6 documents found, page 1 of 1
Why selective screening for asymptomatic carotid stenosis is currently appropri...
Paraskevas, Kosmas I.; Dardik, Alan; Schermerhorn, Marc L.; Liapis, Christos D.; Mansilha, Armando; Lal, Brajesh K.; Gray, William A.; Brown, Martin M.Introduction: Two of the main reasons recent guidelines do not recommend routine population-wide screening programs for asymptomatic carotid artery stenosis (AsxCS) is that screening could lead to an increase of carotid revascularization procedures and that such mass screening programs may not be cost-effective. Nevertheless, selective screening for AsxCS could have several benefits. This article presents the r...
The evolution of management of type B aortic dissection in a series of 100 cons...
Lopes, Alice; Pedro, Luís M; Melo, Ryan; Moutinho, Mariana; Sobrinho, Gonçalo; Amorim, Pedro; Silvestre, Luís; Fernandes E Fernandes, RuyIntroduction and objectives: Management of aortic dissection is rapidly evolving. The present study aims to assess paradigm shifts in type B aortic dissection (TBAD) treatment modalities and their outcomes according to clinical presentation and type of treatment. We also aim to assess the impact of endovascular technology in TBAD management in order to define organizational strategies to provide an integrated c...
Screening for asymptomatic carotid stenosis in patients with non-valvular atria...
Paraskevas, Kosmas I.; Eckstein, Hans-Henning; Mansilha, Armando; Ricco, Jean-Baptiste; Geroulakos, George; Di Lazzaro, Vincenzo; Rundek, TatjanaJolobe supports that screening for asymptomatic carotid stenosis (AsxCS) should be extended to patients with non-valvular atrial fibrillation (NVAF). Indeed, a 2021 meta-analysis (n = 20 studies; 49,070 patients) demonstrated that the pooled prevalence of >50% AsxCS inpatients with NVAF was 12.4% (range: 4.4–24.3%). Although this issue was not discussed in our manuscript, the optimal management of patients pres...
Why do guidelines recommend screening for abdominal aortic aneurysms, but not f...
Paraskevas, Kosmas I.; Spence, J. David; Mikhailidis, Dimitri P.; Antignani, Pier Luigi; Gloviczki, Peter; Eckstein, Hans-Henning; Spinelli, Francescoackground: Current guidelines do not recommend screening for asymptomatic carotid artery stenosis (AsxCS). The rationale behind this recommendation is that detection of AsxCS may lead to an unnecessary carotid intervention. In contrast, screening for abdominal aortic aneurysms is strongly recommended. Methods: A critical analysis of the literature was performed to evaluate the implications of detecting AsxCS. R...
Comparison of recent practice guidelines for the management of patients with as...
Paraskevas, Kosmas I.; Mikhailidis, Dimitri P.; Antignani, Pier Luigi; Ascher, Enrico; Baradaran, Hediyeh; Bokkers, Reinoud P.H.; Cambria, Richard P.Despite the publication of several national/international guidelines, the optimal management of patients with asymptomatic carotid stenosis (AsxCS) remains controversial. This article compares 3 recently released guidelines (the 2020 German-Austrian, the 2021 European Stroke Organization [ESO], and the 2021 Society for Vascular Surgery [SVS] guidelines) vs the 2017 European Society for Vascular Surgery (ESVS) g...
The impact of the proctor assistance for a safe learning curve in the developme...
Melo, Ryan; Fernandes E Fernandes, Ruy; Salvado, Margarida; Duarte, Antonio; Lopes, Alice; Verhoeven, Eric; Fernandes E Fernandes, Jose; Pedro, Luís MIntroduction: Initiating an endovascular aortic program for treatment of complex aortic aneurysms with fenestrated and branched grafts (FB-EVAR) is challenging. Using a Proctor is one option for training and development of the team. However, this approach has not been formally analyzed. The aim of this study was to analyze the learning curve and the effect of the Proctor regarding safety and effectiveness in FB...