2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/ SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease: Executive Summary

Brott, Thomas G.; Halperin, Jonathan L.; Abbara, Suhny; Bacharach, J. Michael; Barr, John D.; Bush, Ruth L.; Cates, Christopher U.; Creager, Mark A.; Fowler, Susan B.; Friday, Gary; Hertzberg, Vicki; McIff, E. Bruce; Moore, Wesley S.; Panagos, Peter D.; Riles, Thomas S.; Rosenwasser, Robert H.; Taylor, Allen J.

doi:10.1177/1358863x11399328

Cited by 99 publications

(72 citation statements)

References 355 publications

(295 reference statements)

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“…According to current guidelines, patients with symptomatic carotid stenosis should be treated by revascularization (endarterectomy or stent placement) if the symptomatic stenosis is NASCET Ͼ70% as documented by noninvasive imaging or NASCET Ͼ50% as documented by conventional angiography. [40][41][42] Therefore, precise imaging techniques are required for the correct identification of the symptomatic perfusion territories. Misidentification of perfusion territories 43 may result in either overtreatment or a failure to treat a symptomatic stenosis.…”

Section: Discussionmentioning

confidence: 99%

MR Imaging of Individual Perfusion Reorganization Using Superselective Pseudocontinuous Arterial Spin-Labeling in Patients with Complex Extracranial Steno-Occlusive Disease

Richter

Helle

Osch

et al. 2017

AJNR Am J Neuroradiol

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Section: Discussionmentioning

confidence: 99%

MR Imaging of Individual Perfusion Reorganization Using Superselective Pseudocontinuous Arterial Spin-Labeling in Patients with Complex Extracranial Steno-Occlusive Disease

Richter

Helle

Osch

et al. 2017

AJNR Am J Neuroradiol

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“…İnmelerin çoğu iskemik nedenlere bağlı olup, bu hastaların yaklaşık üçte birinde neden karotis arter hastalığıdır (1,2) . Medikal tedavi ile takipli semptomatik karotis arter darlığına bağlı inmelerde rekürrens oranı yüksektir.…”

Section: Introductionunclassified

Carotid Artery Stenting in Symptomatic High Risk Patients: A Single Center Experience

Aykan¹,

Gül²,

Gökdeniz³

et al. 2014

Khj

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Ahmet Çağrı Aykan Yazışma AdresiGiriş: İnme, kalıcı sakatlık ve ölümün önemli nedenlerinden biridir. İnmelerin çoğu iskemik nedenlere bağlı olup, bu hastaların yaklaşık üçte birinde neden karotis arter hastalığıdır. Biz bu çalışmada, hastanemiz kardiyoloji kliniğine başvuran ve ciddi karotis arter hastalığı nedeniyle karotis artere stent (KAS) işlemi yapılan yüksek riskli hastalarda kısa ve orta dönem sonuçları araştırmayı amaçladık. Hastalar ve Yöntem: Ekim 2011 ve Ekim 2013 tarihleri arasında hastanemiz kardiyoloji kliniğinde aterosklerotik karotis arter darlığı nedeniyle KAS işlemi yapılan ardışık 14 yüksek riskli hasta çalışmaya dahil edildi. İşlem başarısı, hastane içi ve dışı inme, miyokard infarktüsü, tüm nedenlere bağlı ölüm değerlendirildi. Bulgular: Bütün hastalarda tam başarılı anjiyografik sonuç elde edildi. Hiçbir hastada hastane içi ve dışı akut koroner sendrom olmadı. Bir hastada işlemden 24 saat sonra kalıcı inme gelişti. Bu hastada inme, işlem yapılmayan karotis arter kaynaklıydı. Kalıcı inme gelişen bu hasta işlem sonrası 32. günde ex oldu. Hiçbir hastada işlemle ilgili inme ve ölüm olmadı. Sonuç: Yüksek riskli hastalarda deneyimli girişimcilerin ellerinde, uygun donanım ile KAS işlemi güvenle yapılabilir. Anahtar Kelimeler: Karotis arter; stent; yaş; yüksek risk Introduction: Stroke is one of the leading causes of permanent disability and death. Stroke is generally associated with ischemia and carotid artery stenosis is the reason in nearly one third of the cases. The aim of the present study was to investigate the short and mid term results of carotid artery stenting (KAS) procedures performed in high risk patients due to carotid artery disease who were admitted to cardiology clinic of our institution. Patients and Methods:The study group consisted of 14 consecutive high risk patients in whom KAS was performed in the cardiology clinic of our institution due to atherosclerotic carotid artery disease between October 2011 and October 2013. Procedural success, in-hospital and out-hospital stroke, myocardial infarction and all causes of mortality were evaluated. Results: Angiographic success was achieved in all patients. In-hospital and out-hospital acure coronary syndrome was not observed. One patient developed permanent stroke 24 hours after the procedure. This stroke was related with non-intervened carotid artery. This patient died 32 days after the procedure. Procedure related stroke or death was not occurred in any of the patients. Conclusion: KAS is a safe procedure in high risk patients for appropriately equipped experienced operators.

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“…(1,2) Although only a preventive procedure, CEA carries the risk of perioperative complications: neurological and cardiac. The major complications of CEA are intra-and postoperative stroke, myocardial infarction (MI), and death.…”

Section: Introductionmentioning

confidence: 99%

Anesthesia for carotid endarterectomy: where do we stand at present?

2015

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Carotid endarterectomy (CEA) is a surgical procedure performed to reduce the incidence of embolic and thrombotic stroke. Although only a preventive procedure, CEA carries the risk of perioperative complications. There is constant searching for an optimal anesthetic technique. There are pros and cons for both anesthetic techniques used: regional (RA) and general anesthesia (GA). A large number of studies have compared RA and GA techniques in CEA surgery patients. The primary outcome was the proportion of patients with stroke, myocardial infarction, or death. However, neither the GALA trial nor the pooled analysis was adequately powered to reliably detect an effect of type of anesthesia on mortality. It may therefore be appropriate to consider other additional parameters (stress response, incidence of postoperative delirium and cognitive impairment, functional recovery, total surgery time, intensive care unit requirement, hospital stay, hospital costs and patients satisfaction) when comparing the outcomes of the two techniques.Although, the debate continues as to whether regional anesthesia or general anesthesia is safer, the choice of anesthetic technique is a complex decision and surgical teams should be able to offer both RA and GA. The individual approach is the ideal choice and should be determined at the discretion of the surgeon, anesthetist and patient depending on the clinical situation and own preferences.

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2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/ SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease: Executive Summary

Cited by 99 publications

References 355 publications

MR Imaging of Individual Perfusion Reorganization Using Superselective Pseudocontinuous Arterial Spin-Labeling in Patients with Complex Extracranial Steno-Occlusive Disease

MR Imaging of Individual Perfusion Reorganization Using Superselective Pseudocontinuous Arterial Spin-Labeling in Patients with Complex Extracranial Steno-Occlusive Disease

Carotid Artery Stenting in Symptomatic High Risk Patients: A Single Center Experience

Anesthesia for carotid endarterectomy: where do we stand at present?

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