A5103461384- Cerebrovascular and Carotid Artery Diseases
- Cardiovascular Health and Disease Prevention
- Intracranial Aneurysms: Treatment and Complications
- Acute Ischemic Stroke Management
- Coronary Interventions and Diagnostics
- Venous Thromboembolism Diagnosis and Management
- Acute Myocardial Infarction Research
- Agricultural Science and Fertilization
- Vascular Procedures and Complications
- Cardiac Imaging and Diagnostics
- Antiplatelet Therapy and Cardiovascular Diseases
- Peripheral Artery Disease Management
- Cardiac pacing and defibrillation studies
- Moyamoya disease diagnosis and treatment
- Heavy metals in environment
- Aortic aneurysm repair treatments
- Crop Yield and Soil Fertility
- Rice Cultivation and Yield Improvement
- Protein Hydrolysis and Bioactive Peptides
- Genetic and phenotypic traits in livestock
- Renal and Vascular Pathologies
- Agronomic Practices and Intercropping Systems
- Agricultural Economics and Practices
- Enzyme Production and Characterization
- Oropharyngeal Anatomy and Pathologies
Banasthali University
2025
Banaras Hindu University
2018-2024
Chaudhary Charan Singh Haryana Agricultural University
2018
Institut National de la Recherche Scientifique
2012-2015
Université du Québec à Montréal
2014
Piedmont Atlanta Hospital
2007-2011
University of Louisville
2009
University of Pittsburgh Medical Center
2009
Cleveland Clinic
1999-2008
Cleveland Foundation
1999-2007
Carotid endarterectomy is more effective than medical management in the prevention of stroke patients with severe symptomatic or asymptomatic atherosclerotic carotid-artery stenosis. Stenting use an emboli-protection device a less invasive revascularization strategy disease.
We previously reported that, in a randomized trial, carotid stenting with the use of an emboli-protection device is not inferior to endarterectomy for treatment artery disease at 30 days and 1 year. now report 3-year results.
Surgical endarterectomy has been shown to be superior medical management in the of severe carotid stenosis both symptomatic and asymptomatic patients. Endarterectomy, although effective, does have limitations, percutaneous techniques may offer an alternative method treatment.The feasibility safety angioplasty elective (primary) stenting was evaluated prospectively a consecutive series 107 One hundred twenty-six arteries with significant were treated. This represented high-risk subset that...
The purpose of this article is to review and update the current status carotid artery stent placement in world. Surveys major interventional centers Europe, North South America, Asia were initially completed June 1997. Subsequent information from these 24 addition 12 new has been obtained information. survey asked various questions regarding patients enrolled, procedure techniques, results stenting, including complications restenosis. total number endovascular procedures that have performed...
Background —The evolving technique of carotid stenting is being evaluated as an alternative to endarterectomy. Identification the factors that predispose a patient neurological complications would facilitate further refinement and optimize selection. Methods Results —We analyzed impact various clinical, morphological, procedural determinants on development strokes in 231 patients who underwent elective (primary) 271 extracranial arteries. The mean age was 68.7±10 years, 165 (71%) were males,...
Our purpose was to review the current status of carotid artery stent placement throughout world. Surveys were sent major interventional centers in Europe, North and South America, Asia. Information from peer-reviewed journals also included supplemented survey. The survey asked various questions regarding patients enrolled, procedure techniques, results stenting, including complications restenosis. Of which surveys, 24 responded. total number endovascular procedures that have been performed...
Endarterectomy for recurrent carotid stenosis after endarterectomy has a significantly higher complication rate than the original operation. Angioplasty and stenting may offer useful alternative treatment these patients.Between September 1994 April 1996, 22 patients had 25 arteries treated with angioplasty postendarterectomy restenosis. All an independent neurological examination National Institutes of Health Stroke Scale evaluation before procedure. Patients were aspirin ticlopidine....
Abstract Background: The use of carotid artery stenting with embolic protection has been practiced for over a decade in the United States, and increasingly so since received FDA approval 2004. While there have attempts at establishing predictors outcomes stenting, they generally limited to single center experiences and/or multicenter retrospective surveys. This report examines earliest largest prospective neurologist‐adjudicated experience States post device approval. Methods: C arotid A...
Abstract Background: Pivotal study data examining carotid stenting with embolic protection as a less invasive alternative to endarterectomy for high surgical risk patients have been acquired under controlled conditions highly selected physicians and hospitals. This report examines outcomes of post‐approval after diffusion this technology broader cross‐section Methods: The Carotid Acculink/Accunet Post‐Approval Trial Uncover Unanticipated or Rare Events (CAPTURE) is prospective, multi‐center...
Background Although distal embolization and the “no-reflow” phenomenon are well described in saphenous vein graft (SVG) interventions, frequency, magnitude, characterization of embolized debris have not been evaluated routine coronary interventions. A unique embolus protection device herein provides a means containing retrieving plaque material dislodged during percutaneous This report details first clinical experience effectiveness safety an emboli system 11 SVG lesions 15 native artery...
Intracranial stenting is associated with a 32% rate of restenosis. Drug-eluting stents (DES) have revolutionized the treatment coronary artery disease and greatly reduced risk in-stent stenosis. We present our experience feasibility safety using DES for patients symptomatic intracranial atherosclerosis.All had >70% stenoses failed maximal medical therapy. They were pretreated aspirin, clopidogrel, intraprocedural heparin. All lesions predilated, balloons slightly undersized. Clopidogrel...
Abstract Objectives : To assess the efficacy of a comprehensive blood pressure (BP) management protocol in reducing intracerebral hemorrhage (ICH) following carotid artery stenting (CAS). Background Following CAS hyperperfusion syndrome (HPS) can lead to significant morbidity and mortality. Hypertension plays an essential role its development. Methods :We instituted BP last case ICH complicating procedure. All patients received monitoring treatment < 140/90 mm Hg; those with treated...
Although previous reports of carotid stenting with embolic protection (CAS) have focused on clinical outcomes death, stroke and myocardial infarction, there are few data available characterizing the strokes that occur during CAS, thus limiting understanding potential mechanisms. This report examines timing, location, severity, type occurring CAS in Carotid ACCULINK/ACCUNET Post Approval Trial to Uncover Unanticipated or Rare Events (CAPTURE) study.The CAPTURE is a prospective, multicenter...
Purpose: To present the results of a multicenter registry established to collect data on carotid stent procedures in patients with restenosis following endarterectomy. Methods: The procedural details, outcomes, and late follow-up were collected from 14 centers United States. Thirty-day stroke death rates analyzed. Results: Three hundred thirty-eight (201 men; 71 ± 8 years) underwent stenting 358 arteries. average duration endarterectomy was 5.5 7.3 years. Sixty-one percent asymptomatic....