MRI different injuries post carotid angioplasty versus endarterectomy.

Original title: Characteristics of Ischemic Brain Lesions After Stenting or Endarterectomy for Symptomatic Carotid Artery Stenosis : Results From the International Carotid Stenting Study-Magnetic Resonance Imaging Substudy (ICSS-MRI). Reference: Henrik Gensicke et al. Stroke 2013;44:80-86. This work is a sub-study using magnetic resonance imaging (MRI) of the International Carotid Stenting Study (ICSS) that randomized carotid angioplasty (CAS) or<a href="https://solaci.org/en/2013/01/17/mri-different-injuries-post-carotid-angioplasty-versus-endarterectomy/" title="Read more" >...</a>

Carotídeas asintomáticas ¿Tenemos todas las respuestas?

Mild or Intermediate Symptomatic Carotid Lesions: What we need to know about plaque

Ischemic stroke is the main reason behind disability in the world, and it is often followed by death.  The rupture of carotid atherosclerotic plaque and its embolization are the main cause of this entity.  Different randomized studies have shown that carotid endarterectomy is beneficial in symptomatic patients with 70 to 99% carotid obstruction, but we<a href="https://solaci.org/en/2022/11/02/mild-or-intermediate-symptomatic-carotid-lesions-what-we-need-to-know-about-plaque/" title="Read more" >...</a>

Symptomatic Carotid Arteries: Early or Late Emergency Revascularization?

Carotid endarterectomy continues to be the safest technique for emergency revascularization. However, 48 hours after index event, different strategy outcomes will become comparable.  Multiple advances in device development have brought promising results for carotid revascularization patients with symptomatic stenosis. Regardless these developments, optimal revascularization timing after index event remains unclear.  This study included patients with<a href="https://solaci.org/en/2022/01/11/symptomatic-carotid-arteries-early-or-late-emergency-revascularization/" title="Read more" >...</a>

Asymptomatic Carotid Lesions and Cognitive Impairment: Does Intervention Play a Role?

This study was designed to determine the effect of carotid endarterectomy/angioplasty on early (baseline vs. 3 months) and late (baseline vs. >5 months) cognitive function in patients with asymptomatic lesions. This systematic research included 31 non-randomized studies. Regarding the immediate post-operative period, 24 of these papers reported significant improvement in cognitive function; one study reported significant deterioration;<a href="https://solaci.org/en/2021/09/20/asymptomatic-carotid-lesions-and-cognitive-impairment-does-intervention-play-a-role/" title="Read more" >...</a>

ESC 2021 | ACST-2: CAS vs endarterectomía en pacientes asintomáticos

ESC 2021 | ACST-2: CAS vs Endarterectomy in Asymptomatic Patients

The ACST-2 was designed to compare long-term outcomes of carotid artery stenting (CAS) vs carotid endarterectomy (CEA) in patients with asymptomatic stenosis.  Prior to this study we had the German registry including 18,000 patients undergoing CAS and 86,000 receiving CEA between 2014 and 2019. At 30 days, disabling stroke rate was 0.7% for both strategies.<a href="https://solaci.org/en/2021/08/31/esc-2021-acst-2-cas-vs-endarterectomy-in-asymptomatic-patients/" title="Read more" >...</a>

La endarterectomía precoz parece superior a la angioplastia carotidea en pacientes sintomáticos

Contralateral Occluded Carotid Defines Revascularization Strategy

A significative lesion to the carotid artery in addition to contralateral carotid occlusion is an obvious factor of high risk for a revascularization procedure. However, this might be true for surgery but not for carotid artery stenting according to this recent publication in JACC. The presence of contralateral carotid occlusion has been established as high<a href="https://solaci.org/en/2021/03/11/contralateral-occluded-carotid-defines-revascularization-strategy/" title="Read more" >...</a>

Nuevas estrategias en el territorio femoropoplíteo

Common Femoral Artery Endarterectomy Plus Angioplasty in Critical Ischemia

This prospective study analyzed patients with critical lower limb ischemia (due to complex, multiple lesions in several places) who were treated uniformly with common femoral artery endarterectomy combined with angioplasty to improve inflow and/or outflow. This hybrid treatment, which must be carried out by a team, can be greatly beneficial for this high-risk patient group<a href="https://solaci.org/en/2020/05/26/common-femoral-artery-endarterectomy-plus-angioplasty-in-critical-ischemia/" title="Read more" >...</a>

Asymptomatic Carotid Artery Stenosis: Do We Have All the Answers?

Advancements in therapies to reduce the impact of stroke in asymptomatic carotid artery stenosis have been hard to come by over the last decade. Several points of disagreement among published randomized trials prevented their information from being integrated into daily clinical practice. However, over the past 5 years, there has been some alignment, allowing for this<a href="https://solaci.org/en/2020/05/11/asymptomatic-carotid-artery-stenosis-do-we-have-all-the-answers/" title="Read more" >...</a>

Nuevo dispositivo para tener mayor protección en la angioplastia carotídea

New Device for More Protection in Carotid Artery Stenting

This new “Paladin” system for post-dilation during carotid artery stenting was safe and may effectively reduce the number of particles that reach the brain, with a subsequent decreased risk for peri-procedural stroke. This study evaluated the safety and efficacy of the Paladin System, a novel post-dilation balloon with an integrated distal protection filter designed to<a href="https://solaci.org/en/2019/04/22/new-device-for-more-protection-in-carotid-artery-stenting/" title="Read more" >...</a>

Paladin: New Carotid Protection System with Good Results

Courtesy of Dr. Carlos Fava. Carotid artery stenting (CAS) with a cerebral protection system has emerged as an alternative to surgery, particularly for patients with high surgical risk. Nowadays, there are a considerable number of cerebral protection systems, but these may sometimes fail due to anatomical issues, the diameter of embolized particles, or placement difficulties (among<a href="https://solaci.org/en/2019/03/27/paladin-new-carotid-protection-system-with-good-results/" title="Read more" >...</a>