Cervical carotid revascularization: the role of angioplasty with stenting

2005 ◽  
Vol 16 (2) ◽  
pp. 263-278 ◽  
Author(s):  
Ricardo A. Hanel ◽  
Elad I. Levy ◽  
Lee R. Guterman ◽  
L. Nelson Hopkins
Keyword(s):  
Carotid Revascularization

Cerebral vasoconstriction following CEA and the role of conventional cerebral angiography

2020 ◽  
pp. 10.1212/CPJ.0000000000000941
Author(s):  
Azam S. Tolla ◽  
Muhammad U. Farooq ◽  
Bradly Haveman-Gould ◽  
Ghassan Naisan ◽  
Philip B. Gorelick
Keyword(s):  
Myocardial Infarction ◽  
Carotid Artery ◽  
Cerebral Hyperperfusion Syndrome ◽  
Carotid Revascularization ◽  
Cerebral Vasoconstriction ◽  
Cerebral Hyperperfusion ◽  
Delayed Complication ◽  
Reduce Risk ◽  
Revascularization Procedures

Carotid endarterectomy (CEA) and carotid artery stenting (CAS) are established cerebrovascular procedures to reduce risk of stroke. Complications include stroke, myocardial infarction, and death. A delayed complication following carotid revascularization is cerebral hyperperfusion syndrome (CHS), which can manifest as intracerebral hemorrhage (ICH)[1]. A less common delayed complication of carotid revascularization procedures is reversible cerebral vasoconstriction syndrome (RCVS).

scholarly journals The role of external carotid revascularization in the treatment of ocular ischemia

1987 ◽  
Vol 6 (3) ◽  
pp. 280-282 ◽  
Author(s):  
David L. Street ◽  
John J. Ricotta ◽  
Richard M. Green ◽  
James A. DeWeese
Keyword(s):  
External Carotid ◽  
Carotid Revascularization

scholarly journals Perioperative Neurological Evaluation and Management to Lower the Risk of Acute Stroke in Patients Undergoing Noncardiac, Nonneurological Surgery: A Scientific Statement From the American Heart Association/American Stroke Association

Circulation ◽  
2021 ◽  
Author(s):  
Curtis Benesch ◽  
Laurent G. Glance ◽  
Colin P. Derdeyn ◽  
Lee A. Fleisher ◽  
Robert G. Holloway ◽  
...  
Keyword(s):  
Intravenous Thrombolysis ◽  
Heart Association ◽  
Pressure Control ◽  
Neurological Dysfunction ◽  
Anesthetic Technique ◽  
Perioperative Stroke ◽  
Carotid Revascularization ◽  
Preoperative Optimization ◽  
Scientific Statement

Perioperative stroke is a potentially devastating complication in patients undergoing noncardiac, nonneurological surgery. This scientific statement summarizes established risk factors for perioperative stroke, preoperative and intraoperative strategies to mitigate the risk of stroke, suggestions for postoperative assessments, and treatment approaches for minimizing permanent neurological dysfunction in patients who experience a perioperative stroke. The first section focuses on preoperative optimization, including the role of preoperative carotid revascularization in patients with high-grade carotid stenosis and delaying surgery in patients with recent strokes. The second section reviews intraoperative strategies to reduce the risk of stroke, focusing on blood pressure control, perioperative goal-directed therapy, blood transfusion, and anesthetic technique. Finally, this statement presents strategies for the evaluation and treatment of patients with suspected postoperative strokes and, in particular, highlights the value of rapid recognition of strokes and the early use of intravenous thrombolysis and mechanical embolectomy in appropriate patients.

The role of external carotid revascularization in the treatment of ocular ischemia

1987 ◽  
Vol 6 (3) ◽  
pp. 280-282 ◽  
Author(s):  
David L. Street ◽  
John J. Ricotta ◽  
Richard M. Green ◽  
James A. DeWeese
Keyword(s):  
External Carotid ◽  
Carotid Revascularization

The role of carotid angioplasty and stenting in carotid revascularization

2005 ◽  
Vol 27 (sup1) ◽  
pp. 53-58 ◽  
Author(s):  
Christopher J. Koebbe ◽  
Kenneth Liebman ◽  
Erol Veznedaroglu ◽  
Robert Rosenwasser
Keyword(s):  
Carotid Angioplasty ◽  
Carotid Revascularization ◽  
Angioplasty And Stenting ◽  
Carotid Angioplasty And Stenting

scholarly journals Treatment Strategies for Tandem Occlusions in Acute Ischemic Stroke

2020 ◽  
Vol 37 (02) ◽  
pp. 207-213
Author(s):  
Joseph J. Gemmete ◽  
Zachary Wilseck ◽  
Aditya S. Pandey ◽  
Neeraj Chaudhary
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Mechanical Thrombectomy ◽  
Treatment Options ◽  
Treatment Strategies ◽  
Carotid Revascularization ◽  
Tandem Occlusion ◽  
Coil Occlusion ◽  
Optimal Treatment Strategy

AbstractThere is no consensus for the treatment of a tandem occlusion (TO) in a patient presenting with an acute ischemic stroke. In this review article, we will focus on the controversial treatment strategies for TOs. First, we will discuss treatment options including retrograde, antegrade, and delayed approaches. Second, the role of carotid stent placement versus balloon angioplasty for the extracranial occlusion will be presented. Third, anticoagulation and antiplatelet regimens for the treatment TOs published in the literature will be reviewed. Finally, we will discuss whether there is a role for coil occlusion of the cervical carotid artery or whether staged carotid revascularization days after mechanical thrombectomy of the intracranial occlusion maybe appropriate. The optimal treatment strategy of TO has not been established and further larger trials need to be performed to answer the question.

scholarly journals Update on current registries and trials of carotid artery angioplasty and stent placement

2005 ◽  
Vol 18 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Sunit Das ◽  
Bernard R. Bendok ◽  
Christopher C. Getch ◽  
Issam A. Awad ◽  
H. Hunt Batjer
Keyword(s):  
High Risk ◽  
Carotid Artery ◽  
Stent Placement ◽  
Effective Means ◽  
First Line ◽  
Carotid Revascularization ◽  
First Line Therapy ◽  
Asymptomatic Patients ◽  
The Us

Stroke remains the leading cause of disability in adults and the third leading cause of death in the US. Carotid artery (CA) occlusive disease is the primary pathophysiological source of 10 to 20% of all strokes. Carotid endarterectomy (CEA) has been shown to reduce the risk of stroke in patients with both symptomatic and asymptomatic extracranial CA stenosis. Carotid artery angioplasty and stent placement has recently emerged as an alternative to CEA for primary and secondary prevention of stroke related to CA stenosis. With the advent of the embolic protection device, the safety of CA angioplasty and stent placement has approached, if not surpassed, that of CEA. In particular, the former has come to be considered as a first-line therapy in the management of CA stenotic disease in individuals at high risk for complications related to surgical intervention. Preliminary data from multiple registries have demonstrated that CA angioplasty and stent placement is an effective means of treating CA stenosis. The results of the Stenting and Angioplasty with Protection in Patients at High Risk for Endarterectomy trial have demonstrated that this modality has a significant role in the management of CA disease in symptomatic and asymptomatic patients with risk factors for high rates of surgery-related morbidity or mortality. With the completion of the Carotid Revascularization Endarterectomy versus Stent Trial, the role of CA angioplasty and stent placement in the prevention of stroke in all individuals with significant CA stenosis should be better demarcated. This treatment modality promises to assume a central role in stroke prophylaxis in patients with CA disease who are at high risk for complications related to surgery.

scholarly journals Role of Renin-angiotensin-aldosterone System Inhibition in Patients Undergoing Carotid Revascularization

2021 ◽  
Vol 74 (3) ◽  
pp. e33-e34
Author(s):  
Nadin Elsayed ◽  
Isaac Naazie ◽  
Jonathan Unkart ◽  
Peter F. Lawrence ◽  
Mahmoud B. Malas
Keyword(s):  
Renin Angiotensin Aldosterone System ◽  
Renin Angiotensin ◽  
Carotid Revascularization
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