Tag: CEA

Single-centre analysis suggests improved longer-term outcomes with endarterectomy versus TCAR

A large, single-centre analysis has found that, despite parity between the two procedures in terms of perioperative clinical outcomes, carotid endarterectomy (CEA) was associated...

CX 2024: New technologies and “special cases” underpin carotid and acute...

With a renewed focus on challenging cases, novel technologies and, overall, the most pressing issues in carotid treatments and acute stroke care, the 2024...

No relationship found between DW-MRI lesions and long-term stroke risk following...

A secondary analysis of existing clinical trial data has indicated that new ischaemic brain lesions detected via diffusion-weighted magnetic resonance imaging (DW-MRI) following carotid...

Young endarterectomy patients more likely to experience restenosis and late neurological...

Data from the US Vascular Quality Initiative (VQI) have indicated that younger patients (aged ≤55 years) who undergo a carotid endarterectomy (CEA) procedure face an...

Carotid endarterectomy associated with less reintervention than stenting in first six...

A durability study that looks at reintervention risk among patients treated with carotid endarterectomy (CEA) versus carotid artery stenting (CAS) proce­dures established that CEA...

Safety benefits mean TCAR may be preferable approach in radiation-induced carotid...

A study presented recently at the Vascular Annual Meeting (VAM; 14–17 June, National Harbor, USA) has found that the long-term outcomes of transcarotid artery...

“Sonolysis is back” after safely reducing endarterectomy stroke risk in randomised...

Positive results from a clinical trial involving a novel therapeutic procedure known as sonolysis—deployed during a carotid endarterectomy (CEA)—were presented at the recent European...

Interim data find “no evidence of benefit” for carotid revascularisation additional...

Interim results from the ECST-2 randomised controlled trial (RCT) have shown no evidence that carotid stenosis patients with a low-to-intermediate stroke risk, treated with...

Medical therapy improvements mean “the time has come” to reconduct prior...

“The time has definitely come to look at the evidence, and redo these studies,” posited Alun Davies (Imperial College London, London, UK), putting forward...

Analysis finds no difference in TCAR outcomes between academic and community...

A new study found no difference in perioperative outcomes and incidence of adverse events at follow-up after transcarotid artery revascularisation (TCAR) between academic and...

Equivalency to clinical practice “varies considerably” across recent carotid intervention trials

The external validity—in other words, the transferability to real-world clinical practice—of contemporary randomised controlled trials (RCTs) investigating carotid artery stenosis interventions “varies considerably”, as...
elderly

Age is just a number: Individual patient data meta-analysis probes safety...

A newly published meta-analysis of individual patient data has found that older patients with symptomatic carotid disease are likely to benefit as much from...
endarterectomy tcar stenting

Endarterectomy and TCAR ‘continue to show superior outcomes’ to transfemoral stenting

Researchers led by a vascular team in Indianapolis found that carotid endarterectomy (CEA) remains the most-used strategy in carotid revascularisation, with CEA and transcarotid...

Early TCAR results in higher ipsilateral postoperative stroke rates when compared...

Adham Elmously (New York Presbyterian Hospital, New York, USA) presented outcomes of early transcarotid artery revascularisation (TCAR) versus carotid endarterectomy (CEA) after acute neurologic...

Carotid stenting demonstrates comparable short- and long-term results to endarterectomy

Pooled patient-level data from more than 2,500 asymptomatic, non-octogenarian subjects have shown that carotid artery stenting (CAS) achieved comparable short- and long-term results to...

Silk Road Medical announces expanded Medicare coverage for TCAR in standard...

Silk Road Medical recently announced that the Centers for Medicare and Medicaid Services (CMS), through collaboration with the Society of Vascular Surgery’s Patient Safety...

Charing Cross audience as-yet unconvinced by data supporting transcarotid artery revascularisation

Audience polling during the Acute Stroke Challenges session at this year’s Charing Cross Symposium (CX 2022; 26–28 April, London, UK and virtual) revealed scepticism...

ESVS publishes 2023 guidelines on management of atherosclerotic carotid and vertebral...

The European Society for Vascular Surgery (ESVS) has just released 2023 clinical practice guidelines on the management of atherosclerotic carotid and vertebral artery disease....

Perioperative outcomes of carotid endarterectomy not improved on dual versus single...

At the time of carotid endarterectomy (CEA), surgeons should consider single antiplatelet therapy (SAPT) rather than dual antiplatelet therapy (DAPT). This is the conclusion...
carotid stenosis women

Carotid stenosis in women: Should the approach differ?

The existing evidence on whether women with carotid stenosis experience inferior treatment outcomes compared to men is mixed—and this uncertainty is reflected in the...

New ESVS carotid guidelines: Key questions answered

Clark Zeebregts (University Medical Centre Groningen, Groningen, The Netherlands) and Kosmas Paraskevas (Central Clinic of Athens, Athens, Greece) answer some key questions about the...

Silk Road Medical announces FDA approval of expanded indications for the...

Silk Road Medical recently announced that the US Food and Drug Administration (FDA) approved expanded indications for the company's Enroute stent to include patients...

Expedited carotid artery surgery after index event “probably safer” than expedited...

A systematic review and meta-analysis of 71 studies suggests that, at present, carotid endarterectomy (CEA) is safer than carotid artery stenting (CAS) when performed...

SedLine-guided general anaesthesia may reduce post-carotid endarterectomy delirium

Masimo has announced the findings of a prospective study published in Frontiers in Neurology in which Na Xu and colleagues at Capital Medical University in Beijing,...
female

Women face increased risk of stroke and readmission after carotid interventions

A recent study has pointed to an increased risk of stroke in both asymptomatic and symptomatic female patients, as well as readmission in asymptomatic...
tcar restenotic carotid lesions

TCAR may be associated with favourable outcomes for treatment of restenotic...

Transcarotid artery revascularisation (TCAR; Silk Road Medical) may be associated with favourable in-hospital outcomes for the treatment of restenotic carotid lesions after carotid endarterectomy...
carotid disease stenting

Treatment of asymptomatic carotid bifurcation occlusive disease and potential role of...

Peter A Schneider (San Francisco, USA) discusses the role stenting can play, alongside the existing best medical therapy, in treating asymptomatic carotid disease patients. Best...