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Saba L, Cau R, Murgia A, Nicolaides AN, Wintermark M, Castillo M, Staub D, Kakkos SK, Yang Q, Paraskevas KI, Yuan C, Edjlali M, Sanfilippo R, Hendrikse J, Johansson E, Mossa-Basha M, Balu N, Dichgans M, Saloner D, Bos D, Jager HR, Naylor R, Faa G, Suri JS, Costello J, Auer DP, Mcnally JS, Bonati LH, Nardi V, van der Lugt A, Griffin M, Wasserman BA, Kooi ME, Gillard J, Lanzino G, Mikhailidis DP, Mandell DM, Benson JC, van Dam-Nolen DHK, Kopczak A, Song JW, Gupta A, DeMarco JK, Chaturvedi S, Virmani R, Hatsukami TS, Brown M, Moody AR, Libby P, Schindler A, Saam T. Carotid Plaque-RADS: A Novel Stroke Risk Classification System. JACC Cardiovasc Imaging 2024; 17:62-75. [PMID: 37823860 DOI: 10.1016/j.jcmg.2023.09.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 09/06/2023] [Accepted: 09/12/2023] [Indexed: 10/13/2023]
Abstract
BACKGROUND Carotid artery atherosclerosis is highly prevalent in the general population and is a well-established risk factor for acute ischemic stroke. Although the morphological characteristics of vulnerable plaques are well recognized, there is a lack of consensus in reporting and interpreting carotid plaque features. OBJECTIVES The aim of this paper is to establish a consistent and comprehensive approach for imaging and reporting carotid plaque by introducing the Plaque-RADS (Reporting and Data System) score. METHODS A panel of experts recognized the necessity to develop a classification system for carotid plaque and its defining characteristics. Using a multimodality analysis approach, the Plaque-RADS categories were established through consensus, drawing on existing published reports. RESULTS The authors present a universal classification that is applicable to both researchers and clinicians. The Plaque-RADS score offers a morphological assessment in addition to the prevailing quantitative parameter of "stenosis." The Plaque-RADS score spans from grade 1 (indicating complete absence of plaque) to grade 4 (representing complicated plaque). Accompanying visual examples are included to facilitate a clear understanding of the Plaque-RADS categories. CONCLUSIONS Plaque-RADS is a standardized and reliable system of reporting carotid plaque composition and morphology via different imaging modalities, such as ultrasound, computed tomography, and magnetic resonance imaging. This scoring system has the potential to help in the precise identification of patients who may benefit from exclusive medical intervention and those who require alternative treatments, thereby enhancing patient care. A standardized lexicon and structured reporting promise to enhance communication between radiologists, referring clinicians, and scientists.
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Affiliation(s)
- Luca Saba
- Department of Radiology, University of Cagliari, Cagliari, Italy.
| | - Riccardo Cau
- Department of Radiology, University of Cagliari, Cagliari, Italy
| | | | - Andrew N Nicolaides
- Vascular Screening and Diagnostic Centre, Nicosia, Cyprus; University of Nicosia Medical School, Nicosia, Cyprus; Department of Vascular Surgery, Imperial College, London, United Kingdom
| | - Max Wintermark
- Department of Neuroradiology, The University of Texas MD Anderson Center, Houston, Texas, USA
| | - Mauricio Castillo
- Department of Radiology, University of North Carolina, Chapel Hill, North Carolina, USA
| | - Daniel Staub
- Vascular Medicine/Angiology, University Hospital Basel and University of Basel, Basel, Switzerland
| | - Stavros K Kakkos
- Department of Vascular Surgery, University of Patras Medical School, Patras, Greece
| | - Qi Yang
- Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing, China
| | | | - Chun Yuan
- Department of Radiology, University of Washington, Seattle, Washington, USA
| | - Myriam Edjlali
- Multimodal Biomedical Imaging Laboratory (BioMaps), Paris-Saclay University, CEA, CNRS, Inserm, Frédéric Joliot Hospital Department, Orsay, France; Department of Radiology, APHP, Paris, France
| | | | | | - Elias Johansson
- Clinical Science, Umeå University, Neurosciences, Umeå, Sweden
| | - Mahmud Mossa-Basha
- Department of Radiology, University of Washington, Seattle, Washington, USA
| | - Niranjan Balu
- Department of Surgery, University of Washington, Seattle, WA, USA
| | - Martin Dichgans
- Institute for Stroke and Dementia Research, University Hospital, LMU Munich, Munich, Germany; Munich Cluster for Systems Neurology (SyNergy), Munich, Germany; German Center for Neurodegenerative Diseases (DZNE), Munich, Germany
| | - David Saloner
- Department of Radiology and Biomedical Imaging, University of California-San Francisco, San Francisco, California, USA
| | - Daniel Bos
- Department of Radiology and Nuclear Medicine, Erasmus MC Rotterdam, University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Epidemiology, Erasmus MC, Rotterdam, the Netherlands; Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium; Department of Clinical Epidemiology, Harvard School of Public Health, Boston, Massachusetts, USA
| | - H Rolf Jager
- Lysholm Department of Neuroradiology and the Neuroradiological Academic Unit, Department of Brain Repair and Rehabilitation, UCL Institute of Neurology, London, United Kingdom
| | - Ross Naylor
- The Leicester Vascular Institute, Glenfield Hospital, Leicester, United Kingdom
| | - Gavino Faa
- Department of Pathology, University of Cagliari, Cagliari, Italy
| | - Jasjit S Suri
- Stroke Monitoring and Diagnostic Division, AtheroPoin, Roseville, California, USA
| | - Justin Costello
- Department of Neuroradiology, Walter Reed National Military Medical Center and Uniformed Services University of Health Sciences, Bethesda, Maryland, USA
| | - Dorothee P Auer
- Radiological Sciences, Division of Clinical Neuroscience, and NIHR Nottingham Biomedical Research Centre, University of Nottingham, Nottingham, United Kingdom
| | - J Scott Mcnally
- Department of Radiology, University of Utah, Salt Lake City, Utah, USA
| | - Leo H Bonati
- Department of Neurology and Stroke Center, Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland
| | - Valentina Nardi
- Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USA
| | - Aad van der Lugt
- Department of Radiology and Nuclear Medicine, Erasmus MC Rotterdam, University Medical Center Rotterdam, Rotterdam, the Netherlands
| | - Maura Griffin
- Vascular Screening and Diagnostic Centre, Nicosia, Cyprus
| | - Bruce A Wasserman
- Department of Radiology, University of Maryland School of Medicine and Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - M Eline Kooi
- Department of Radiology and Nuclear Medicine, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, the Netherlands
| | | | - Giuseppe Lanzino
- Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota, USA
| | - Dimitri P Mikhailidis
- Department of Clinical Biochemistry, Royal Free Hospital Campus, University College London School, University College London, London, United Kingdom
| | - Daniel M Mandell
- Joint Department of Medical Imaging, University Health Network, Toronto, Ontario, Canada
| | - John C Benson
- Department of Radiology Mayo Clinic, Rochester, Minnesota, USA
| | - Dianne H K van Dam-Nolen
- Department of Radiology and Nuclear Medicine, Erasmus MC Rotterdam, University Medical Center Rotterdam, Rotterdam, the Netherlands
| | - Anna Kopczak
- Institute for Stroke and Dementia Research, University Hospital, LMU Munich, Munich, Germany
| | - Jae W Song
- Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Ajay Gupta
- Department of Radiology Weill Cornell Medical College, New York, New York, USA
| | - J Kevin DeMarco
- Walter Reed National Military Medical Center and Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
| | - Seemant Chaturvedi
- Department of Neurology, University of Maryland Medical Center, Baltimore, Maryland, USA
| | - Renu Virmani
- Department of Cardiovascular Pathology, CVPath Institute, Gaithersburg, Maryland, USA
| | | | - Martin Brown
- Department of Neurology and Neurosurgery, University College London Hospitals, London, United Kingdom
| | - Alan R Moody
- Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada
| | - Peter Libby
- Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA
| | - Andreas Schindler
- Institute of Neuroradiology, University Hospital, LMU Munich, Munich, Germany
| | - Tobias Saam
- Department of Radiology, University Hospital, LMU Munich, Munich, Germany; Die Radiologie, Rosenheim, Germany
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2
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Naylor R. Carotid Interventions: Does Sex Matter? Eur J Vasc Endovasc Surg 2023; 66:15-16. [PMID: 37148963 DOI: 10.1016/j.ejvs.2023.04.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Accepted: 04/28/2023] [Indexed: 05/08/2023]
Affiliation(s)
- Ross Naylor
- The Leicester Vascular Institute, Glenfield Hospital, Leicester, UK.
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3
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Naylor R, Rantner B, Ancetti S, de Borst GJ, De Carlo M, Halliday A, Kakkos SK, Markus HS, McCabe DJH, Sillesen H, van den Berg JC, Vega de Ceniga M, Venermo MA, Vermassen FEG, Esvs Guidelines Committee, Antoniou GA, Bastos Goncalves F, Bjorck M, Chakfe N, Coscas R, Dias NV, Dick F, Hinchliffe RJ, Kolh P, Koncar IB, Lindholt JS, Mees BME, Resch TA, Trimarchi S, Tulamo R, Twine CP, Wanhainen A, Document Reviewers, Bellmunt-Montoya S, Bulbulia R, Darling RC, Eckstein HH, Giannoukas A, Koelemay MJW, Lindström D, Schermerhorn M, Stone DH. Editor's Choice - European Society for Vascular Surgery (ESVS) 2023 Clinical Practice Guidelines on the Management of Atherosclerotic Carotid and Vertebral Artery Disease. Eur J Vasc Endovasc Surg 2023; 65:7-111. [PMID: 35598721 DOI: 10.1016/j.ejvs.2022.04.011] [Citation(s) in RCA: 158] [Impact Index Per Article: 158.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Accepted: 04/20/2022] [Indexed: 01/17/2023]
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Saratzis A, Naylor R. 30 Day Outcomes After Carotid Interventions: An Updated Meta-analysis of Randomised Controlled Trials in Asymptomatic Patients. Eur J Vasc Endovasc Surg 2021; 63:157-158. [PMID: 34838436 DOI: 10.1016/j.ejvs.2021.10.029] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2021] [Revised: 10/06/2021] [Accepted: 10/10/2021] [Indexed: 11/26/2022]
Affiliation(s)
| | - Ross Naylor
- Department of Cardiovascular Sciences, University of Leicester, Glenfield Hospital, Leicester, LE3 9QP, UK
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Saba L, Brinjikji W, Spence JD, Wintermark M, Castillo M, Borst GJD, Yang Q, Yuan C, Buckler A, Edjlali M, Saam T, Saloner D, Lal BK, Capodanno D, Sun J, Balu N, Naylor R, Lugt AVD, Wasserman BA, Kooi ME, Wardlaw J, Gillard J, Lanzino G, Hedin U, Mikulis D, Gupta A, DeMarco JK, Hess C, Goethem JV, Hatsukami T, Rothwell P, Brown MM, Moody AR. Roadmap Consensus on Carotid Artery Plaque Imaging and Impact on Therapy Strategies and Guidelines: An International, Multispecialty, Expert Review and Position Statement. AJNR Am J Neuroradiol 2021; 42:1566-1575. [PMID: 34326105 DOI: 10.3174/ajnr.a7223] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Accepted: 01/26/2021] [Indexed: 12/19/2022]
Abstract
Current guidelines for primary and secondary prevention of stroke in patients with carotid atherosclerosis are based on the quantification of the degree of stenosis and symptom status. Recent publications have demonstrated that plaque morphology and composition, independent of the degree of stenosis, are important in the risk stratification of carotid atherosclerotic disease. This finding raises the question as to whether current guidelines are adequate or if they should be updated with new evidence, including imaging for plaque phenotyping, risk stratification, and clinical decision-making in addition to the degree of stenosis. To further this discussion, this roadmap consensus article defines the limits of luminal imaging and highlights the current evidence supporting the role of plaque imaging. Furthermore, we identify gaps in current knowledge and suggest steps to generate high-quality evidence, to add relevant information to guidelines currently based on the quantification of stenosis.
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Affiliation(s)
- L Saba
- From the Department of Radiology (L.S.), University of Cagliari, Cagliari, Italy
| | | | - J D Spence
- Stroke Prevention and Atherosclerosis Research Centre (J.D.S.), Robarts Research Institute, Western University, London, Ontario, Canada
| | - M Wintermark
- Department of Neuroradiology (M.W.), Stanford University and Healthcare System, Stanford, California
| | - M Castillo
- Department of Radiology (M.C.), University of North Carolina, Chapel Hill, North Carolina
| | - G J D Borst
- Department of Vascular Surgery (G.J.D.B.), University Medical Center Utrecht, Utrecht, the Netherlands
| | - Q Yang
- Department of Radiology (Q.Y.), Xuanwu Hospital, Capital Medical University, Beijing, China
| | - C Yuan
- Departments of Radiology (C.Y., J.S., N.B.)
| | - A Buckler
- Elucid Bioimaging (A.B.), Boston, Massachusetts
| | - M Edjlali
- Department of Neuroradiology (M.E.), Université Paris-Descartes-Sorbonne-Paris-Cité, IMABRAIN-INSERM-UMR1266, DHU-Neurovasc, Centre Hospitalier Sainte-Anne, Paris, France
| | - T Saam
- Department of Radiology (T.S.), University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.,Radiologisches Zentrum (T.S.), Rosenheim, Germany
| | - D Saloner
- Departments of Radiology and Biomedical Imaging (D.S., C.H.), University of California San Francisco, San Francisco, California
| | - B K Lal
- Department of Vascular Surgery (B.K.L.), University of Maryland School of Medicine, Baltimore, Maryland
| | - D Capodanno
- Division of Cardiology (D.C.), A.O.U. Policlinico "G. Rodolico-San Marco," University of Catania, Italy
| | - J Sun
- Departments of Radiology (C.Y., J.S., N.B.)
| | - N Balu
- Departments of Radiology (C.Y., J.S., N.B.)
| | - R Naylor
- The Leicester Vascular Institute (R.N.), Glenfield Hospital, Leicester, UK
| | - A V D Lugt
- Department of Radiology and Nuclear Medicine (A.v.d.L.), Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands
| | - B A Wasserman
- The Russell H. Morgan Department of Radiology and Radiological Science (B.A.W.), Johns Hopkins Hospital, Baltimore, Maryland
| | - M E Kooi
- Department of Radiology and Nuclear Medicine (M.E.K.), CARIM School for Cardiovascular Diseases, Maastricht University Medical Center, Maastricht, the Netherlands
| | - J Wardlaw
- Centre for Clinical Brain Sciences (J.W.), United Kingdom Dementia Research Institute and Edinburgh Imaging, University of Edinburgh, Edinburgh, UK
| | - J Gillard
- Christ's College (J.G.), Cambridge, UK
| | - G Lanzino
- Neurosurgery (G.L.) Mayo Clinic, Rochester, Minnesota
| | - U Hedin
- Department of Molecular Medicine and Surgery (U.H.), Karolinska Institutet, Stockholm, Sweden.,Department of Vascular Surgery (U.H.), Karolinska University Hospital and Karolinska Institute, Stockholm, Sweden
| | - D Mikulis
- Joint Department of Medical Imaging and the Functional Neuroimaging Laboratory (D.M.), University Health Network, Toronto, Ontario, Canada
| | - A Gupta
- Department of Radiology (A.G.), Weill Cornell Medical College, New York, New York
| | - J K DeMarco
- Walter Reed National Military Medical Center and Uniformed Services University of the Health Sciences (J.K.D.), Bethesda, Maryland
| | - C Hess
- Departments of Radiology and Biomedical Imaging (D.S., C.H.), University of California San Francisco, San Francisco, California
| | - J V Goethem
- Faculty of Biomedical Sciences (J.V.G.), University of Antwerp, Antwerp, Belgium
| | - T Hatsukami
- Surgery (T.H.), University of Washington, Seattle, Washington
| | - P Rothwell
- Centre for Prevention of Stroke and Dementia (P.R.), Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, University of Oxford, UK
| | - M M Brown
- Stroke Research Centre (M.M.B.), Department of Brain Repair and Rehabilitation, University College of London Queen Square Institute of Neurology, University College London, UK
| | - A R Moody
- Department of Medical Imaging (A.R.M.), University of Toronto, Toronto, Ontario, Canada
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Kakkos SK, Vega de Ceniga M, Naylor R. A Systematic Review and Meta-analysis of Peri-Procedural Outcomes in Patients Undergoing Carotid Interventions Following Thrombolysis. Eur J Vasc Endovasc Surg 2021; 62:340-349. [PMID: 34266765 DOI: 10.1016/j.ejvs.2021.06.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Revised: 06/01/2021] [Accepted: 06/03/2021] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To evaluate the safety of carotid artery stenting (CAS) and carotid endarterectomy (CEA) after thrombolytic therapy (TT). DATA SOURCES Medline, Scopus, and Cochrane databases. REVIEW METHODS Systematic review and meta-analysis of studies involving patients who underwent CEA/CAS after TT. RESULTS In 25 studies (n = 147 810 patients), 2 557 underwent CEA (n = 2 076) or CAS (n = 481) following TT. After CEA, the pooled peri-procedural stroke/death rate was 5.2% (95% confidence interval [CI] 3.3 - 7.5) and intracranial haemorrhage (ICH) was 3.4% (95% CI 1.7 - 5.6). After CAS, the pooled peri-procedural stroke/death rate was 14.9% (95% CI 11.9 - 18.2) and ICH was 5.5% (95% CI 3.7 - 7.7). In case control studies comparing CEA outcomes in patients receiving TT vs. no TT, peri-procedural death/stroke was non-significantly higher after TT (4.3% vs. 1.5%; odds ratio [OR] 2.34, 95% CI 0.74 - 7.47), but ICH was significantly higher after TT (2.2% vs. 0.12%; OR 7.82, 95% CI 4.07 - 15.02), as was local haematoma formation (3.6% vs. 2.26%; OR 1.17, 95% CI 1.17 - 2.33). In case control studies comparing CAS outcomes in patients receiving TT vs. no TT, peri-procedural stroke/death was significantly higher after TT (5.2% vs. 1.5%; OR 8.49, 95% CI 2.12 - 33.95) as was ICH (5.4% vs. 0.7%; OR 7.48, 95% CI 4.69 - 11.92). Meta-regression analysis demonstrated an inverse association between the time interval from intravenous (IV) TT to undergoing CEA and the risk of peri-procedural stroke/death (p = .032). Peri-operative stroke/death was 13.0% when CEA was performed three days after TT and 10.6% when performed four days after TT, with the risk reducing to within the currently accepted 6% threshold after six-seven days had elapsed. CONCLUSION Peri-procedural ICH and local haematoma were significantly more frequent in patients undergoing CEA after TT (vs. no TT), although there were no randomised comparisons. Peri-procedural hazards were also significantly higher for CAS after TT. The inverse relationship between timing to CEA and peri-procedural stroke/death mandates careful patient selection and suggests that it may be safer to defer CEA for six-seven days after TT.
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Affiliation(s)
- Stavros K Kakkos
- Department of Vascular Surgery, University Hospital of Patras, Patras, Greece.
| | - Melina Vega de Ceniga
- Department of Angiology and Vascular Surgery, Hospital de Galdakao-Usansolo, Galdakao and Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
| | - Ross Naylor
- Leicester Vascular Institute, Glenfield Hospital, Leicester, UK
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Coelho A, Prassaparo T, Mansilha A, Kappelle J, Naylor R, de Borst GJ. Critical Appraisal on the Quality of Reporting on Safety and Efficacy of Transcarotid Artery Stenting With Flow Reversal. Stroke 2020; 51:2863-2871. [PMID: 32811389 DOI: 10.1161/strokeaha.120.030283] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Transcarotid revascularization is an alternative to transfemoral carotid artery stenting, designed to avoid aortic arch manipulation and concomitant periprocedural stroke. This article aims to perform a detailed analysis on the quality of the currently available evidence on safety and efficacy of transcarotid artery revascularization. Although current evidence is promising, independent randomized controlled studies comparing transcarotid artery revascularization with carotid endarterectomy in recently symptomatic patients are lacking and will be necessary to establish the true value of transcarotid artery revascularization in carotid artery revascularization.
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Affiliation(s)
- Andreia Coelho
- Department of Angiology and Vascular Surgery, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal (A.C.).,Faculdade Medicina da Universidade do Porto, Portugal (A.C., A.M.)
| | | | - Armando Mansilha
- Faculdade Medicina da Universidade do Porto, Portugal (A.C., A.M.)
| | - Jaap Kappelle
- Department of Neurology (J.K.), University Medical Center Utrecht, the Netherlands
| | - Ross Naylor
- Department of Vascular Surgery, Leicester, United Kingdom (R.N.)
| | - Gert J de Borst
- Department of Vascular Surgery (G.J.d.B.), University Medical Center Utrecht, the Netherlands
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Venermo M, Sprynger M, Desormais I, Björck M, Brodmann M, Cohnert T, De Carlo M, Espinola-Klein C, Kownator S, Mazzolai L, Naylor R, Vlachopoulos C, Ricco JB, Aboyans V. Follow-up of Patients After Revascularisation for Peripheral Arterial Diseases: A Consensus Document From the European Society of Cardiology Working Group on Aorta and Peripheral Vascular Diseases and the European Society of Vascular Surgery. J Vasc Surg 2019. [DOI: 10.1016/j.jvs.2019.10.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Johal A, Loftus I, Boyle J, Naylor R, Watson S, Heikkila K. Changing Patterns of Carotid Endarterectomy Between 2011 and 2017 in England: A Population-Based Cohort Study. J Vasc Surg 2019. [DOI: 10.1016/j.jvs.2019.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Venermo M, Sprynger M, Desormais I, Björck M, Brodmann M, Cohnert T, De Carlo M, Espinola-Klein C, Kownator S, Mazzolai L, Naylor R, Vlachopoulos C, Ricco JB, Aboyans V. Editor's Choice – Follow-up of Patients After Revascularisation for Peripheral Arterial Diseases: A Consensus Document From the European Society of Cardiology Working Group on Aorta and Peripheral Vascular Diseases and the European Society for Vascular Surgery. Eur J Vasc Endovasc Surg 2019; 58:641-653. [DOI: 10.1016/j.ejvs.2019.06.017] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Accepted: 04/08/2019] [Indexed: 10/25/2022]
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Venermo M, Sprynger M, Desormais I, Björck M, Brodmann M, Cohnert T, De Carlo M, Espinola-Klein C, Kownator S, Mazzolai L, Naylor R, Vlachopoulos C, Ricco JB, Aboyans V. Follow-up of patients after revascularisation for peripheral arterial diseases: a consensus document from the European Society of Cardiology Working Group on Aorta and Peripheral Vascular Diseases and the European Society for Vascular Surgery. Eur J Prev Cardiol 2019; 26:1971-1984. [DOI: 10.1177/2047487319846999] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Peripheral arterial diseases comprise different clinical presentations, from cerebrovascular disease down to lower extremity artery disease, from subclinical to disabling symptoms and events. According to clinical presentation, the patient's general condition, anatomical location and extension of lesions, revascularisation may be needed in addition to best medical treatment. The 2017 European Society of Cardiology guidelines in collaboration with the European Society for Vascular Surgery have addressed the indications for revascularisation. While most cases are amenable to either endovascular or surgical revascularisation, maintaining long-term patency is often challenging. Early and late procedural complications, but also local and remote recurrences frequently lead to revascularisation failure. The rationale for surveillance is to propose the accurate implementation of preventive strategies to avoid other cardiovascular events and disease progression and avoid recurrence of symptoms and the need for redo revascularisation. Combined with vascular history and physical examination, duplex ultrasound scanning is the pivotal imaging technique for identifying revascularisation failures. Other non-invasive examinations (ankle and toe brachial index, computed tomography scan, magnetic resonance imaging) at regular intervals can optimise surveillance in specific settings. Currently, optimal revascularisation surveillance programmes are not well defined and systematic reviews addressing long-term results after revascularisation are lacking. We have systematically reviewed the literature addressing follow-up after revascularisation and we propose this consensus document as a complement to the recent guidelines for optimal surveillance of revascularised patients beyond the perioperative period.
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Affiliation(s)
- Maarit Venermo
- Department of Vascular Surgery, Helsinki University Hospital and University of Helsinki, Finland
| | - Muriel Sprynger
- Department of Cardiology, University of Liege Hospital, Belgium
| | - Ileana Desormais
- Department of Thoracic and Vascular Surgery and Vascular Medicine, Dupuytren University Hospital, France
| | - Martin Björck
- Department of Surgical Sciences, Uppsala University, Sweden
| | | | - Tina Cohnert
- Department of Vascular Surgery, Graz University Hospital, Austria
| | - Marco De Carlo
- Cardiothoracic and Vascular Department, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy
| | - Christine Espinola-Klein
- Center for Cardiology – Cardiology I, University Medical Center of the Johannes Gutenberg University Mainz, Germany
| | | | - Lucia Mazzolai
- Division of Angiology, Lausanne University Hospital, Switzerland
| | - Ross Naylor
- Department of Vascular Surgery, Leicester Vascular Institute, UK
| | | | | | - Victor Aboyans
- Department of Cardiology, Dupuytren University Hospital and Inserm 1098, France
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12
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Naylor R. When two worlds collide. ANZ J Surg 2019; 89:279-280. [PMID: 30942547 DOI: 10.1111/ans.14965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Revised: 09/17/2018] [Accepted: 10/16/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Ross Naylor
- Leicester Vascular Institute, Glenfield Hospital, Leicester, UK
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13
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Wanhainen A, Verzini F, Van Herzeele I, Allaire E, Bown M, Cohnert T, Dick F, van Herwaarden J, Karkos C, Koelemay M, Kölbel T, Loftus I, Mani K, Melissano G, Powell J, Szeberin Z, ESVS Guidelines Committee, de Borst GJ, Chakfe N, Debus S, Hinchliffe R, Kakkos S, Koncar I, Kolh P, Lindholt JS, de Vega M, Vermassen F, Document reviewers, Björck M, Cheng S, Dalman R, Davidovic L, Donas K, Earnshaw J, Eckstein HH, Golledge J, Haulon S, Mastracci T, Naylor R, Ricco JB, Verhagen H. Editor's Choice – European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms. Eur J Vasc Endovasc Surg 2019; 57:8-93. [DOI: 10.1016/j.ejvs.2018.09.020] [Citation(s) in RCA: 873] [Impact Index Per Article: 174.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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14
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Schmidli J, Widmer MK, Basile C, de Donato G, Gallieni M, Gibbons CP, Haage P, Hamilton G, Hedin U, Kamper L, Lazarides MK, Lindsey B, Mestres G, Pegoraro M, Roy J, Setacci C, Shemesh D, Tordoir JH, van Loon M, ESVS Guidelines Committee, Kolh P, de Borst GJ, Chakfe N, Debus S, Hinchliffe R, Kakkos S, Koncar I, Lindholt J, Naylor R, Vega de Ceniga M, Vermassen F, Verzini F, ESVS Guidelines Reviewers, Mohaupt M, Ricco JB, Roca-Tey R. Editor's Choice – Vascular Access: 2018 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg 2018; 55:757-818. [DOI: 10.1016/j.ejvs.2018.02.001] [Citation(s) in RCA: 346] [Impact Index Per Article: 57.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
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15
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Björck M, Koelemay M, Acosta S, Bastos Goncalves F, Kölbel T, Kolkman JJ, Lees T, Lefevre JH, Menyhei G, Oderich G, Kolh P, de Borst GJ, Chakfe N, Debus S, Hinchliffe R, Kakkos S, Koncar I, Sanddal Lindholt J, Vega de Ceniga M, Vermassen F, Verzini F, Geelkerken B, Gloviczki P, Huber T, Naylor R. Editor's Choice - Management of the Diseases of Mesenteric Arteries and Veins: Clinical Practice Guidelines of the European Society of Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg 2018; 53:460-510. [PMID: 28359440 DOI: 10.1016/j.ejvs.2017.01.010] [Citation(s) in RCA: 329] [Impact Index Per Article: 54.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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16
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Hamilton-Webb A, Naylor R, Little R, Maye D. Compensation and exotic livestock disease management: the views of animal keepers and veterinarians in England. Vet Rec 2016; 179:513. [DOI: 10.1136/vr.103571] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/26/2016] [Indexed: 11/03/2022]
Affiliation(s)
- A. Hamilton-Webb
- Royal; Agricultural University, School of Real Estate and Land Management; Cirencester UK
| | - R. Naylor
- Royal; Agricultural University, School of Real Estate and Land Management; Cirencester UK
| | - R. Little
- Department of Geography; University of Sheffield; Sheffield UK
| | - D. Maye
- Countryside and Community Research Institute; Gloucester UK
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17
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Broughan J, Maye D, Carmody P, Brunton L, Ashton A, Wint W, Alexander N, Naylor R, Ward K, Goodchild A, Hinchliffe S, Eglin R, Upton P, Nicholson R, Enticott G. Farm characteristics and farmer perceptions associated with bovine tuberculosis incidents in areas of emerging endemic spread. Prev Vet Med 2016; 129:88-98. [DOI: 10.1016/j.prevetmed.2016.05.007] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2016] [Revised: 05/10/2016] [Accepted: 05/13/2016] [Indexed: 10/21/2022]
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18
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Naylor R. Management of prosthetic patch infection after CEA. J Cardiovasc Surg (Torino) 2016; 57:137-144. [PMID: 26635122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
It has been reported that 0.5-1% of patients undergoing carotid endarterectomy with prosthetic patch closure of the arteriotomy will develop patch infection. One third occur within the first 2 months after surgery, while two-thirds occur after >6 months have elapsed. Wound infection and abscess formation is the commonest mode of presentation in early cases, while chronic sinus discharge and false aneurysm formation are the commonest presentations in late cases. The commonest infecting organisms are Staphylococci/Streptococci (90%) and this should be borne in mind when planning antibiotic therapy before cultures are available. Most patch infections present (semi)-electively and patch rupture is relatively rare (10%), thereby enabling the surgeon to undertake careful evaluation of the patients overall clinical and anatomical status, whilst planning the optimal treatment strategy. If necessary, the patient should be transferred to a tertiary center for treatment. This is not an operation to be undertaken by an inexperienced surgeon. Operative planning should involve checking the original operation note (did the patient tolerate carotid clamping under locoregional anesthesia and therefore might tolerate carotid ligation), is there evidence of contralateral cranial nerve lesions (a contraindication to major open surgery) and has the surgeon planned for adequate distal exposure of the internal carotid artery. Patch excision and autologous reconstruction (usually vein) is the current 'gold standard' treatment, but highly selected patients can be successfully treated by less invasive surgery (including insertion of a covered stent). Patch excision and prosthetic reconstruction should be avoided.
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Affiliation(s)
- Ross Naylor
- Department of Vascular Surgery, Leicester Royal Infirmary, Leicester, UK -
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19
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Affiliation(s)
- R Naylor
- Newmarket Equine Hospital, Suffolk, UK
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20
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Enticott G, Maye D, Carmody P, Naylor R, Ward K, Hinchliffe S, Wint W, Alexander N, Elgin R, Ashton A, Upton P, Nicholson R, Goodchild T, Brunton L, Broughan J. Farming on the edge: farmer attitudes to bovine tuberculosis in newly endemic areas. Vet Rec 2015; 177:439. [PMID: 26494770 DOI: 10.1136/vr.103187] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/29/2015] [Indexed: 11/03/2022]
Abstract
Defra's recent strategy to eradicate bovine tuberculosis (bTB) establishes three spatial zones: high-risk areas (HRAs) and low-risk areas, and an area referred to as 'the edge', which marks the areas where infection is spreading outwards from the HRA. Little is known about farmers in the edge area, their attitudes towards bTB and their farming practices. This paper examines farmers' practices and attitudes towards bTB in standardised epidemiologically defined areas. A survey was developed to collect data on farmer attitudes, behaviours, practices and environmental conditions as part of an interdisciplinary analysis of bTB risk factors. Survey items were developed from a literature review and focus groups with vets and farmers in different locations within the edge area. A case-control sampling framework was adopted with farms sampled from areas identified as recently endemic for bTB. 347 farmers participated in the survey including 117 with bTB, representing a 70per cent response rate. Results show that farmers believe they are unable to do anything about bTB but are keen for the government intervention to help control the spread of bTB.
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Affiliation(s)
- G Enticott
- Department of City and Regional Planning, Cardiff University, Cardiff, UK
| | - D Maye
- CCRI, University of Gloucestershire, Gloucester, UK
| | | | - R Naylor
- Royal Agricultural University, Cirencester, UK
| | - K Ward
- School of Geography, Earth and Environmental Science, Plymouth University, Plymouth, UK
| | - S Hinchliffe
- Department of Geography, Exeter University, Exeter, UK
| | - W Wint
- Environment Research Group Oxford, Oxford University, Oxford, UK
| | - N Alexander
- Environment Research Group Oxford, Oxford University, Oxford, UK
| | - R Elgin
- Department of Science Strategy and Planning, Animal and Plant Health Agency, Weybridge, UK
| | - A Ashton
- Department of Epidemiological Sciences, Animal and Plant Health Agency, Weybridge, UK
| | - P Upton
- Department of Epidemiological Sciences, Animal and Plant Health Agency, Weybridge, UK
| | - R Nicholson
- Department of Epidemiological Sciences, Animal and Plant Health Agency, Weybridge, UK
| | - T Goodchild
- Department of Epidemiological Sciences, Animal and Plant Health Agency, Weybridge, UK
| | - L Brunton
- Department of Epidemiological Sciences, Animal and Plant Health Agency, Weybridge, UK
| | - J Broughan
- Department of Epidemiological Sciences, Animal and Plant Health Agency, Weybridge, UK
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21
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Wittens C, Davies AH, Bækgaard N, Broholm R, Cavezzi A, Chastanet S, de Wolf M, Eggen C, Giannoukas A, Gohel M, Kakkos S, Lawson J, Noppeney T, Onida S, Pittaluga P, Thomis S, Toonder I, Vuylsteke M, Kolh P, de Borst GJ, Chakfé N, Debus S, Hinchliffe R, Koncar I, Lindholt J, de Ceniga MV, Vermassen F, Verzini F, De Maeseneer MG, Blomgren L, Hartung O, Kalodiki E, Korten E, Lugli M, Naylor R, Nicolini P, Rosales A. Editor's Choice - Management of Chronic Venous Disease: Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg 2015; 49:678-737. [PMID: 25920631 DOI: 10.1016/j.ejvs.2015.02.007] [Citation(s) in RCA: 493] [Impact Index Per Article: 54.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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22
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Naylor R, Knowles E, Wilford S, Linnenkohl W, Taylor A, Mair T, Johns I. Response to letter from Dr Freeman. Equine Vet J 2015; 47:250. [DOI: 10.1111/evj.12407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- R. Naylor
- Equine Referral Hospital; Royal Veterinary College; Hatfield Hertfordshire UK
| | - E. Knowles
- Equine Referral Hospital; Royal Veterinary College; Hatfield Hertfordshire UK
| | - S. Wilford
- Equine Referral Hospital; Royal Veterinary College; Hatfield Hertfordshire UK
| | | | - A. Taylor
- Equine Referral Hospital; Royal Veterinary College; Hatfield Hertfordshire UK
| | - T. Mair
- Bell Equine Veterinary Clinic; Kent UK
| | - I. Johns
- Equine Referral Hospital; Royal Veterinary College; Hatfield Hertfordshire UK
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23
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24
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Naylor R, Smith K, Rankin D, Blake V, Atherton P, Piercy R. Effect of Sedation and Exercise on Phenylalanine Pharmacokinetics in Horses. Equine Vet J 2014. [DOI: 10.1111/evj.12267_88] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- R Naylor
- Royal Veterinary College; London United Kingdom
| | - K Smith
- University of Nottingham; Derby United Kingdom
| | - D Rankin
- University of Nottingham; Derby United Kingdom
| | - V Blake
- University of Nottingham; Derby United Kingdom
| | - P Atherton
- University of Nottingham; Derby United Kingdom
| | - R Piercy
- Royal Veterinary College; London United Kingdom
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25
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Abbott AL, Adelman MA, Alexandrov AV, Barber PA, Barnett HJ, Beard J, Bell P, Björck M, Blacker D, Bonati LH, Brown MM, Buckley CJ, Cambria RP, Castaldo JE, Comerota AJ, Connolly ES, Dalman RL, Davies AH, Eckstein HH, Faruqi R, Feasby TE, Fraedrich G, Gloviczki P, Hankey GJ, Harbaugh RE, Heldenberg E, Hennerici MG, Hill MD, Kleinig TJ, Mikhailidis DP, Moore WS, Naylor R, Nicolaides A, Paraskevas KI, Pelz DM, Prichard JW, Purdie G, Ricco JB, Ringleb PA, Riles T, Rothwell PM, Sandercock P, Sillesen H, Spence JD, Spinelli F, Sturm J, Tan A, Thapar A, Veith FJ, Wijeratne T, Zhou W. Why Calls for More Routine Carotid Stenting Are Currently Inappropriate. Stroke 2013; 44:1186-90. [PMID: 23512977 DOI: 10.1161/strokeaha.111.000261] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Anne L. Abbott
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Mark A. Adelman
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Andrei V. Alexandrov
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - P. Alan Barber
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Henry J.M. Barnett
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Jonathan Beard
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Peter Bell
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Martin Björck
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - David Blacker
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Leo H. Bonati
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Martin M. Brown
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Clifford J. Buckley
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Richard P. Cambria
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - John E. Castaldo
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Anthony J. Comerota
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - E. Sander Connolly
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Ronald L. Dalman
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Alun H. Davies
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Hans-Henning Eckstein
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Rishad Faruqi
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Thomas E. Feasby
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Gustav Fraedrich
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Peter Gloviczki
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Graeme J. Hankey
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Robert E. Harbaugh
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Eitan Heldenberg
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Michael G. Hennerici
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Michael D. Hill
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Timothy J. Kleinig
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Dimitri P. Mikhailidis
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Wesley S. Moore
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Ross Naylor
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Andrew Nicolaides
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Kosmas I. Paraskevas
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - David M. Pelz
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - James W. Prichard
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Grant Purdie
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Jean-Baptiste Ricco
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Peter A. Ringleb
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Thomas Riles
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Peter M. Rothwell
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Peter Sandercock
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Henrik Sillesen
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - J. David Spence
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Francesco Spinelli
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Jonathon Sturm
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Aaron Tan
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Ankur Thapar
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Frank J. Veith
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Tissa Wijeratne
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
| | - Wei Zhou
- From the School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Australia (A.L.A.); Baker IDI Heart and Diabetes Institute, Melbourne, Australia (A.L.A.); Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (A.L.A.); Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY (M.A.A.); Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL (A.V.A.); Department of Medicine,
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Affiliation(s)
- Ross Naylor
- Department of Vascular Surgery
Leicester Royal Infirmary
Leicester, UK (Naylor)
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Mitchell D, Naylor R, Wyatt M. Doctors' performance. Don't blame individuals for organisational failures. BMJ 2012; 345:e5058. [PMID: 22851585 DOI: 10.1136/bmj.e5058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Abbott AL, Adelman MA, Alexandrov AV, Barnett HJ, Beard J, Bell P, Björck M, Blacker D, Buckley CJ, Cambria RP, Comerota AJ, Connolly ES, Davies AH, Eckstein HH, Faruqi R, Fraedrich G, Gloviczki P, Hankey GJ, Harbaugh RE, Heldenberg E, Kittner SJ, Kleinig TJ, Mikhailidis DP, Moore WS, Naylor R, Nicolaides A, Paraskevas KI, Pelz DM, Prichard JW, Purdie G, Ricco JB, Riles T, Rothwell P, Sandercock P, Sillesen H, Spence JD, Spinelli F, Tan A, Thapar A, Veith FJ, Zhou W. Why the US Center for Medicare and Medicaid Services Should Not Extend Reimbursement Indications for Carotid Artery Angioplasty/Stenting. Angiology 2012; 63:639-44. [DOI: 10.1177/0003319711436076] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Anne L. Abbott
- Baker IDI Heart & Diabetes Institute and Florey Neuroscience Institutes, Melbourne, Australia
| | - Mark A. Adelman
- Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY, USA
| | - Andrei V. Alexandrov
- Comprehensive Stroke Center, University of Alabama Hospital, South Birmingham, AL, USA
| | | | - Jonathan Beard
- Sheffield Vascular Institute, Northern General Hospital, Sheffield, United Kingdom
| | - Peter Bell
- University of Leicester, Leicester, UK
- University of Leicester Hospitals, Oadby, Leicester, United Kingdom
| | - Martin Björck
- Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden
| | - David Blacker
- Department of Neurology, Sir Charles Gairdner Hospital, Nedlands WA, Australia
| | - Clifford J. Buckley
- Texas A&M Health Sciences Center College of Medicine, TX, USA
- Department of Surgery; Director Division of Vascular Surgery, Scott and White Health Care Systems, TX, USA
- Central Texas Veterans Health Care System, TX, USA
| | - Richard P. Cambria
- Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, MA, USA
- Harvard Medical School, Boston, MA, USA
| | | | - E. Sander Connolly
- Department of Neurological Surgery, Columbia University, New York, NY, USA
| | - Alun H. Davies
- Imperial College School of Medicine, Level 4, Charing Cross Hospital, London, UK
| | - Hans-Henning Eckstein
- Technische Universität München, Germany
- Department of Vascular and Endovascular Surgery, “Klinikum rechts der Isar der Technischen Universität München”München, Germany
| | - Rishad Faruqi
- Department of Surgery, Stanford University, Stanford, CA, USA
- Department of Surgery, University of California, San Francisco, CA, USA
- Department of Vascular and Endovascular Surgery, Kaiser Permanente Medical Center, Santa Clara, CA, USA
| | - Gustav Fraedrich
- Department of Vascular Surgery, Medical University, Innsbruck, Austria
| | - Peter Gloviczki
- Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN, USA
| | | | - Robert E. Harbaugh
- Penn State Institute of the Neurosciences, PA, USA
- Department of Neurosurgery, Penn State University, MS Hershey Medical Center, Hershey, PA, USA
- Department of Engineering Science and Mechanics, Penn State University, MS Hershey Medical Center, Hershey, PA, USA
| | - Eitan Heldenberg
- Assaf Harofeh Medical Center, Zerifin, Tel Aviv University, Israel
| | | | - Timothy J. Kleinig
- Neurology Department, Royal Adelaide and Lyell McEwin Hospitals, Adelaide, SA, Australia
- University of Adelaide, SA, Australia
| | - Dimitri P. Mikhailidis
- Department of Clinical Biochemistry (Vascular Disease Prevention Clinics), Royal Free Hospital Campus, University College London Medical School, University College London (UCL), Pond Street, London, UK
| | - Wesley S. Moore
- Division of Vascular Surgery, The David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
| | - Ross Naylor
- Clinical Sciences Building, Leicester Royal Infirmary, Leicester, UK
| | | | | | - David M. Pelz
- Departments of Medical Imaging and Clinical Neurological Sciences, University of Western Ontario, London, Ontario, Canada
| | | | - Grant Purdie
- The Queen Elizabeth Hospital, Adelaide, SA, Australia
| | | | - Thomas Riles
- Department of Surgery at New York University School of Medicine, New York, NY, USA
| | - Peter Rothwell
- Nuffield Department of Clinical Neurosciences (Clinical Neurology), University of Oxford, John Radcliffe Hospital, Oxford, UK
| | - Peter Sandercock
- Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
| | - Henrik Sillesen
- Department of Vascular Surgery, Rigshospitalet, University of Copenhagen, Denmark
| | - J. David Spence
- Neurology and Clinical Pharmacology, University of Western Ontario, Ontario, Canada
- Stroke Prevention & Atherosclerosis Research Centre, Robarts Research Institute, London, Ontario, Canada
| | - Francesco Spinelli
- Department of Cardiovascular and Thoracic Sciences, University of Messina, Messina, Italy
| | - Aaron Tan
- Neurology Department, Royal Adelaide and Lyell McEwin Hospitals, Adelaide, SA, Australia
| | - Ankur Thapar
- Royal College of Surgeons, Charing Cross Hospital, London, UK
| | - Frank J. Veith
- Department of Surgery at New York University School of Medicine, New York, NY, USA
- Department of Surgery, F. Edward Hebert School of Medicine, Uniformed Services, University of the Health Sciences, Riverdale, NY, USA
| | - Wei Zhou
- Vascular and Endovascular Surgery, Stanford University, CA, USA
- Vascular Section, Division of Vascular and Endovascular Surgery, Palo Alto VA Health Care System, Stanford, CA, USA
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Naylor R, Wyatt M, Mitchell D. At the heart of safer surgery. Health Serv J 2012; 122:14-15. [PMID: 22533188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Abbott A, Adelman M, Alexandrov A, Barnett H, Beard J, Bell P, Björck M, Blacker D, Buckley C, Cambria R, Comerota A, Connolly E, Davies A, Eckstein H, Faruqi R, Fraedrich G, Gloviczki P, Hankey G, Harbaugh R, Heldenberg E, Kittner S, Kleinig T, Mikhailidis D, Moore W, Naylor R, Nicolaides A, Paraskevas K, Pelz D, Prichard J, Purdie G, Ricco J, Riles T, Rothwell P, Sandercock P, Sillesen H, Spence J, Spinelli F, Tan A, Thapar A, Veith F, Zhou W. Why the United States Center for Medicare and Medicaid Services (CMS) Should not Extend Reimbursement Indications for Carotid Artery Angioplasty/Stenting. Eur J Vasc Endovasc Surg 2012; 43:247-51. [DOI: 10.1016/j.ejvs.2011.12.006] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2011] [Accepted: 12/05/2011] [Indexed: 11/30/2022]
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Abbott AL, Adelman MAA, Alexandrov AV, Barnett HJM, Beard J, Bell P, Björck M, Blacker D, Buckley CJ, Cambria RP, Comerota AJ, Connolly ES, Davies AH, Eckstein H, Faruqi R, Fraedrich G, Gloviczki P, Hankey GJ, Harbaugh RE, Heldenberg E, Kittner SJ, Kleinig TJ, Mikhailidis DP, Moore WS, Naylor R, Nicolaides A, Paraskevas KI, Pelz DM, Prichard JW, Purdie G, Ricco J, Riles T, Rothwell P, Sandercock P, Sillesen H, Spence JD, Spinelli F, Tan A, Thapar A, Veith FJ, Zhou W. Why the United States Center for Medicare and Medicaid Services (CMS) should not extend reimbursement indications for carotid artery angioplasty/stenting. Brain Behav 2012; 2:200-7. [PMID: 22574286 PMCID: PMC3345362 DOI: 10.1002/brb3.32] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/09/2011] [Accepted: 12/10/2011] [Indexed: 12/29/2022] Open
Abstract
In recent years, many important discoveries have been made to challenge current policy, guidelines, and practice regarding how best to prevent stroke associated with atherosclerotic stenosis of the origin of the internal carotid artery. The United States Center for Medicare and Medicaid Services (CMS), for instance, is calling for expert advice as to whether its current policies should be modified. Using a thorough review of literature, 41 leading academic stroke-prevention clinicians from the United States and other countries, have united to advise CMS not to extend current reimbursement indications for carotid angioplasty/stenting (CAS) to patients with asymptomatic carotid stenosis or to patients with symptomatic carotid stenosis considered to be at "low or standard risk from carotid endarterectomy (CEA)." It was concluded that such expansion of reimbursement indications would have disastrous health and economic consequences for the United States and any other country that may follow such inappropriate action. This was an international effort because the experts to best advise CMS are relatively few and scattered around the world. In addition, US health policy, practice, and research have tended to have strong influences on other countries.
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Abbott AL, Adelman MA, Alexandrov AB, Barnett HJM, Beard J, Bell P, Björck M, Blacker D, Buckley CJ, Cambria RP, Comerota AJ, Sander E, Davies AH, Eckstein HH, Fraedrich G, Gloviczki P, Hankey GJ, Harbaugh RE, Heldenberg E, Kittner SJ, Kleinig TJ, Mikhailidis DP, Moore WS, Naylor R, Nicolaides A, Paraskevas KI, Pelz DM, Prichard JW, Purdie G, Ricco JB, Riles T, Rothwell P, Sandercock P, Sillesen H, Spence JD, Spinelli F, Tan A, Thapar A, Veith FJ, Zhou W. Why the United States Center for Medicare and Medicaid Services (CMS) should not extend reimbursement indications for carotid artery angioplasty/stenting. INT ANGIOL 2012; 31:85-89. [PMID: 22330629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Abbott AL, Adelman MA, Alexandrov AV, Barnett HJM, Beard J, Bell P, Björck M, Blacker D, Buckley CJ, Cambria RP, Comerota AJ, Sander Connolly E, Davies AH, Eckstein HH, Faruqi R, Fraedrich G, Gloviczki P, Hankey GJ, Harbaugh RE, Heldenberg E, Kittner SJ, Kleinig TJ, Mikhailidis DP, Moore WS, Naylor R, Nicolaides A, Paraskevas KI, Pelz DM, Prichard JW, Purdie G, Ricco JB, Riles T, Rothwell P, Sandercock P, Sillesen H, David Spence J, Spinelli F, Tan A, Thapar A, Veith FJ, Zhou W. Why the United States Center for Medicare and Medicaid Services should not extend reimbursement indications for carotid artery angioplasty/stenting. Vascular 2012; 20:1-7. [DOI: 10.1258/vasc.2011.201102] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- Anne L Abbott
- Baker IDI Heart & Diabetes Institute; Florey Neuroscience Institutes, Melbourne, Australia
| | - Mark A Adelman
- New York University Langone Medical Center, New York, NY 10016, USA
| | - Andrei V Alexandrov
- Comprehensive Stroke Center, University of Alabama Hospital, South Birmingham, AL 35249, USA
| | - Henry JM Barnett
- Robarts Research Institute, University of Western Ontario, Toronto, ON N6A 5K8, Canada
| | - Jonathan Beard
- Sheffield Vascular Institute, Northern General Hospital, Sheffield S5 7AU, UK
| | - Peter Bell
- University of Leicester and University of Leicester Hospitals, Leicester, UK
| | - Martin Björck
- Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, SE-751 86 Uppsala, Sweden
| | - David Blacker
- Department of Neurology, Sir Charles Gairdner Hospital, Nedlands, Western Australia 6009, Australia
| | - Clifford J Buckley
- Texas A&M Health Sciences Center College of Medicine; Department of Surgery, Division of Vascular Surgery, Scott and White Health Care Systems; Central Texas Veterans Health Care System, TX, USA; e-mails: or
| | - Richard P Cambria
- Division of Vascular and Endovascular Surgery, Massachusetts General Hospital; Harvard Medical School, Boston, MA 02114, USA
| | | | - E Sander Connolly
- Department of Neurological Surgery, Columbia University, New York, NY10032, USA
| | - Alun H Davies
- Faculty of Medicine, Imperial College School of Medicine, Level 4, Charing Cross Hospital, London W6 8RF, UK
| | - Hans-Henning Eckstein
- Technische Universität München; Department of Vascular and Endovascular Surgery, Klinikum rechts der Isar der Technischen Universität München, München, Germany
| | - Rishad Faruqi
- Department of Surgery, Stanford University, Stanford; Department of Surgery, University of California; Department of Vascular and Endovascular Surgery, Kaiser Permanente Medical Center, Santa Clara, CA, USA
| | - Gustav Fraedrich
- Department of Vascular Surgery, Medical University, Anichstrasse 35, A-6020 Innsbruck, Austria
| | - Peter Gloviczki
- Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN 55905, USA
| | - Graeme J Hankey
- Royal Perth Hospital; School of Medicine and Pharmacology, University of Western Australia, Perth, Western Australia 6000, USA
| | - Robert E Harbaugh
- Penn State Institute of the Neurosciences; Department of Neurosurgery; Department of Engineering Science and Mechanics; Department of Neurosurgery, Penn State University, M.S. Hershey Medical Center, Hershey, PA 17033-0850, USA
| | - Eitan Heldenberg
- Vascular Laboratory and Outpatient Clinic, Assaf Harofeh Medical Center, Zerifin, 70300;Sackler faculty of Medicine, Tel Aviv University, Israel
| | - Steven J Kittner
- University of Maryland School of Medicine, Baltimore, MD 21201, USA
| | - Timothy J Kleinig
- Royal Adelaide and Lyell McEwin Hospitals; University of Adelaide, Adelaide, Australia
| | - Dimitri P Mikhailidis
- Department of Clinical Biochemistry (Vascular Disease Prevention Clinics), Royal Free Hospital Campus, University College London Medical School, University College London (UCL), LondonNW3 2QG, UK; e-mails:
| | - Wesley S Moore
- Division of Vascular Surgery, The David Geffen School of Medicine at UCLA, Los Angeles, CA 90095-6908, USA
| | - Ross Naylor
- Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, UK
| | | | - Kosmas I Paraskevas
- Department of Vascular and Endovascular Surgery, Klinikum Nürnberg Süd, Nürnberg 90471Germany
| | - David M Pelz
- Departments of Medical Imaging and Clinical Neurological Sciences, University of Western Ontario; Department of Diagnostic Radiology, Neuroradiology Section, University Hospital, London Health Sciences Centre, London, Ontario, Canada;. or
| | | | - Grant Purdie
- SMVS Neurology at the Queen Elizabeth Hospital; QEH Specialist Centre, Woodville, South Australia 5011, Australia
| | | | - Thomas Riles
- Department of Surgery, New York University School of Medicine, New York, NY 10016, USA
| | - Peter Rothwell
- Nuffield Department of Clinical Neurosciences (Clinical Neurology), University of Oxford, John Radcliffe Hospital, Oxford, OX3 9DU, UK
| | - Peter Sandercock
- Department of Clinical Neurosciences, Western General Hospital, Edinburgh EH4 2XU, UK
| | - Henrik Sillesen
- Department of VascularSurgery, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - J David Spence
- University of Western Ontario;Stroke Prevention & Atherosclerosis Research Centre, Robarts Research Institute, London, ON N6G 2V2, Canada
| | - Francesco Spinelli
- Department of Cardiovascular and Thoracic Sciences, University of Messina, 98121 Messina, Italy
| | - Aaron Tan
- The Queen Elizabeth and Lyell McEwin Hospitals, Adelaide, South Australia, Australia
| | | | - Frank J Veith
- New York University School of Medicine; Cleveland Clinic and Lerner School of Medicine of Case Western Reserve University; Department of Surgery, F. Edward Hebert School of Medicine, Uniformed Services, University of the Health Sciences, NY, USA
| | - Wei Zhou
- Vascular and Endovascular Surgery, Stanford University; Vascular Section, Palo Alto VA Health Care System, Division of Vascular and Endovascular Surgery, Stanford, CA, USA
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Stansby G, Macdonald S, Allison R, de Belder M, Brown MM, Dark J, Featherstone R, Flather M, Ford GA, Halliday A, Malik I, Naylor R, Pepper J, Rothwell PM. Asymptomatic carotid disease and cardiac surgery consensus. Angiology 2011; 62:457-60. [PMID: 21421624 DOI: 10.1177/0003319710398008] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The Carotid Disease and Cardiac Surgery Consensus Meeting was convened as a multidisciplinary gathering to consider the management of patients undergoing cardiac surgery who are found to have asymptomatic carotid artery disease. There are no randomized trials concerning whether carotid interventions are of value in this situation and the natural history is unclear. Bilateral carotid artery disease (≥70% stenosis) should be regarded clinically relevant when considering hemodynamic and short-term surgical stroke risk. However, this may be because the presence of significant carotid disease is also a marker for aortic arch and intracerebral disease. A natural history study is urgently needed to determine the incidence, predictive factors, and natural history of asymptomatic carotid disease in patients undergoing contemporary cardiac surgical interventions to inform the design of any future randomized trial.
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Affiliation(s)
- Gerard Stansby
- Northern Vascular Unit, Freeman Hospital, Newcastle upon Tyne, UK.
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Nicolaides AN, Kakkos SK, Kyriacou E, Griffin M, Sabetai M, Thomas DJ, Tegos T, Geroulakos G, Labropoulos N, Doré CJ, Morris TP, Naylor R, Abbott AL. Asymptomatic internal carotid artery stenosis and cerebrovascular risk stratification. J Vasc Surg 2010; 52:1486-1496.e1-5. [DOI: 10.1016/j.jvs.2010.07.021] [Citation(s) in RCA: 207] [Impact Index Per Article: 14.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2010] [Revised: 07/01/2010] [Accepted: 07/14/2010] [Indexed: 01/30/2023]
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Hartshorne T, Naylor R, Nasim A. Use of inner versus outer wall for assessing abdominal aortic aneurysm size. Ann R Coll Surg Engl 2010; 92:628-9; author reply 629. [PMID: 20883608 DOI: 10.1308/003588410x12771863936369] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Kakkos SK, Nicolaides A, Kyriacou E, Griffin M, Sabetai M, Thomas DJ, Tegos T, Geroulakos G, Dore CJ, Morris TP, Naylor R, Abbott AL. SS7. Asymptomatic Internal Carotid Artery Stenosis and Cerebrovascular Risk Stratification. J Vasc Surg 2010. [DOI: 10.1016/j.jvs.2010.02.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Reinhardt K, Isaac D, Naylor R. Estimating the feeding rate of the bedbug Cimex lectularius in an infested room: an inexpensive method and a case study. Med Vet Entomol 2010; 24:46-54. [PMID: 20377731 DOI: 10.1111/j.1365-2915.2009.00847.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
The common bedbug, Cimex lectularius L. (Hemiptera: Cimicidae), is a globally re-emerging pest that is playing an increasing role in legal disputes and compensation claims as a result of its unpleasant feeding activity. However, there is little information about the feeding frequency of bedbugs outside controlled laboratory cultures. Here, we present a simple method of estimating the average time since the last bloodmeal of individual female bedbugs in a single sampling event, applicable to a single bedbug harbourage or an entire room. Using the temperature-dependent rate of decrease in the abdomen size of the bedbug after a bloodmeal, we found that, in a highly infested room kept at a constant temperature of 26 degrees C, females fed every 2.5 days on average. Our method corrects for variations in body size across different populations and determines the shrinkage that occurs when individuals are preserved in ethanol. This method should, therefore, be widely applicable. It is cheap, rapid and, if coupled with information on the total number of bedbugs present in a room, allows for the estimation of the minimum number of times persons lodging in a room have been bitten by bedbugs. This method can also be used to calculate the feeding rate of other blood-sucking insects on their hosts. The sex ratio in the infestation was female-biased. Finally, our case study suggests that individual female bedbugs within a harbourage do not seem to feed at a regular rate, but tend to synchronize feeding patterns.
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Affiliation(s)
- K Reinhardt
- Department of Animal and Plant Sciences, University of Sheffield, Sheffield, UK.
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Vitousek PM, Naylor R, Crews T, David MB, Drinkwater LE, Holland E, Johnes PJ, Katzenberger J, Martinelli LA, Matson PA, Nziguheba G, Ojima D, Palm CA, Robertson GP, Sanchez PA, Townsend AR, Zhang FS. Response—Nutrient Imbalances. Science 2009. [DOI: 10.1126/science.326_665c] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Affiliation(s)
- P. M. Vitousek
- Department of Biology, Stanford University, Stanford, CA 94305, USA
| | - R. Naylor
- Woods Institute for the Environment and Freeman Spogli Institute for International Studies, Stanford University, Stanford, CA 94305, USA
| | - T. Crews
- Environmental Studies, Prescott College, Prescott, AZ 86301, USA
| | - M. B. David
- Department of Natural Resources and Environmental Sciences, University of Illinois, Urbana, IL 61801, USA
| | - L. E. Drinkwater
- Department of Horticulture, Cornell University, Ithaca, NY 14853, USA
| | - E. Holland
- National Center for Atmospheric Research, Boulder, CO 80307, USA
| | - P. J. Johnes
- Aquatic Environments Research Centre, School for Human and Environmental Sciences, University of Reading, Whiteknights, Reading RG6 6AB, UK
| | | | - L. A. Martinelli
- Centro de Energia Nuclear na Agricultura–Universidade São Paulo (CENA-USP), Avenida Centenario 303, 13416-000, Piracicaba, SP, Brazil
| | - P. A. Matson
- School of Earth Sciences, Stanford University, Stanford, CA 94305, USA
| | - G. Nziguheba
- The Earth Institute, Columbia University–Lamont Campus, Palisades, NY 10027, USA
| | - D. Ojima
- The Heinz Center for Science, Economics, and the Environment, Washington, DC 20009, USA
| | - C. A. Palm
- The Earth Institute, Columbia University–Lamont Campus, Palisades, NY 10027, USA
| | - G. P. Robertson
- Department of Crop and Soil Sciences, Michigan State University, Hickory Corners, MI 49060, USA
| | - P. A. Sanchez
- The Earth Institute, Columbia University–Lamont Campus, Palisades, NY 10027, USA
| | - A. R. Townsend
- Department of Ecology and Evolutionary Biology and INSTAAR, University of Colorado, Boulder, CO 80309, USA
| | - F. S. Zhang
- College of Resources and Environmental Science, China Agricultural University, Beijing 100094, China
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Evans D, Carruthers I, King J, Edwards M, Deans N, Geoghegan P, Homa P, Naylor R, Ballard T, Riley T, Dutton S. NHS organisations, let's all sign up to the 10:10 campaign. West J Med 2009. [DOI: 10.1136/bmj.b3693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Vitousek PM, Naylor R, Crews T, David MB, Drinkwater LE, Holland E, Johnes PJ, Katzenberger J, Martinelli LA, Matson PA, Nziguheba G, Ojima D, Palm CA, Robertson GP, Sanchez PA, Townsend AR, Zhang FS. Agriculture. Nutrient imbalances in agricultural development. Science 2009. [PMID: 19541981 DOI: 10.1126/science.ll70261] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Affiliation(s)
- P M Vitousek
- Department of Biology, Stanford University, Stanford, CA 94305, USA.
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Vitousek PM, Naylor R, Crews T, David MB, Drinkwater LE, Holland E, Johnes PJ, Katzenberger J, Martinelli LA, Matson PA, Nziguheba G, Ojima D, Palm CA, Robertson GP, Sanchez PA, Townsend AR, Zhang FS. Nutrient Imbalances in Agricultural Development. Science 2009; 324:1519-20. [DOI: 10.1126/science.1170261] [Citation(s) in RCA: 893] [Impact Index Per Article: 59.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Halliday AW, Lees T, Kamugasha D, Grant R, Hoffman A, Rothwell PM, Potter JF, Horrocks M, Naylor R, Rudd AG. Waiting times for carotid endarterectomy in UK: observational study. BMJ 2009; 338:b1847. [PMID: 19502220 PMCID: PMC2691453 DOI: 10.1136/bmj.b1847] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVES To assess timeliness of carotid endarterectomy services in the United Kingdom. DESIGN Observational study with follow-up to March 2008. SETTING UK hospitals performing carotid endarterectomy. PARTICIPANTS UK surgeons undertaking carotid endarterectomy from December 2005 to December 2007. MAIN OUTCOME MEASURES Provision and speed of delivery of appropriate assessments of patients; carotid endarterectomy and operative mortality; 30 day postoperative mortality. RESULTS 240 (61% of those eligible) consultant surgeons took part from 102 (76%) hospitals and trusts. Of 9913 carotid endarterectomies recorded on hospital episode statistics, 5513 (56%) were included. Of the patients who underwent endarterectomy, 83% had a history of transient ischaemic attack or stroke. Of these recently symptomatic patients, 20% had their operation within two weeks of onset of symptoms and 30% waited more than 12 weeks. Operative mortality was 0.5% during the inpatient stay and 1.0% (95% confidence interval 0.7% to 1.3%) by 30 days. CONCLUSION Only 20% of symptomatic patients had surgery within the two week target time set by the National Institute for Health and Clinical Excellence (NICE). Although operative mortality rates are comparable with those in other countries, some patients might experience disabling or fatal stroke while waiting for surgery and hence not be included in operative statistics. Major improvements in services are necessary to enable early surgery in appropriate patients in order to prevent strokes.
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Affiliation(s)
- A. P. Foster
- VLA - Shrewsbury; Kendal Road, Harlescott Shrewsbury Shropshire SY1 4HD
| | - A. Otter
- VLA - Shrewsbury; Kendal Road, Harlescott Shrewsbury Shropshire SY1 4HD
| | - R. Naylor
- VLA - Shrewsbury; Kendal Road, Harlescott Shrewsbury Shropshire SY1 4HD
| | - M. E. Wessels
- VLA - Preston; Barton Hall, Garstang Road, Barton Preston Lancashire PR3 5HE
| | - B. Veenstra
- Stapeley Veterinary Practice; The Gatehouse, Lordstone Lane Minsterley Shropshire SY5 0EU
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Naylor R, Hayes PD, Payne DA, Allroggen H, Steel S, Thompson MM, London NJM, Bell PRF. Randomized trial of vein versus dacron patching during carotid endarterectomy: Long-term results. J Vasc Surg 2004; 39:985-93; discussion 993. [PMID: 15111849 DOI: 10.1016/j.jvs.2004.01.037] [Citation(s) in RCA: 55] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND AND PURPOSE Overviews of randomized patch trials by the Cochrane Collaboration suggest that a policy of routine patching is preferable to routine primary closure. However, there is no systematic evidence that patch type, whether prosthetic or vein, influences outcome after carotid endarterectomy (CEA). METHODS Two hundred seventy-three patients were randomized to vein or thin-walled Dacron patch (Hemashield Finesse) closure of the arteriotomy after 276 CEA procedures. Patients were reviewed clinically and with duplex ultrasound scanning at 1, 6, 12, 24, and 36 months or until death. No patients were lost to follow-up. Cumulative statistical analyses are presented for the 264 patients (269 CEAs) who actually received a randomized treatment allocation. RESULTS Cumulative freedom from death or ipsilateral stroke at 3 years (including operative events) was 93.0% in the Dacron patch group and 95.5% in the vein group P =.42). Cumulative freedom from death or any stroke was 91.5% after Dacron patch closure and 93.9% after vein closure (P =.46). Cumulative freedom from recurrent stenosis greater than 70% or occlusion at 3 years was 92.9% for patients randomized to the Dacron patch group and 98.4% for patients randomized to the vein group (P =.03). At 3 years the incidence of stroke in the carotid territory not operated on was 1.0% in 93 patients with no contralateral internal carotid artery disease at randomization, and increased to 1.3% in 78 patients with 1% to 69% stenosis, and 2.0% in 51 patients with contralateral 70% to 99% stenosis. No late strokes occurred distal to 42 occluded contralateral internal carotid arteries. CONCLUSIONS Patch type has no influence on early operative risk, no association with enhanced patterns of thrombogenicity in the early postoperative period, and no influence on risk for ipsilateral or any stroke at 3 years. Dacron patches were, however, associated with a significantly higher incidence of recurrent stenosis at 3 years, with most occurring within 6 to 12 months of surgery. However, the higher incidence of recurrent stenosis was not associated with a parallel increase in late stroke, and in this study a program of serial ultrasound surveillance could not have prevented one ipsilateral stroke.
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Affiliation(s)
- Ross Naylor
- Department of Vascular Surgery, The Leicester Royal Infirmary, Leicester, England, UK.
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Abstract
BACKGROUND Some surgeons who use carotid patching favour using a patch made from an autologous vein, whilst others prefer to use synthetic materials. OBJECTIVES The objective of this review was to assess the safety and efficacy of different materials for carotid patch angioplasty. SEARCH STRATEGY We searched the Cochrane Stroke Group trials register (last searched November 2002). In addition, we searched the Cochrane Controlled Trials Register (The Cochrane Library, Issue 4, 2001), MEDLINE (1966 to December 2001), EMBASE (1980 to December 2001) and Index to Scientific and Technical Proceedings (1980 to 2001). We also handsearched eight journals and five conference proceedings. Reference lists were checked and we contacted experts in the field to identify further published and unpublished studies. SELECTION CRITERIA Randomised and quasi-randomised trials comparing one type of carotid patch with another for carotid endarterectomy. DATA COLLECTION AND ANALYSIS Two reviewers independently assessed eligibility, trial quality, and extracted the data MAIN RESULTS The previous version of this review included three trials involving 326 operations. Since then a further five trials have been reported, increasing the number of operations to 1480. Prior to 1995, all studies had compared vein closure with PTFE closure, but three of the later studies compared vein to Dacron grafts instead and one compared Dacron with PTFE. Allocation was not adequately concealed in two trials, and one only followed up patients to the time of hospital discharge. Intention to treat analysis was possible for six trials. In all but two trials a patient could be randomised twice and have each carotid artery randomised to different treatment groups. There were too few operative events to determine whether there was any difference between the vein and Dacron patches for perioperative stroke, death and arterial complications. The one study that compared Dacron and PTFE patches found a significant risk of combined stroke and transient ischaemic attack (p = 0.03) and restenosis at 30 days (p = 0.01), a borderline significant risk of perioperative stroke (p = 0.06), and a non significant increased risk of perioperative carotid thrombosis (p = 0.1) with dacron compared with PTFE. Five trials followed up patients for longer than 30 days. During follow-up for more than one year, no difference was shown between the two types of patch for the risk of stroke, death, or arterial restenosis. However, the number of events was small. Based on 15 events in 776 patients in four trials, there were significantly fewer pseudoaneurysms associated with synthetic patches than vein (odds ratio [OR] 0.09, 95% confidence interval [CI] 0.02 to 0.49) but the numbers involved were small and the clinical significance of this finding is uncertain. REVIEWERS' CONCLUSIONS It is likely that the differences between different types of patch material are very small. Consequently, many more data than are currently available will be required to establish whether any differences do exist. Some evidence exists that PTFE patches may be superior to Colagen impregnated Dacron grafts in terms of perioperative stroke rates and restenosis. However the evidence is based upon data from a single, small trial and more studies that compare different types of synthetic graft are required to make firm conclusions. Psuedo aneurysm formation may be more common after use of a vein patch compared with a synthetic patch.
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Affiliation(s)
- R Bond
- Stroke Prevention Research Unit, Gibson Building, Radcliffe Infirmary, Woodstock Road, Oxford, OXON, UK, OX2 6HE
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Naylor R, Cuffe RL, Rothwell PM, Loftus IM, Bell PR. A systematic review of outcome following synchronous carotid endarterectomy and coronary artery bypass: Influence of surgical and patient variables. Eur J Vasc Endovasc Surg 2003; 26:230-41. [PMID: 14509884 DOI: 10.1053/ejvs.2002.1975] [Citation(s) in RCA: 63] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVES Outcomes after synchronous carotid endarterectomy (CEA) plus coronary artery bypass (CABG) relative to surgical and patient based variables. DESIGN Systematic review of 94 published series (7863 synchronous procedures). RESULTS 11.5% of patients died or suffered a stroke/myocardial infarction in the peri-operative period (95% CI 10.1-12.9). The risk of death/stroke appeared to significantly diminish in studies published between 1993-2002, compared with 1972-1992 (7.2% (95% CI 6.5-9.1) versus 10.7% (95% CI 8.9-12.5), p = 0.03). However, increasing operative experience was not associated with significantly lower risks of death/stroke; (1-49 cases (9.6% (95% CI 7.5-11.8); 50-99 cases (9.1% (95% CI 6.4-11.8); 100+ cases (8.4% (95% CI 6.9-10.1) (p = 0.64)). Patients with severe bilateral carotid disease were significantly more likely to suffer death and/or stroke compared to patients with unilateral disease (odds ratio 2.5, 95% CI 1.4-5.0, p = 0.001). Similarly, patients with a prior history of stroke/transient ischaemic attack (TIA) were significantly more likely to suffer a further stroke than asymptomatic patients (odds ratio 1.8, 95% CI 1.1-2.8, p = 0.008). There was no difference in the risk of death/stroke relative to the timing of CEA (pre- versus on-cardiopulmonary bypass), but recent small studies indicate that improved outcomes might be achieved by performing CABG 'off-bypass'. CONCLUSIONS Synchronous CEA + CABG is associated with a not insignificant cardiovascular risk. No comparable information is available for similar patients undergoing CABG without prophylactic CEA.
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Affiliation(s)
- R Naylor
- Department of Vascular Surgery at Leicester Royal Infirmary, Clinical Neurology, The Radcliffe Infirmary, P.O. Box 65, Leicester Royal Infirmary, Leicester, U.K
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Naylor R, Cuffe R, Rothwell P, Loftus I, Bell P. WITHDRAWN: A Systematic Review of Outcome Following Synchronous Carotid Endarterectomy and Coronary Artery Bypass: Influence of Surgical and Patient Variables. Eur J Vasc Endovasc Surg 2003. [DOI: 10.1016/s1078-5884(03)00247-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Anderton M, Treharne G, London N, Naylor R, Bell PR, Thompson MM. Enhanced critical care improves the mortality rate following elective aneurysm repair. Br J Surg 2002. [DOI: 10.1046/j.1365-2168.2001.01757-46.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Abstract
Background
In a previous study performed at this centre (1994–1997) to document the impact of instituting an endovascular programme, the mortality rate for elective infrarenal aneurysm repair was unacceptable (16 per cent). In an attempt to reduce this complication rate, two fundamental changes in practice were instituted. First, patients were selected and counselled for operation on the basis of a physiological scoring system, POSSUM (Physiological and Operative Surgical Score for the enUmeration of Mortality and morbidity). Second, patients were admitted to the critical care unit for at least 3 days after operation, before discharge to the ward. The aim of the study was to audit the result of these changes.
Methods
Data were collected prospectively for all patients admitted for elective aneurysm repair between November 1998 and January 2000. POSSUM score, postoperative mortality and morbidity, and intensive care unit (ITU) or high dependency unit stay were compared between historical controls (1994–1997) and operations performed after the change in practice.
Results
The results are tabulated below as median values.
Comparison between the two groups demonstrated that after changes in referral practice, the perioperative mortality rate improved significantly from 16 to 4 per cent. Comparison of the patient cohorts demonstrated no significant differences in preoperative physiological status.
Conclusion
These data demonstrate that defined changes in the perioperative management of patients undergoing elective aneurysm surgery may favourably affect mortality. As there was no difference in POSSUM scores between the two groups, it is likely that the improved outcome reflects more intensive postoperative care.
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Affiliation(s)
| | | | - N London
- University of Leicester, Leicester, UK
| | - R Naylor
- University of Leicester, Leicester, UK
| | - P R Bell
- University of Leicester, Leicester, UK
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