2024
Carotid artery stenting versus carotid endarterectomy for symptomatic or asymptomatic extracranial carotid stenosis: A national cohort study
Krittanawong C, Ang S, Tangsrivimol J, Qadeer Y, Wang Z, Virk H, Khalid U, Sharma S, Dardik A. Carotid artery stenting versus carotid endarterectomy for symptomatic or asymptomatic extracranial carotid stenosis: A national cohort study. Journal Of Stroke And Cerebrovascular Diseases 2024, 33: 108094. PMID: 39424210, DOI: 10.1016/j.jstrokecerebrovasdis.2024.108094.Peer-Reviewed Original ResearchAsymptomatic carotid stenosisCarotid artery stenosisCarotid stenosisArtery stenosisAdverse eventsCohort studyAsymptomatic extracranial carotid stenosisNational population-based cohort studyPopulation-based cohort studyAssociated with lower adverse eventsAssociated with high mortalityAlternative to CEAExtracranial carotid stenosisSymptomatic carotid stenosisMortality of patientsCarotid artery stentingLower adverse eventsNational cohort studyAsymptomatic patientsClinical characteristicsArtery stentingPatient populationCarotid endarterectomyStenosisPatientsAn International, Expert-Based Delphi Consensus Document on Controversial Issues about TransCarotid Artery Revascularization (TCAR)
Paraskevas K, AbuRahma A, Abularrage C, Clair D, Eldrup-Jorgensen J, Kashyap V, Dardik A, de Borst G, Dermody M, Faggioli G, Hicks C, Kwolek C, Lyden S, Mansilha A, Van Herzeele I, Myrcha P, Leal Lorenzo J, Jim J, Pini R, Secemsky E, Spinelli F, Capoccia L, Stone D, Stoner M, Zeebregts C, Lal B, Schneider P, Malas M, Schermerhorn M. An International, Expert-Based Delphi Consensus Document on Controversial Issues about TransCarotid Artery Revascularization (TCAR). Annals Of Vascular Surgery 2024 PMID: 39413993, DOI: 10.1016/j.avsg.2024.09.048.Peer-Reviewed Original ResearchTransfemoral carotid artery stentingTranscarotid artery revascularizationRandomized controlled trialsCarotid endarterectomyConsensus documentArtery revascularizationAlternative therapeutic modalityManagement of patientsCarotid artery stentingCarotid artery stenosisTreatment of restenosisCarotid stenosis patientsSymptomatic patientsStenosis patientsTherapeutic modalitiesCerebrovascular eventsArtery stenosisArtery stentingControlled trialsDelphi consensus processPatientsContraindicationsRevascularizationTranscarotidTrials
2023
Recent advances and controversial issues in the optimal management of asymptomatic carotid stenosis
Paraskevas K, Brown M, Lal B, Myrcha P, Lyden S, Schneider P, Poredos P, Mikhailidis D, Secemsky E, Musialek P, Mansilha A, Parikh S, Silvestrini M, Lavie C, Dardik A, Blecha M, Liapis C, Zeebregts C, Nederkoorn P, Poredos P, Gurevich V, Jawien A, Lanza G, Gray W, Gupta A, Svetlikov A, Fernandes E Fernandes J, Nicolaides A, White C, Meschia J, Cronenwett J, Schermerhorn M, AbuRahma A. Recent advances and controversial issues in the optimal management of asymptomatic carotid stenosis. Journal Of Vascular Surgery 2023, 79: 695-703. PMID: 37939746, DOI: 10.1016/j.jvs.2023.11.004.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsBest medical treatmentTranscarotid artery revascularizationAsymptomatic carotid stenosisCarotid revascularization proceduresRevascularization proceduresCarotid endarterectomyCarotid stenosisPatient subgroupsRisk prediction modelCognitive dysfunctionOptimal managementStroke risk prediction modelManagement of patientsSpecific patient subgroupsDuplex ultrasound examinationTreatment of patientsIndividual patient preferencesPubMed/PubMed CentralIndividual patient needsCarotid plaque ulcerationMagnetic resonance angiography scansArtery revascularizationSilent infarctsStroke riskCerebrovascular reserveSafety of Carotid Endarterectomy for Symptomatic Stenosis by Age: Meta-Analysis With Individual Patient Data
Leung Y, Bera K, Rodriguez D, Dardik A, Mas J, Simonte G, Rerkasem K, Howard D. Safety of Carotid Endarterectomy for Symptomatic Stenosis by Age: Meta-Analysis With Individual Patient Data. Stroke 2023, 54: 457-467. PMID: 36647921, PMCID: PMC9855737, DOI: 10.1161/strokeaha.122.040819.Peer-Reviewed Original ResearchConceptsIndividual patient dataSymptomatic elderly patientsSymptomatic carotid stenosisCarotid endarterectomyPerioperative strokeElderly patientsStroke riskMedical therapyCarotid stenosisMyocardial infarctionPatient dataStroke risk increasesRecurrent stroke riskSymptomatic stenosisInterventional armPerioperative deathsPerioperative riskAdverse eventsProspective cohortSymptomatic patientsRandomized trialsOutcome ratesObservational studyOctogenariansEndarterectomy
2016
3 Next generation ECM-based vascular biomaterials
Brownson K, Dardik A. 3 Next generation ECM-based vascular biomaterials. 2016, 19-40. DOI: 10.1016/b978-0-08-100166-0.00003-7.ChaptersVascular biomaterialsCarotid endarterectomySynthetic scaffold materialsLong-term strokeSuperior clinical outcomesPericardial patch closureMedical implantsPrimary arteriotomy closureScaffold materialsPatch closureClinical outcomesPseudoaneurysm formationSurgical closureArterial occlusionAutologous veinHemodialysis accessPericardial patchArteriotomy closureDeath riskPatient outcomesDiseased vesselsCardiovascular surgeryUmbilical veinLower riskVascular surgery today
2008
Periprocedural Drug Therapy in Carotid Artery Stenting: The Need for More Evidence
Gortler D, Schlösser FJ, Muhs BE, Nelson MA, Dardik† A. Periprocedural Drug Therapy in Carotid Artery Stenting: The Need for More Evidence. Vascular 2008, 16: 303-309. PMID: 19344586, DOI: 10.2310/6670.2008.00081.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsCarotid endarterectomyLarge prospective cohort studyDual antiplatelet therapyProspective cohort studyCarotid artery stentingCohort studyArtery stentingPeriprocedural settingDrug therapyPharmacologic agentsCarotid arteryHigh riskPatient careTherapyOptimal outcomesRegimenGood validityPatientsMore evidenceOutcomesOptimal timeClopidogrelEndarterectomyMedicationsStenting
2004
Improved outcomes of carotid endarterectomy: the critical role of vascular surgeons.
Teso D, Frattini J, Dardik A. Improved outcomes of carotid endarterectomy: the critical role of vascular surgeons. Seminars In Vascular Surgery 2004, 17: 214-8. PMID: 15449243, DOI: 10.1016/s0895-7967(04)00051-1.Peer-Reviewed Original ResearchMeSH KeywordsAgedCarotid StenosisClinical CompetenceEndarterectomy, CarotidFemaleHumansMaleMiddle AgedPhysician's RolePostoperative ComplicationsPrognosisQuality of Health CareRisk AssessmentSeverity of Illness IndexSurvival AnalysisTreatment OutcomeUltrasonography, Doppler, DuplexUnited StatesVascular Surgical ProceduresConceptsCarotid endarterectomyVascular surgeonsStroke-free survivalHigh-volume hospitalsAnti-platelet agentsHigh-volume surgeonsRecognition of patientsVolume hospitalsAdjunctive medicationsPostoperative patientsVascular patientsVolume surgeonsExcellent outcomesProcedural resultsSurrogate markerVascular careVascular surgeryImproved outcomesHigh riskPatientsProcedural variablesSurgical judgmentUnclear significanceSurgeonsSurgical talent
2000
Impact of Race on the Outcome of Carotid Endarterectomy
Dardik A, Bowman H, Gordon T, Hsieh G, Perler B. Impact of Race on the Outcome of Carotid Endarterectomy. Annals Of Surgery 2000, 232: 704-709. PMID: 11066143, PMCID: PMC1421225, DOI: 10.1097/00000658-200011000-00013.Peer-Reviewed Original ResearchConceptsHospital strokeIndependent risk factorLow-volume hospitalsCarotid endarterectomyBlack patientsHigh-volume surgeonsHospital chargesWhite patientsInfluence of raceBlack raceRisk factorsMaryland Health Services Cost Review Commission databaseHigher mean hospital chargesPerformance of CEANonfederal acute care hospitalsMultivariate logistic regression analysisElective carotid endarterectomyHospital stroke rateOptimal surgical careLonger hospital stayMean hospital chargesOutcome of surgeryHigher hospital chargesTotal hospital chargesLength of stay
1998
Influence of age and hospital volume on the results of carotid endarterectomy: A statewide analysis of 9918 cases
Perler B, Dardik A, Burleyson G, Gordon T, Williams G. Influence of age and hospital volume on the results of carotid endarterectomy: A statewide analysis of 9918 cases. Journal Of Vascular Surgery 1998, 27: 25-33. PMID: 9474079, DOI: 10.1016/s0741-5214(98)70288-5.Peer-Reviewed Original ResearchConceptsElective carotid endarterectomyHigh-volume hospitalsCarotid endarterectomyHospital volumeMaryland Health Services Cost Review Commission databaseGreater medical complexityModerate-volume hospitalsLow-volume hospitalsNeurologic complication rateAcute care hospitalsMajority of hospitalsInfluence of ageNeurologic complicationsPostoperative deathsCare hospitalComplication ratePatient ageHospital chargesSafe procedurePrimary procedureMedical complexityMortality rateHospitalPatientsMean length
1997
Impact of a critical pathway on the results of carotid endarterectomy in a tertiary care university hospital: Effect of methods on outcome
Dardik A, Williams G, Minken S, Perler B, From the Department of Surgery S. Impact of a critical pathway on the results of carotid endarterectomy in a tertiary care university hospital: Effect of methods on outcome. Journal Of Vascular Surgery 1997, 26: 186-192. PMID: 9279304, DOI: 10.1016/s0741-5214(97)70178-2.Peer-Reviewed Original ResearchConceptsCost of hospitalizationCP starterTertiary care referral centerTertiary care university hospitalPost-CP groupPostoperative morbidity rateCare university hospitalSimilar risk factorsCarotid endarterectomy proceduresJohns Hopkins HospitalCritical pathwaysPostoperative lengthPostoperative courseReferral centerEndarterectomy proceduresCarotid endarterectomyMorbidity rateUniversity HospitalOperative resultsRisk factorsSubset analysisRetrospective analysisPre-CPMortality ratePatients