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Minimally Invasive Procedure May Improve Outcomes in Carotid Revascularization

Feb 24, 2021 Making TCAR available for select patients leads to 10% lower MACE rates Hospitals that adopted transcarotid artery revascularization (TCAR) as an option for carotid revascularization saw a 10% reduction in perioperative major adverse cardiovascular events (MACE) in patients with carotid artery stenosis, according to a registry-based study, although other quality-of-care initiatives may also have played a part. In a study of data from the Society of Vascular Surgery’s Vascular Quality Initiative (VQI), the crude rate of MACE was similar for post-TCAR and post-CEA at 2.3% versus 2.4% ( P=0.91), reported Jesse A. Columbo MD, MS, of the Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire, and co-authors.

Screening for Asymptomatic Carotid Artery Stenosis: US Preventive Services Task Force Recommendation Statement | Cerebrovascular Disease | JAMA

1. de Weerd  M, Greving  JP, Hedblad  B,  et al.  Prevalence of asymptomatic carotid artery stenosis in the general population: an individual participant data meta-analysis.  2. Abbott  AL, Brunser  AM, Giannoukas  A,  et al.  Misconceptions regarding the adequacy of best medical intervention alone for asymptomatic carotid stenosis.  3. Leading causes of death. Centers for Disease Control and Prevention. Published October 30, 2020. Accessed December 9, 2020. https://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm 4. LeFevre  ML; US Preventive Services Task Force.  Screening for asymptomatic carotid artery stenosis: U.S. Preventive Services Task Force recommendation statement.  5. Procedure Manual. US Preventive Services Task Force. Published December 2015. Accessed December 9, 2020. https://www.uspreventiveservicestaskforce.org/uspstf/proce

Screening guidelines for AAA may be inadequate

Screening guidelines for AAA may be inadequate ADD TOPIC TO EMAIL ALERTS Receive an email when new articles are posted on Please provide your email address to receive an email when new articles are posted on . Subscribe ADDED TO EMAIL ALERTS You ve successfully added to your alerts. You will receive an email when new content is published. Back to Healio We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com. Back to Healio More than two-thirds of patients who required abdominal aortic aneurysm repair would not have been captured by the U.S. Preventive Service Task Force AAA screening guidelines, according to data from the Vascular Quality Initiative.

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