Review
Clinical Neurology
Jie Wang, Xuesong Bai, Tao Wang, Adam A. Dmytriw, Aman B. Patel, Liqun Jiao
Summary: The study found that carotid artery stenting (CAS) and carotid endarterectomy (CEA) have comparable perioperative and long-term composite outcomes in treating asymptomatic carotid artery stenosis, but CAS may have a higher risk of any stroke and nondisabling stroke during the perioperative period.
Review
Surgery
Zeling Guo, Chenshu Liu, Kan Huang, Nan Yu, Meixiu Peng, Benjamin W. Starnes, Warren B. Chow, Zilun Li, Wayne W. Zhang
Summary: This study compared the outcomes of rCAS and CEA in ISR patients, finding similar short- and midterm results in terms of stroke, death, and surgery-related complications.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Ambar Mehta, Priya B. Patel, Danielle Bajakian, Richard Schutzer, Nicholas Morrissey, Mahmoud Malas, Marc Schermerhorn, Virendra I. Patel
Summary: This study compared outcomes after TCARs relative to those after CEAs and TFCAS in elderly patients with carotid artery stenosis. Results showed that TCAR had similar 30-day and 1-year rates of stroke/death compared to CEA. TCAR may be a promising less invasive treatment for high-risk patients who are not suitable for CEA.
JOURNAL OF VASCULAR SURGERY
(2021)
Review
Health Care Sciences & Services
Michael T. Bounajem, Ramesh Grandhi, Craig J. Kilburg, Philipp Taussky
Summary: Carotid artery stenosis is a leading cause of acute ischemic strokes in adults. Detecting and treating the condition before symptoms occur is crucial for stroke prevention. Carotid endarterectomy and carotid stenting have similar outcomes for asymptomatic carotid stenosis, but certain factors can help guide treatment decisions.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Surgery
Jon S. Matsumura, Bret M. Hanlon, Kenneth Rosenfield, Jenifer H. Voeks, George Howard, Gary S. Roubin, Thomas G. Brott
Summary: This study compares the outcomes of asymptomatic, nonoctogenarian patients treated with CAS and CEA. The results show that CAS achieves comparable short- and long-term results to CEA.
JOURNAL OF VASCULAR SURGERY
(2022)
Review
Cardiac & Cardiovascular Systems
Christopher J. White, Thomas G. Brott, William A. Gray, Donald Heck, Tudor Jovin, Sean P. Lyden, David Christopher Metzger, Kenneth Rosenfield, Gary Roubin, Ravish Sachar, Adnan Siddiqui
Summary: Significant advances have been made in carotid artery stenting (CAS), including new trial data, professional societal statements, techniques, and devices. The improved selection of CAS candidates and assessment of procedure risk have led to better outcomes.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Clinical Neurology
Aayushi Garg, Mudassir Farooqui, Cynthia B. Zevallos, Darko Quispe-Orozco, Alan Mendez-Ruiz, Osama Zaidat, Santiago Ortega-Gutierrez
Summary: This study aimed to compare the safety outcomes of carotid artery stenting (CAS) and carotid artery angioplasty (CAA) in patients with acute tandem occlusions. The results showed no significant difference in clinical outcomes between the two groups, but patients undergoing CAS were more likely to be discharged home after treatment. The emergent CAS-EVT approach appears to be safe with no adverse outcomes compared to CAA alone.
JOURNAL OF THE NEUROLOGICAL SCIENCES
(2021)
Review
Cardiac & Cardiovascular Systems
Christopher J. White, Thomas G. Brott, William A. Gray, Donald Heck, Tudor Jovin, Sean P. Lyden, David Christopher Metzger, Kenneth Rosenfield, Gary Roubin, Ravish Sachar, Adnan Siddiqui
Summary: Significant advances have been made in the field of carotid artery stenting, with new trial data, professional statements, new techniques, and better candidate selection methods. The outdated coverage decision regarding CAS should be updated to approve CAS in selected symptomatic and asymptomatic patients for stroke prevention. Optimized CAS strategies and new technologies are leading to improved outcomes in CAS procedures.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2021)
Article
Clinical Neurology
Liang-Ju Chen, Chi-Kuang Liu, Shih-Chun Wang, Ta-Tsung Lin, Yang-Hao Ou, Chih-Ming Lin
Summary: This study evaluates the association between changes in flow direction in primary and secondary collaterals and recurrent stroke in patients with carotid stenosis. The results show that changes in anterior circulation flow direction are significantly associated with recurrent stroke in patients with unilateral carotid stenosis. Patients with both anterior circulation flow direction change and reversal of ophthalmic artery/leptomeningeal anastomosis have worse outcomes compared to those with anterior circulation flow direction change only. Prestenting transcranial color-coded duplex images help predict outcomes after carotid stenting.
ANNALS OF CLINICAL AND TRANSLATIONAL NEUROLOGY
(2023)
Article
Multidisciplinary Sciences
Cheng-Hsuan Tsai, Ying-Hsien Chen, Mao-Shin Lin, Ching-Chang Huang, Chi-Sheng Hung, Chih-Fan Yeh, Sheng-Fu Liu, Sung-Chun Tang, Chi-Chao Chao, Hsien-Li Kao
Summary: This study aimed to evaluate the peri-procedural risk in CANO patients receiving CAS and found that CAS is safe for patients with CANO, with a similar low 30-day peri-procedural event rate comparable to those of non-CANO patients.
SCIENTIFIC REPORTS
(2021)
Article
Clinical Neurology
Alhamza R. Al-Bayati, Raul G. Nogueira, Diogo C. Haussen
Summary: Ischemic stroke is a leading cause of mortality and long-term disability worldwide. The increasing availability of advanced cerebrovascular imaging modalities continues to unravel atherosclerotic and nonatherosclerotic carotid steno-occlusive disease as a common culprit of cerebral ischemia. Individualized treatment strategies targeting each etiologic subset would optimize preventive measures and minimize recurrence of cerebral ischemia.
Article
Clinical Neurology
Adnan Qureshi, Wei Huang, Iryna Lobanova, M. Fawad Ishfaq, Brandi R. French, Farhan Siddiq, Camilo R. Gomez
Summary: In a 10-year study, patients who underwent carotid endarterectomy or carotid angioplasty and stenting had a low rate of repeat revascularization. The 6.7% rate of the composite end point within 30 days emphasizes the need for standardizing indications for repeat revascularization.
WORLD NEUROSURGERY
(2021)
Article
Biology
Anastasios Raptis, Paola Tasso, Konstantinos Batzalexis, Diego Gallo, Michalis Xenos, Umberto Morbiducci, Athanasios Giannoukas
Summary: Comparison of vascular remodeling process in patients treated with carotid endarterectomy (CEA) and carotid artery stenting (CAS) revealed marked differences in carotid bifurcation flare and tortuosity after the procedures. Postoperative tortuosity was significantly higher in CEA patients compared to CAS patients, suggesting a less pro-restenosis hemodynamic environment induced by CAS. Further analysis on a larger cohort with long-term outcomes is needed to clarify the clinical impact of these observations.
COMPUTERS IN BIOLOGY AND MEDICINE
(2022)
Article
Surgery
Paola Batarseh, Michael Parides, Matthew Carnevale, Jeffrey Indes, Evan Lipsitz, Issam Koleilat
Summary: Limited data are available to guide the choice of intervention for patients with radiation-induced carotid stenosis (RICS). The purpose of the present study was to evaluate patients who had undergone these carotid artery interventions for RICS and the associated outcomes. Results showed that RICS patients treated by TCAR in the SVS VQI had the lowest risk.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Endocrinology & Metabolism
Alexandru Achim, David Lacko, Artur Huettl, Csaba Csobay-Novak, Adam Csavajda, Peter Sotonyi, Bela Merkely, Balazs Nemes, Zoltan Ruzsa
Summary: There was no significant difference between patients with and without diabetes in terms of cerebrovascular events after carotid artery stenting. However, diabetes may lead to a higher rate of in-stent restenosis.
JOURNAL OF DIABETES RESEARCH
(2022)