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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): 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): 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
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): Jennifer Franke , Horst Sievert Added: 3 years ago
After having performed angioplasty in coronary and peripheral vascular disease with excellent results, carotid angioplasty was thought to be an opportunity to simplify the treatment of carotid stenosis. Up until then there was no apparent reason to protect patients against distal embolisation. With the development of carotid angioplasty and stenting, prevention of distal embolisation of… View more

Intervention
Job title: Associate Professor of Cardiovascular Surgery
Dr Mert Dumantepe is an Associate Professor of Cardiovascular Surgery at Acibadem University School of Medicine, Turkey. He completed his graduation from Istanbul University School of Medicine, Turkey in 2001. He did a fellowship in chronic thromboembolic pulmonary hypertension and pulmonary endarterectomy and the heart transplantation and mechanical asist device programme at the University of… View more
Job title: Director
Dr AntonioP Gasparis is a Professor of Surgery, Director - Center for Vein Care, Medical Director at Non-Invasive Vascular Laboratory, Medical Director at Bellavie MedSpa, Director at Phlebology Fellowship - Stony Brook University Medical Center, Stony Brook, NY, US. Dr Gasparis obtained his medical degree from SUNY-Syracuse in 1996 and his residency in general surgery. Clinical Interests… View more
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): 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
Job title: Professor of Surgery
Dr Antonios P Gasparis ia a Professor of Surgery, Director - Center for Vein Care, Medical Director at Non-Invasive Vascular Laboratory, Medical Director at Bellavie MedSpa, Director at Phlebology Fellowship - Stony Brook University Medical Center, Stony Brook, NY, US. Dr Gasparis obtained his medical degree from SUNY-Syracuse in 1996 and his residency in general surgery. Dr Antonios… View more