(Press-News.org) PHILADELPHIA – A new study shows that carotid artery stenting (CAS) following prior same-side carotid artery revascularization is safe, effective and results in lower incidences of in-hospital death, stroke and heart attack compared to first-time CAS for carotid artery stenosis.
This study received "Best of Session" recognition and will be presented in an abstract format at the American Heart Association annual meeting on November 14 at 9:30 AM in Orlando, FL.
"The optimal management of carotid artery stenosis following prior revascularization is unclear in the available literature," said Nicholas J. Ruggiero, II, M.D., F.A.C.C., F.S.C.A.I., F.S.V.M., director of Structural Heart Disease and Non-Coronary Interventions at the Jefferson Heart Institute and assistant professor of Medicine, Jefferson Medical College of Thomas Jefferson University, second author.
"This is the largest study to show that carotid artery stenting after prior revascularization has better outcomes for the patient than previously thought possible."
The carotid artery is the main blood vessel carrying oxygenated blood to the brain. It can become narrowed or blocked as a result of plaque build-up from cholesterol, cellular waste products, calcium, and fibrin in the inner lining of an artery or atherosclerosis, or "hardening of the arteries". Carotid artery endartectomy (CEA), surgical removal of arterial plaque and stenting (CAS) are often used to treat carotid artery stenosis and are key in stroke prevention.
The team retrospectively analyzed and compared NCDR CARE ® registry data. They reviewed patient and procedural characteristics and clinical outcomes of patients undergoing CAS after prior same-side CEA or CAS with those who had CAS performed one-time for carotid artery stenosis and found a lower rate of in-hospital death, stroke and heart attack in the former.
"These findings have the potential to bring about significant change in how we assess and treat carotid artery stenosis," said Ruggiero.
###
Co-authors on the study include: Kevin F. Kennedy, St. Lukes Mid American Heart Institute, Kansas City; Bryan G. Hynes, Joseph M. Garasic and Kenneth Rosenfield, Massachusetts General Hospital.
About Thomas Jefferson University Hospitals
Thomas Jefferson University Hospitals (TJUH) are dedicated to excellence in patient care, patient safety and the quality of the healthcare experience. Consistently ranked by U.S. News & World Report among the nation's top hospitals, Thomas Jefferson University Hospital, established in 1825, has over 900 licensed acute care beds with major programs in a wide range of clinical specialties. TJUH is one of the few hospitals in the U.S. that is both a Level 1 Trauma Center and a federally-designated regional spinal cord injury center. TJUH patient care facilities include Jefferson Hospital for Neuroscience, the region's only dedicated hospital for neuroscience, Methodist Hospital in South Philadelphia, and additional patient care facilities throughout Pennsylvania and New Jersey. TJUH partners with its education affiliate, Thomas Jefferson University.
Jefferson researchers study outcomes of carotid artery stenting following prior carotid procedure
2011-11-15
ELSE PRESS RELEASES FROM THIS DATE:
Gain Adjustable Active RFID Reader with an Identification Distance of up to 100 Meters
2011-11-15
GAO RFID Asset Tracking (www.GAORFIDAssetTracking.com) is offering this 2.45 GHz gain adjustable active RFID reader. This RFID reader is specially designed for applications where long reading distance is required and is commonly used in applications such as personnel location, logistics, warehouse management, closed loop asset tracking and high value asset tracking.
This gain adjustable active RFID reader, model 217001, is equipped with an omni-directional, standard whip antenna which allows the reader to identify transponder tagged items up to 100 meters in all directions. ...
High childhood IQ linked to subsequent illicit drug use
2011-11-15
A high childhood IQ may be linked to subsequent illegal drug use, particularly among women, suggests research published online in the Journal of Epidemiology and Community Health.
The authors base their findings on data from just under 8,000 people in the 1970 British Cohort Study, a large ongoing population based study, which looks at lifetime drug use, socioeconomic factors, and educational attainment.
The IQ scores of the participants were measured at the ages of 5 and 10 years, using a validated scale, and information was gathered on self reported levels of psychological ...
Contraceptive pill associated with increased prostate cancer risk worldwide
2011-11-15
Use of the contraceptive pill is associated with an increased risk of prostate cancer around the globe, finds research published in BMJ Open.
Prostate cancer is the most common male cancer in the developed world and the use of the contraceptive pill has soared over the past 40 years, say the authors.
The research team used data from the International Agency for Research on Cancer (IARC) and the United Nations World Contraceptive Use report to pinpoint rates of prostate cancer and associated deaths and the proportion of women using common methods of contraception for ...
Preferences shaped by evolution draw voters to candidates with lower-pitched voices
2011-11-15
HAMILTON -- Voters prefer to choose candidates with lower-pitched voices, according to new findings by researchers at McMaster University.
A team from the Department of Psychology, Neuroscience and Behavior found that study subjects were more inclined to vote for men with lower-pitched voices, suggesting that perceptions developed long ago may be still be influencing the way we choose leaders.
"We're looking at men's low voice-pitch as a cue to dominance, which is related to leadership," says graduate student Cara Tigue, lead author of the paper, published on-line ...
Attention Talk Radio Presents "ADHD: Organizing and Putting ADHD Treatments into a Context We Can All Understand," with Dr. Russell Ramsay on November 23
2011-11-15
Attention Talk Radio presents host and attention coach Jeff Copper with Dr. Russell Ramsay who discuss various forms of treatment for attention deficit hyperactivity disorder (ADHD) and then organize and put them into a context everyone can understand.
Dr. Russell Ramsay is currently co-director of the University of Pennsylvania Adult ADHD Treatment and Research Program and an associate professor of clinical psychology in psychiatry at the University of Pennsylvania School of Medicine. He received his Ph.D. from Pacific Graduate School of Psychology (now known as Palo ...
Nice guys can finish first
2011-11-15
It turns out nice guys can finish first, and David Rand has the evidence to prove it.
Rand, a post-doctoral fellow in Harvard's Department of Psychology and a Lecturer in Human Evolutionary Biology, is the lead author of a new paper, which found that dynamic, complex social networks encourage their members to be friendlier and more cooperative, with the possible payoff coming in an expanded social sphere, while selfish behavior can lead to an individual being shunned from the group and left – literally – on their own.
As described this week in the Proceedings of ...
Talking therapy over the phone improves symptoms of chronic widespread pain
2011-11-15
Patients who received a short course of cognitive behavioural therapy (CBT) over the telephone from trained therapists reported that they felt "better" or "very much better" at the end of a six-month treatment period, and also three months after it ended.
The Arthritis Research UK-funded trial led by the University of Aberdeen working with the University of Manchester was the first-ever trial of telephone-delivered CBT for people with chronic widespread pain.
Cognitive behavioural therapy is a psychological method of helping people manage their pain by identifying and ...
Debbi Dachinger Expert On Goal Achievement Releases New Boo: "Dare To Dream: This Life Counts!" 5-Star Reviews For This Guide With Methods To Bypass Obstacles And Make Dreams Into A Reality.
2011-11-15
Debbi Dachinger is an award-winning, syndicated radio host on "Dare to Dream." She knows first-hand what it is like to discover life's passions and experience them. In the book "Dare to Dream: This Life Counts," she discusses ways to handle goal obstacles such as trust, time management, finances, playing small, clarity, support, failure, fear, and doubts, as well as other miscellaneous dream busters. Additionally, the book and guide contains inspiring success stories, exercises, new ideas, inspiring motivation, examples, patterns of extremely successful ...
Canadian researchers find potential new leukemia treatment with old antibiotic drug
2011-11-15
(Toronto – Nov. 14, 2011) – Clinician-scientists in the Princess Margaret Cancer Program have found a promising approach to treating leukemia, using an old drug in a new way.
The proof-of-concept research published today in Cancer Cell (10.1016/j.ccr.2011.10.015) describes how the Canadian team discovered that the antibiotic tigecycline targets and destroys leukemia stem cells by cutting off the cell's energy production.
"If you think of all the cells in the body as a power grid, we've discovered that tigecycline can cause a power outage in leukemia stem cells, while ...
Post heart attack recovery may not be aided by stem cell injections, but trial demonstrates promise
2011-11-15
CLEVELAND/ORLANDO – University Hospitals Case Medical Center researchers could still be close to giving heart attack patients a second chance…just not as they originally thought.
LateTIME was a study of adult stem cells (autologous) harnessed from bone marrow that were believed to have the ability to improve heart function after an attack if injected into the heart within two weeks of the attack. Results are being released today at American Heart Association Scientific Sessions and published this week in Journal of the American Medical Association (JAMA).
The results ...