decrease in…
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 conflict. Over the years, many have called into question the quality of care within the Veterans…
Cannabis use disorder linked to greater odds of perioperative myocardial infarction in vascular surgery patients
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 were far likelier to have an acute perioperative stroke diagnosis when undergoing carotid endarterectomy, according…