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Author(s): Brian G Hynes , Thomas J Kiernan , Nicholas J Ruggiero , et al Added: 3 years ago
Stroke-related morbidity and mortality remain unacceptably high. Recent estimates suggest that it accounts for approximately one out of every 17 deaths in the US, and that a person dies from the direct consequences of stroke every three to four minutes.1 Of the almost 800,000 strokes that occur annually, 87% are ischaemic, the remainder occurring predominantly as a consequence of intracerebral… View more

Intervention
Author(s): Flora Kovacs , Sumaira Macdonald Added: 3 years ago
Abstract Both carotid endarterectomy (CEA) and carotid artery stenting (CAS) are associated with small, but clinically important and discrepant, rates of procedural complications, including cerebral and myocardial ischaemic events, cranial nerve injury and access site haematoma. Embolic protection devices (EPDs) may lower the rate of ipsilateral ischaemic events during CAS and are considered by… View more

Intervention
Author(s): Stefan Bertog , Marius Hornung , Jennifer Franke , et al Added: 3 years ago
Strokes are frequently devastating events with potentially fatal complications and significant disability, resulting in a major impact on the affected individual’s quality of life. It is well accepted that the presence of carotid stenosis is responsible for 20–30% of strokes.1 Great effort has therefore been invested in the search for treatments to reduce the stroke risk attributed to it… View more

Intervention
Author(s): Johan Formgren Added: 3 years ago
Since the publication of the Endarterectomy versus Angioplasty in Patients with Symptomatic Severe Carotid Stenosis (EVA-3S) and Stent-supported Percutaneous Angioplasty of the Carotid Artery versus Endarterectomy (SPACE) studies, doubts have been raised regarding the safety of carotid artery stenting (CAS) as an alternative carotid intervention to carotid endarterectomy (CEA). A recent meta… View more

Intervention
Author(s): Subbarao Myla , Sepideh Kazemi Added: 3 years ago
Insights from Carotid Artery Stenting Registries Registries tend to have less stringent inclusion and exclusion criteria than randomised trials and provide real-world data on a broad variety of patients treated by a range of interventionists of varying experience. Registries serve to provide first-time evaluation of new devices, help set up learning curve pearls, can be hypothesis-generating and… View more

Vascular Disease and Surgery

Imaging & Diagnostics
Peripheral Arterial Interventions
Author(s): Brock Cookman , Suhail Allaqaband , Tonga Nfor Added: 3 years ago
With an ageing population, the burden of peripheral artery diseases (PADs) is increasing. The treatment of these diseases has largely been performed by interventional radiologists, vascular surgeons and interventional cardiologists. In 2011, the percentage of procedures performed per specialty were 12.9 %, 45.0 % and 42.2 % for interventional radiology, vascular surgery and interventional… View more

Vascular Disease and Surgery

Intervention
Author(s): Willem IM Willaert , Isabelle Van Herzeele Added: 3 years ago
In the western world stroke is the third most common cause of death with a reported incidence of >200/100,000 persons annually.1 More than 10 % of these ischaemic strokes are attributable to atherosclerosis of the internal carotid artery.1 Large landmark trials have confirmed the effectiveness of carotid endarterectomy (CEA) for reducing the stroke risk by r emoving the embolic atherosclerotic… View more

Intervention
Author(s): Fabrizio Fanelli , Emanuele Boatta , Pierleone Lucatelli , et al Added: 3 years ago
Stroke is the third leading cause of death and permanent disability in the US and Europe. It is estimated that there are over 700,000 new cases of stroke each year in the US, of which 20–30% are thought to be secondary to carotid thromboembolic disease.1 In the last few years, carotid artery stenting (CAS) has significantly expanded as an alternative treatment to the conventional surgical carotid… View more

Prevention & Chronic Conditions
Author(s): Bahaeddin Shabaneh , Neil Strickman , Zvonimir Krajcer Added: 3 years ago
Carotid stenting has been introduced for the treatment of carotid artery stenosis as a potentially less invasive therapy than carotid endarterectomy, because carotid stenting does not require general anaesthesia and does not lead to local surgical complications. Despite major technical progress in decreasing the risk of embolisation, this risk continues to be a hurdle in the acceptance of carotid… View more

Imaging & Diagnostics

Intervention
Author(s): Fausto Castriota , Armando Liso , Giancarlo Biamino , et al Added: 3 years ago
Carotid angioplasty and stenting (CAS) is becoming a frequent therapeutic strategy for approaching severe carotid obstructive disease and is now widely accepted as a less invasive technique that provides an attractive alternative for many patients, particularly those with significant co-morbidities.1–6 From a technical standpoint, the continuous evolution of carotid stent design increases the… View more

Intervention