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We analyzed weights of carotid endarterectomy specimens in 17 patients who underwent bilateral procedures. Although we assumed that both arterial systems would be the same size, the weight of the carotid endarterectomy specimens was similar in only 4 of the 17 patients; the carotid endarterectomy specimen was larger at the second operation in 5 patients and smaller at the second operation in 8 patients.
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http://dx.doi.org/10.1016/s0002-9149(03)00853-1 | DOI Listing |
Alzheimers Dement
September 2025
The Division of Vascular Surgery, University of Arizona, Tucson, Arizona, USA.
Introduction: Asymptomatic extracranial carotid artery disease (aECAD) is associated with increased Alzheimer's disease (AD) and non-AD dementia risk. aECAD treatment includes carotid endarterectomy (CEA) and carotid artery stenting (CAS) for stroke prevention, but their impact on dementia incidence is poorly studied.
Methods: Propensity score matching was used in a retrospective cohort study of United States-based insurance claims (2010-2022) in 487,676 patients with aECAD to evaluate the effect of CEA and CAS on AD and non-AD dementia incidence.
Semin Vasc Surg
September 2025
Montefiore Medical Center, Albert Einstein School of Medicine, 3400 Bainbridge Avenue, 4(th) Floor, Bronx, NY 10467.
As medicine evolves and life expectancy increases, octogenarians and nonagenarians represent growing populations that are at increased risk of ischemic stroke from asymptomatic carotid stenosis (ACS). Despite the significant disability and mortality that results from stroke in older adults, there are few data on the management of ACS in this population to inform clinical practice guidelines. The authors sought to assess the current body of literature on the management and outcomes of ACS in older adults.
View Article and Find Full Text PDFClin Neurol Neurosurg
September 2025
Department of Internal Medicine, Baylor Scott and White Health, Temple, TX, USA.
Background: Carotid artery stenosis prevalence increases with age, and carotid endarterectomy (CEA) is a possible treatment option. However, nonagenarians are at high risk of experiencing postoperative complications and are often not considered surgical candidates. We aimed to identify risk factors associated with postoperative myocardial infarction (MI), stroke, and death within 30 days for nonagenarians undergoing CEA and to analyze the predictive ability of modified frailty indices (mFI) in predicting adverse outcomes for this population.
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August 2025
Clinical Medical College of Chengdu Medical College, Chengdu, Sichuan, China.
Introduction: High On-Treatment Platelet Reactivity (HTPR) is frequently observed after carotid endarterectomy (CEA) or stenting (CAS), but its association with adverse events remains uncertain. This systematic review and meta-analysis evaluate the association between HTPR and recurrent vascular events in these patients.
Methods: EMBASE, PubMed, and Cochrane Library were searched for eligible studies from inception to July 1, 2024.
Vasc Endovascular Surg
September 2025
Department of Vascular and Endovascular Surgery, University Hospital Centre Bordeaux, Bordeaux, France.
Spontaneous recanalization (SR) of an internal carotid artery (ICA) is a rare phenomenon. Cases reported in literature described the evolution of dissection or atherothrombotic / cardioembolic acute occlusions. No case of post-endarterectomy ICA occlusion resolved by SR has never been reported.
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