scholarly journals Carotid endarterectomy with vein patch angioplasty for radiation induced symptomatic carotid atherosclerosis

1991 ◽  
Vol 14 (3) ◽  
pp. 419
Keyword(s):  
Carotid Endarterectomy ◽  
Carotid Atherosclerosis ◽  
Symptomatic Carotid ◽  
Patch Angioplasty ◽  
Radiation Induced

Surgery for Radiation-Induced Symptomatic Carotid Atherosclerosis

1989 ◽  
Vol 3 (1) ◽  
pp. 14-19 ◽  
Author(s):  
John W. Francfort ◽  
John F. Gallagher ◽  
Emily Penman ◽  
Ronald M. Fairman
Keyword(s):  
Carotid Atherosclerosis ◽  
Symptomatic Carotid ◽  
Radiation Induced

Angioplastica carotidea

1998 ◽  
Vol 11 (4) ◽  
pp. 431-442 ◽  
Author(s):  
M. Puglioli ◽  
R. Padolecchia ◽  
P.L. Collavoli ◽  
G. Parenti ◽  
G. Orlandi ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
North American ◽  
Carotid Atherosclerosis ◽  
Sono State ◽  
Carotid Surgery ◽  
Asymptomatic Carotid ◽  
Symptomatic Carotid ◽  
Sono Stati ◽  
Surgery Trial

L'endoarteriectomia, come confermano i risultati degli studi multicentrici NASCET (North American Symptomatic Carotid Endarterectomy Trial), ECST (European Carotid Surgery Trial) ed ACAS (Asymptomatic Carotid Atherosclerosis Study), rappresenta il trattamento di elezione delle stenosi aterosclerotiche interessanti il distretto extracranico dell'arteria carotide, sia nei pazienti sintomatici (stenosi > 70%) che asintomatici (stenosi > 60%). L'intervento chirurgico è gravato da un rischio cumulativo di morbilità-mortalità (stroke/morte) che il NASCET, l'ECST e l'ACAS segnalano, rispettivamente, nel 5,8%, 7,5% e 2,3%, insieme ad altre possibili complicanze: infarto miocardico (0,9%), paralisi di nervi cranici (7,6%), ematoma del collo (5,5%), infezioni (3,4%). Qualora, per ragioni cliniche od anatomiche, il rischio chirurgico sia troppo elevato, come nei pazienti cardiopatici, diabetici, con insufficienza polmonare o renale, con restenosi, con stenosi post-attiniche o fibrodisplastiche, con stenosi carotidee prossimali o distali, con lesioni «tandem», l'angioplastica transluminale percutanea (PTA) e/o lo Stenting carotideo possono rappresentare una valida alternativa terapeutica all'endoarteriectomia. In questo articolo presentiamo la nostra casistica relativa a 41 procedure (36 PTA; 5 Stenting), eseguite su 33 pazienti negli ultimi due anni. I trattamenti sono stati rivolti a 28 arterie carotidi interne, 4 arterie carotidi esterne, 2 arterie carotidi comuni, 2 tronchi anonimi; gli stents sono stati rilasciati in 4 arterie carotidi interne e in 1 arteria carotide comune. Le procedure regolarmente portate a termine sono state 37 (32 PTA; 5 Stents), con un ottimo risultato anatomico in 36 casi. Nei controlli a 6 mesi abbiamo riscontrato una ristenosi (< 60%), asintomatica. In questo articolo illustriamo il nostro protocollo, gli insuccessi tecnici, i risultati e le complicanze.

scholarly journals Carotid angioplasty and stenting for recurrent and radiation-induced stenosis: preliminary experience

1998 ◽  
Vol 5 (4) ◽  
pp. E16 ◽  
Author(s):  
Ronald P. Benitez ◽  
Rocco A. Armonda ◽  
James Harrop ◽  
Jeffrey E. Thomas ◽  
Robert H. Rosenwasser
Keyword(s):  
Carotid Endarterectomy ◽  
Stent Placement ◽  
Carotid Bifurcation ◽  
Occlusive Disease ◽  
Surgical Patient ◽  
Carotid Angioplasty ◽  
Asymptomatic Group ◽  
Symptomatic Carotid ◽  
Radiation Induced

Carotid endarterectomy for atherosclerotic occlusive disease has become the standard of care for the treatment of symptomatic and asymptomatic occlusive disease of the carotid bifurcation, based on the results of the North American Symptomatic Carotid Endarterectomy Trial, as well as the Asymptomatic Carotid Atherosclerosis Study. For surgical treatment to be of benefit, the perioperative complication rate for neurological events should be 6% or less in the symptomatic population and 3% or less in the asymptomatic group. The performance of carotid endarterectomy for recurrent stenosis and radiation-induced stenosis has reported neurological events ranging from 4 to 10%. It is in this particular population that carotid angioplasty and stent placement may play a role. The authors performed a retrospective analysis of 11 patients who underwent carotid angioplasty and stent placement for recurrent or radiation-induced stenosis. One patient in whom endarterectomy was performed by the vascular surgery service had a critical stenosis distal to the endarterectomy site and awoke with a neurological deficit. This patient underwent reexploration and placement of a stent in the artery distal to the arteriotomy site. The follow-up period ranged from 7 to 12 months. Patient age ranged from 65 to 77 years (mean 75 years). Five of eight patients underwent angioplasty and stent placement for recurrent atherosclerotic disease. Two patients had radiation-induced stenosis, and one patient had a stent placed intraoperatively. All patients, with the exception of the one who underwent intraoperative stent placement, had posttreatment stenoses of less than 15%. The surgical patient had a 30% residual stenosis distally. There were no intra- or postoperative transient ischemic attacks, major or minor strokes, or deaths. Patients who have recurrent or radiation-induced stenosis are potential candidates for angioplasty and stent placement. Before this can be recommended as an alternative to surgical correction, a longer follow-up period is required.

scholarly journals Patch Angioplasty or Primary Closure Following Carotid Endarterectomy for Symptomatic Carotid Artery Stenosis

2018 ◽  
Vol 04 (02) ◽  
pp. e96-e101 ◽  
Author(s):  
Eline Huizing ◽  
Cornelis Vos ◽  
Robin Hulsebos ◽  
Peter van den Akker ◽  
Gert Borst ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Primary Closure ◽  
Group Versus ◽  
Patient Characteristics ◽  
Symptomatic Carotid ◽  
Patch Angioplasty ◽  
Eversion Endarterectomy ◽  
Patch Closure ◽  
Symptomatic Stenosis

Objectives Guidelines recommend routine patching to prevent restenosis following carotid endarterectomy, mainly based on studies performed many years ago with different perioperative care and medical treatment compared with current standards. Aim of the present study was to compare primary closure (PRC) versus patch closure (PAC) in a contemporary cohort of patients. Methods Consecutive patients treated by carotid endarterectomy for symptomatic stenosis between January 2006 and April 2016 were retrospectively analyzed. Primary outcome was restenosis at 6 weeks and 1 year and occurrence of ipsilateral stroke. Secondary outcomes were mortality, complications, and reintervention rates. Results Five hundred carotid artery endarterectomies were performed. Fifty-nine patients were excluded because eversion endarterectomy was performed or because they were asymptomatic. PRC was performed in 349 and PAC in 92 patients. Restenosis at 6 weeks was 6.0% in the PAC group versus 3.0% in the PRC group (p = 0.200). Restenosis at 1 year was 31.6 versus 14.1%, respectively (p = 0.104). No difference was found for stroke (3.4 vs 1.1%, p = 0.319), death (1.1 vs 0.0%, p = 0.584), or other complications (1.1 vs 0.0%, p = 0.584), respectively. Conclusions It remains unclear whether routine patching should be recommended for all patients. A strategy of selective patching compared with routine patching, based on internal carotid artery diameter and other patient characteristics, deserves further investigation.

Raised MCP-4 levels in symptomatic carotid atherosclerosis: an inflammatory link between platelet and monocyte activation

2010 ◽  
Vol 86 (2) ◽  
pp. 265-273 ◽  
Author(s):  
Unni M. Breland ◽  
Annika E. Michelsen ◽  
Mona Skjelland ◽  
Lasse Folkersen ◽  
Kirsten Krohg-Sørensen ◽  
...  
Keyword(s):  
Carotid Atherosclerosis ◽  
Monocyte Activation ◽  
Symptomatic Carotid

scholarly journals Durability of eversion carotid endarterectomy: Comparison with primary closure and carotid patch angioplasty

2001 ◽  
Vol 34 (3) ◽  
pp. 453-458 ◽  
Author(s):  
Tony Katras ◽  
Ulises Baltazar ◽  
Daniel S. Rush ◽  
W.Chris Sutterfield ◽  
Leo M. Harvill ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
Primary Closure ◽  
Patch Angioplasty

scholarly journals Carotid Artery Pseudoaneurysm after Carotid Endarterectomy and Bovine Pericardial Patch Angioplasty: Case Report

EJVES Extra ◽  
2011 ◽  
Vol 22 (6) ◽  
pp. e67-e69
Author(s):  
S. Parsapour Moghadam ◽  
S. Kumar ◽  
R.K. Fisher ◽  
J.A. Brennan
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Pericardial Patch ◽  
Artery Pseudoaneurysm ◽  
Bovine Pericardial Patch ◽  
Patch Angioplasty
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