scholarly journals Improved quality of life among patients with symptomatic carotid artery disease undergoing carotid endarterectomy

2001 ◽  
Vol 33 (2) ◽  
pp. 329-333 ◽  
Author(s):  
Alan Dardik ◽  
Julia Minor ◽  
Christopher Watson ◽  
Linda J. Hands
Keyword(s):  
Quality Of Life ◽  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Carotid Artery Disease ◽  
Symptomatic Carotid ◽  
Artery Disease

II. Improved dark adaptation after carotid endarterectomy

Neurology ◽  
1997 ◽  
Vol 49 (5) ◽  
pp. 1360-1364 ◽  
Author(s):  
Ulf Havelius ◽  
David Bergqvist ◽  
Bengt Hindfelt ◽  
Torsten Krakau
Keyword(s):  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Dark Adaptation ◽  
Clinical Evidence ◽  
Carotid Artery Disease ◽  
Internal Carotid Artery Stenosis ◽  
Symptomatic Carotid ◽  
Control Subjects ◽  
Artery Disease ◽  
And Control

We have reported that dark vision is impaired in symptomatic carotid artery disease and that the impairment correlates with internal carotid artery stenosis. To find out whether this impairment is reversible after carotid endarterectomy, dark adaptation was examined pre- and postoperatively. Twenty-one consecutive patients were examined by dark adaptometry. Two examinations were done for each eye on two consecutive days pre- and postoperatively. Thirty-one matched control subjects were examined under identical conditions. The control subjects did not have clinical evidence of carotid artery disease. Patients and control subjects were free of ophthalmologic disorders. Dark vision frequently improved remarkably after endarterectomy. The average retinal sensitivity to light in darkness on the operated side doubled, and there was also improvement on the nonoperated side. There was no significant change in dark vision in the control subjects, negating a learning effect. The findings suggest the existence of reversible neuronal ischemia secondary to hemodynamic causes or frequent subclinical microembolization. Because the circulatory conditions are optimized, formerly inactive, surviving neurons may regain function.

scholarly journals Health-Related Quality of Life Among Patients with Severe Carotid Artery Stenosis / Ar Veselību Saistītās Dzīves Kvalitātes Novērtējums Pacientiem ar Nozīmīgu Miega Artērijas Stenozi

2015 ◽  
Vol 69 (5) ◽  
pp. 237-242
Author(s):  
Elīna Pūcīte ◽  
Marius Šlisers ◽  
Evija Miglāne ◽  
Dainis Krieviņš ◽  
Andrejs Millers ◽  
...  
Keyword(s):  
Carotid Artery ◽  
General Health ◽  
Clinical Characteristics ◽  
Carotid Artery Disease ◽  
Health Related Quality ◽  
Symptomatic Carotid ◽  
Related Quality ◽  
Health Related ◽  
Artery Disease

Abstract Information about changes of health-related quality of life (HRQoL) after revascularisation as well how revascularisation procedure influences daily activities, cognitive functioning and general health is controversial. The objectives of our study were to evaluate and describe the HRQoL among patients with severe carotid artery disease; to evaluate the difference of HRQoL between symptomatic and asymptomatic carotid artery disease; and to explore the possible associations between some demographic and clinical characteristics of patients with carotid artery disease and HRQoL. The cross-sectional study included 33 patients who were referred for carotid artery endarterectomy. Data assessment was done one to three days before surgery. The HRQoL was assessed using the Medical Outcome Survey Form 36 (SF-36v2). Patients with symptomatic carotid artery disease had the lowest mean SF-36v2 scores for physical functioning, role-physical, general health and mental health. There was moderate correlation (rs = 0.441) between mean SF- 36v2 scores of mental health and Montreal Cognitive Assessment Scale (MoCA) scores. There is also indirect indication for probable correlation between MoCA test scores and mean SF-36v2 scores of social functioning, which might become statistically significant if more patients would be included. Patients with severe carotid artery disease in our study had lower mean SF-36v2 scores for role-physical, for bodily pain and for perception about their health status (general health). HRQoL in patients with severe carotid artery, stenosis was poorer in patients with symptomatic carotid artery disease and was not affected by gender and other clinical characteristics.

Carotid Endarterectomy versus Endovascular Stent Placement as Therapy for Symptomatic Carotid Artery Disease

2009 ◽  
Vol 4 (1) ◽  
pp. 98
Author(s):  
Brian G Hynes ◽  
Thomas J Kiernan ◽  
Nicholas J Ruggiero ◽  
Bryan P Yan ◽  
Michael R Jaff ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Carotid Artery Disease ◽  
Extracranial Internal Carotid Artery ◽  
Extracranial Carotid Artery ◽  
Symptomatic Carotid ◽  
The Us ◽  
Ischaemic Attack ◽  
Artery Disease ◽  
Endovascular Stent Placement

Stroke-related morbidity and mortality remain unacceptably high. Recent estimates suggest that it accounts for approximately one out of every 17 deaths in the US, with one death from the direct consequences of stroke every three to four minutes. Of the almost 800,000 strokes that occur annually, 87% are ischaemic, the remainder occurring predominantly as a consequence of intracerebral haemorrhage. The accessibility of the extracranial internal carotid artery to revascularisation, together with the strong correlation between the severity of carotid artery stenosis and the further risk of stroke in patients who have already experienced a transient ischaemic attack (TIA) or stroke (up to 35% at five years in one series), has driven the field of carotid endarterectomy (CEA) and carotid artery stenting (CAS). In this article we will discuss the merits and risks of both of these revascularisation methods for patients with symptomatic extracranial carotid artery disease.

Transcarotid Artery Revascularization and Advances in Vascular Surgery for Carotid Artery Disease

2021 ◽  
Author(s):  
James Hu ◽  
◽  
Andy Sohn ◽  
Justin George ◽  
Rajesh Malik ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Vascular Surgery ◽  
Carotid Endarterectomy ◽  
Surgical Management ◽  
Carotid Artery Stenosis ◽  
Carotid Artery Stenting ◽  
Carotid Artery Disease ◽  
Artery Stenosis ◽  
Cerebrovascular Accidents ◽  
Artery Disease

Carotid artery atherosclerotic disease impacts over 2 million Americans annually. Since the advent of the carotid endarterectomy by Debakey in 1953, the surgical management of carotid artery stenosis has prevented cerebrovascular accidents. The technology utilized to manage carotid artery stenosis continued to evolve with the utilization of carotid artery stenting in 1989 and more recently transcarotid artery revascularization (TCAR). This review discusses the modern management of carotid artery stenosis with an emphasis on transcarotid artery revascularization (TCAR) and reversal of flow for reversal of flow for embolic protection.

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