Carotid endarterectomy, angioplasty and stenting / by Prof. Martin Brown.

Format:

Video

Author/Creator:

Brown, Martin, author.

Language:

English

Subjects (All):

Carotid artery--Stenosis--Surgery.

Carotid artery.

Cerebrovascular disease--Prevention.

Cerebrovascular disease.

Endarterectomy--Instruments.

Endarterectomy.

Angioplasty.

Stents (Surgery).

Physical Description:

1 videorecording (54 min., 19 sec.) : sound, color

Place of Publication:

London : Henry Stewart Talks Ltd, 2008.

System Details:

video file

Contents:

Introduction

Stenosis of the internal carotid artery

Lecture outline

Symptoms of carotid stenosis (1)

A prominent posterior communicating artery

Symptoms of carotid stenosis (2)

Superficial borderzone infarction

Deep borderzone infarction

Impaired perfusion in deep borderzones

Other symptoms of carotid artery disease

Signs of carotid artery disease

Examination low flow retinopathy

Cholesterol embolus with retinal infarction

Indications for carotid endarterectomy

Stenosis treatment should be evidence based

Mechanisms of ischaemic stroke

Analysis of symptomatic carotid surgery trials

Different methods to measure stenosis

Analysis results: stenosis 70-99%

Angiograms of severe stenosis and near occlusion

Analysis results: near occlusion

Absolute risk reduction with surgery

Benefit of carotid endarterectomy

The effect of surgery by time since last event

Risk of recurrent stroke prior to endarterectomy

Carotid endarterectomy for asymptomatic stenosis

Asymptomatic carotid surgery trial

Main results of ACST trial

Carotid territory ischaemic stroke: 5-years risk

Combined analysis of ACST and ACASA trials

Benefit from surgery for asymptomatic patients

HPS study

Is angioplasty or stenting an alternative?

Endovascular treatment - alternative to surgery?

Carotid endarterectomy specimen

What have we learnt from CAVATAS?

Inflated angioplasty balloon

Carotids fit for surgery

CAVATAS results (1)

CAVATAS results (2)

Histology of restenosis after angioplasty

Conclusions from CAVATAS

Evolution of endovascular treatment

Self expanding nitenol stent

Cerebral protection devices

Parodi anti-embolism system

Disadvantages of protection devices

CAVATAS: timing of strokes after treatment

Recent prospective case series and registries

Problems with case series and registry data

Accuracy of outcome event assessment

Importance of randomised control trials

Carotid angioplasty and stenting vs. surgery

SAPPHIRE trial

SAPPHIRE trial: intention to treat analysis

SAPPHIRE trial: results

SAPPHIRE trial: notable features

EVA-3S trial: 30 day safety data

Explanations for the difference in EVA-3S

CAVATAS: effect of carotid angioplasty/stenting

SPACE: 30 day safety data

SPACE: notable features

Metanalysis of endovascular treatment vs. surgery

Metanalysis results: stroke or death at 30 days

Metanalysis results: MI, death, stroke at 30 days

Metanalysis results: cranial neuropathy

Metanalysis results: other comparisons

Numbers of patients included in the metanalysis

Endovascular vs. surgical treatment: conclusions

On-going trials of carotid stenting

Conclusions: treatment of symptomatic stenosis

Conclusions: endarterectomy after stroke or TIA

Conclusions: treatment for asymptomatic stenosis

Conclusions: carotid stenting

Acknowledgements.

Notes:

Description based on publisher supplied metadata and other sources.

Retrieved April 19, 2024, from https://hstalks.com/bs/1016/.