Prospective multicenter online testing of the carotid endarterectomy risk stratification calculator carotidscore.ru
Aim To evaluate the incidence of complications, including fatal outcomes, ischemic strokes, and transient ischemic attacks, associated with carotid endarterectomy (CEA) in patients categorized as low-, medium-, and high-risk based on their CarotidSCORE (carotidscore.ru). Material and Methods This pr...
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| Veröffentlicht in: | Indian journal of thoracic and cardiovascular surgery 2023-11, Vol.39 (6), p.608-614 |
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| container_title | Indian journal of thoracic and cardiovascular surgery |
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| creator | Kazantsev, Anton Nikolaevich Korotkikh, Alexander Dzhanelidze, Merab Kharchilava, Elguja Zarkua, Nonna Alekseeva, Elena Staroverova, Valeria Koplik, Victoria Leader, Roman Zakeryaev, Aslan Bagdavadze, Goderzi Zakharova, Kristina Semyin, Igor Kostenkov, Anton Chernykh, Konstantin Shmatov, Dmitry Lebedev, Oleg Artyukhov, Sergey Mukhtorov, Otabek Wang, Shuowen Komarov, Roman Roshkovskaya, Lyudmila Khetagurov, Mikhail Unguryan, Vladimir Chernyavin, Maxim Palagin, Petr Sirotkin, Alexey Belov, Yuri |
| description | Aim
To evaluate the incidence of complications, including fatal outcomes, ischemic strokes, and transient ischemic attacks, associated with carotid endarterectomy (CEA) in patients categorized as low-, medium-, and high-risk based on their CarotidSCORE (carotidscore.ru).
Material and Methods
This prospective, multicenter study was conducted from January 1, 2022, to December 20, 2022, and enrolled 5,496 patients with stenosis of the internal carotid artery (ICA), who were categorized into four groups according to their risk level. Group 1 (n=1,759) included patients at low risk; Group 2 (n=2,483) included those at medium risk; Group 3 (n=429) included those at high risk, who underwent carotid angioplasty with stenting (CAS) due to the high risk of complications associated with carotid endarterectomy (CEA); and Group 4 (n=825) did not use CarotidSCORE (carotidscore.ru). Patients in Groups 1, 2, and 4 underwent CEA.
Results
During the postoperative hospital stay, the highest number of complications, including fatal outcomes (p=0.0007), ischemic strokes (p |
| doi_str_mv | 10.1007/s12055-023-01538-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10597897</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2883576203</sourcerecordid><originalsourceid>FETCH-LOGICAL-c447t-da00212aeddd34120ec18cdad7fa72fcb869a80478fda2b698fd0127f4b2791b3</originalsourceid><addsrcrecordid>eNp9kUFPHSEUhUljU_W1f6ALw9LN2AvMPJiVMaatTUzaRbsmDNx5ojPwBMZEf33Rp6ZuuuGS3O9cuOcQ8pnBCQOQXzLj0HUNcNEA64RqHt6RA-ilaKTkYu_pDk3PRLtPDnO-BhAttPwD2RdSqa4X_QHJv1LMW7TF3yGdl6l4i6FgojFMPiAtmIsPGxpHWq6QWpNi8Y5icCZVrArjfE-Tzzc0l2SKH72tZwwVnewymRLTiyrbmPAkLR_J-9FMGT891xX58-3r7_OL5vLn9x_nZ5eNbVtZGmcAOOMGnXOirbuiZco64-RoJB_toNa9UdBKNTrDh3VfKzAux3bgsmeDWJHT3dztMszoHhdLZtLb5GeT7nU0Xr_tBH-lN_FOM-h6qaqRK3L8PCHF26VaoWefLU6TCRiXrLlSopNrDqKifIfaamhOOL6-w0A_xqV3cekal36KSz9U0dG_P3yVvORTAbEDcm2FDSZ9HZcUqmv_G_sXH-2mrQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2883576203</pqid></control><display><type>article</type><title>Prospective multicenter online testing of the carotid endarterectomy risk stratification calculator carotidscore.ru</title><source>SpringerLink Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Kazantsev, Anton Nikolaevich ; Korotkikh, Alexander ; Dzhanelidze, Merab ; Kharchilava, Elguja ; Zarkua, Nonna ; Alekseeva, Elena ; Staroverova, Valeria ; Koplik, Victoria ; Leader, Roman ; Zakeryaev, Aslan ; Bagdavadze, Goderzi ; Zakharova, Kristina ; Semyin, Igor ; Kostenkov, Anton ; Chernykh, Konstantin ; Shmatov, Dmitry ; Lebedev, Oleg ; Artyukhov, Sergey ; Mukhtorov, Otabek ; Wang, Shuowen ; Komarov, Roman ; Roshkovskaya, Lyudmila ; Khetagurov, Mikhail ; Unguryan, Vladimir ; Chernyavin, Maxim ; Palagin, Petr ; Sirotkin, Alexey ; Belov, Yuri</creator><creatorcontrib>Kazantsev, Anton Nikolaevich ; Korotkikh, Alexander ; Dzhanelidze, Merab ; Kharchilava, Elguja ; Zarkua, Nonna ; Alekseeva, Elena ; Staroverova, Valeria ; Koplik, Victoria ; Leader, Roman ; Zakeryaev, Aslan ; Bagdavadze, Goderzi ; Zakharova, Kristina ; Semyin, Igor ; Kostenkov, Anton ; Chernykh, Konstantin ; Shmatov, Dmitry ; Lebedev, Oleg ; Artyukhov, Sergey ; Mukhtorov, Otabek ; Wang, Shuowen ; Komarov, Roman ; Roshkovskaya, Lyudmila ; Khetagurov, Mikhail ; Unguryan, Vladimir ; Chernyavin, Maxim ; Palagin, Petr ; Sirotkin, Alexey ; Belov, Yuri</creatorcontrib><description>Aim
To evaluate the incidence of complications, including fatal outcomes, ischemic strokes, and transient ischemic attacks, associated with carotid endarterectomy (CEA) in patients categorized as low-, medium-, and high-risk based on their CarotidSCORE (carotidscore.ru).
Material and Methods
This prospective, multicenter study was conducted from January 1, 2022, to December 20, 2022, and enrolled 5,496 patients with stenosis of the internal carotid artery (ICA), who were categorized into four groups according to their risk level. Group 1 (n=1,759) included patients at low risk; Group 2 (n=2,483) included those at medium risk; Group 3 (n=429) included those at high risk, who underwent carotid angioplasty with stenting (CAS) due to the high risk of complications associated with carotid endarterectomy (CEA); and Group 4 (n=825) did not use CarotidSCORE (carotidscore.ru). Patients in Groups 1, 2, and 4 underwent CEA.
Results
During the postoperative hospital stay, the highest number of complications, including fatal outcomes (p=0.0007), ischemic strokes (p<0.0001), and the combined endpoints (p<0.0001) were observed in Group 4. No complications were reported in Group 1.
Conclusion
The use of CarotidSCORE (carotidscore.ru) allows for the identification of high-risk patients, enabling clinicians to opt for CAS instead of CEA and reduce the incidence of complications.</description><identifier>ISSN: 0970-9134</identifier><identifier>EISSN: 0973-7723</identifier><identifier>DOI: 10.1007/s12055-023-01538-z</identifier><identifier>PMID: 37885939</identifier><language>eng</language><publisher>Singapore: Springer Nature Singapore</publisher><subject>Brief Research Report ; Cardiac Surgery ; Medicine ; Medicine & Public Health ; Surgery ; Thoracic Surgery ; Vascular Surgery</subject><ispartof>Indian journal of thoracic and cardiovascular surgery, 2023-11, Vol.39 (6), p.608-614</ispartof><rights>Indian Association of Cardiovascular-Thoracic Surgeons 2023</rights><rights>Indian Association of Cardiovascular-Thoracic Surgeons 2023.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c447t-da00212aeddd34120ec18cdad7fa72fcb869a80478fda2b698fd0127f4b2791b3</citedby><cites>FETCH-LOGICAL-c447t-da00212aeddd34120ec18cdad7fa72fcb869a80478fda2b698fd0127f4b2791b3</cites><orcidid>0000-0001-5970-6209 ; 0000-0002-8922-2456 ; 0000-0002-9709-1097 ; 0000-0003-2203-0457 ; 0000-0001-8249-3790 ; 0000-0002-5135-0479 ; 0000-0002-7781-1421 ; 0000-0003-4414-5458 ; 0000-0001-6361-581X ; 0000-0002-8514-0824 ; 0000-0002-2903-5042 ; 0000-0002-7457-3149 ; 0000-0002-4859-1888 ; 0000-0002-9280-8845 ; 0000-0002-2452-1631 ; 0000-0001-6122-4639 ; 0000-0003-1023-8920 ; 0000-0002-3904-6415 ; 0000-0003-2094-0596 ; 0000-0001-8246-8798 ; 0000-0002-5089-5549 ; 0000-0002-7646-4325 ; 0000-0001-9970-4507 ; 0000-0003-4008-3499 ; 0000-0001-5762-4883 ; 0000-0002-3650-7677 ; 0000-0002-1115-609X ; 0000-0002-1296-8161</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10597897/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10597897/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,41488,42557,51319,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37885939$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kazantsev, Anton Nikolaevich</creatorcontrib><creatorcontrib>Korotkikh, Alexander</creatorcontrib><creatorcontrib>Dzhanelidze, Merab</creatorcontrib><creatorcontrib>Kharchilava, Elguja</creatorcontrib><creatorcontrib>Zarkua, Nonna</creatorcontrib><creatorcontrib>Alekseeva, Elena</creatorcontrib><creatorcontrib>Staroverova, Valeria</creatorcontrib><creatorcontrib>Koplik, Victoria</creatorcontrib><creatorcontrib>Leader, Roman</creatorcontrib><creatorcontrib>Zakeryaev, Aslan</creatorcontrib><creatorcontrib>Bagdavadze, Goderzi</creatorcontrib><creatorcontrib>Zakharova, Kristina</creatorcontrib><creatorcontrib>Semyin, Igor</creatorcontrib><creatorcontrib>Kostenkov, Anton</creatorcontrib><creatorcontrib>Chernykh, Konstantin</creatorcontrib><creatorcontrib>Shmatov, Dmitry</creatorcontrib><creatorcontrib>Lebedev, Oleg</creatorcontrib><creatorcontrib>Artyukhov, Sergey</creatorcontrib><creatorcontrib>Mukhtorov, Otabek</creatorcontrib><creatorcontrib>Wang, Shuowen</creatorcontrib><creatorcontrib>Komarov, Roman</creatorcontrib><creatorcontrib>Roshkovskaya, Lyudmila</creatorcontrib><creatorcontrib>Khetagurov, Mikhail</creatorcontrib><creatorcontrib>Unguryan, Vladimir</creatorcontrib><creatorcontrib>Chernyavin, Maxim</creatorcontrib><creatorcontrib>Palagin, Petr</creatorcontrib><creatorcontrib>Sirotkin, Alexey</creatorcontrib><creatorcontrib>Belov, Yuri</creatorcontrib><title>Prospective multicenter online testing of the carotid endarterectomy risk stratification calculator carotidscore.ru</title><title>Indian journal of thoracic and cardiovascular surgery</title><addtitle>Indian J Thorac Cardiovasc Surg</addtitle><addtitle>Indian J Thorac Cardiovasc Surg</addtitle><description>Aim
To evaluate the incidence of complications, including fatal outcomes, ischemic strokes, and transient ischemic attacks, associated with carotid endarterectomy (CEA) in patients categorized as low-, medium-, and high-risk based on their CarotidSCORE (carotidscore.ru).
Material and Methods
This prospective, multicenter study was conducted from January 1, 2022, to December 20, 2022, and enrolled 5,496 patients with stenosis of the internal carotid artery (ICA), who were categorized into four groups according to their risk level. Group 1 (n=1,759) included patients at low risk; Group 2 (n=2,483) included those at medium risk; Group 3 (n=429) included those at high risk, who underwent carotid angioplasty with stenting (CAS) due to the high risk of complications associated with carotid endarterectomy (CEA); and Group 4 (n=825) did not use CarotidSCORE (carotidscore.ru). Patients in Groups 1, 2, and 4 underwent CEA.
Results
During the postoperative hospital stay, the highest number of complications, including fatal outcomes (p=0.0007), ischemic strokes (p<0.0001), and the combined endpoints (p<0.0001) were observed in Group 4. No complications were reported in Group 1.
Conclusion
The use of CarotidSCORE (carotidscore.ru) allows for the identification of high-risk patients, enabling clinicians to opt for CAS instead of CEA and reduce the incidence of complications.</description><subject>Brief Research Report</subject><subject>Cardiac Surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Surgery</subject><subject>Thoracic Surgery</subject><subject>Vascular Surgery</subject><issn>0970-9134</issn><issn>0973-7723</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kUFPHSEUhUljU_W1f6ALw9LN2AvMPJiVMaatTUzaRbsmDNx5ojPwBMZEf33Rp6ZuuuGS3O9cuOcQ8pnBCQOQXzLj0HUNcNEA64RqHt6RA-ilaKTkYu_pDk3PRLtPDnO-BhAttPwD2RdSqa4X_QHJv1LMW7TF3yGdl6l4i6FgojFMPiAtmIsPGxpHWq6QWpNi8Y5icCZVrArjfE-Tzzc0l2SKH72tZwwVnewymRLTiyrbmPAkLR_J-9FMGT891xX58-3r7_OL5vLn9x_nZ5eNbVtZGmcAOOMGnXOirbuiZco64-RoJB_toNa9UdBKNTrDh3VfKzAux3bgsmeDWJHT3dztMszoHhdLZtLb5GeT7nU0Xr_tBH-lN_FOM-h6qaqRK3L8PCHF26VaoWefLU6TCRiXrLlSopNrDqKifIfaamhOOL6-w0A_xqV3cekal36KSz9U0dG_P3yVvORTAbEDcm2FDSZ9HZcUqmv_G_sXH-2mrQ</recordid><startdate>20231101</startdate><enddate>20231101</enddate><creator>Kazantsev, Anton Nikolaevich</creator><creator>Korotkikh, Alexander</creator><creator>Dzhanelidze, Merab</creator><creator>Kharchilava, Elguja</creator><creator>Zarkua, Nonna</creator><creator>Alekseeva, Elena</creator><creator>Staroverova, Valeria</creator><creator>Koplik, Victoria</creator><creator>Leader, Roman</creator><creator>Zakeryaev, Aslan</creator><creator>Bagdavadze, Goderzi</creator><creator>Zakharova, Kristina</creator><creator>Semyin, Igor</creator><creator>Kostenkov, Anton</creator><creator>Chernykh, Konstantin</creator><creator>Shmatov, Dmitry</creator><creator>Lebedev, Oleg</creator><creator>Artyukhov, Sergey</creator><creator>Mukhtorov, Otabek</creator><creator>Wang, Shuowen</creator><creator>Komarov, Roman</creator><creator>Roshkovskaya, Lyudmila</creator><creator>Khetagurov, Mikhail</creator><creator>Unguryan, Vladimir</creator><creator>Chernyavin, Maxim</creator><creator>Palagin, Petr</creator><creator>Sirotkin, Alexey</creator><creator>Belov, Yuri</creator><general>Springer Nature Singapore</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-5970-6209</orcidid><orcidid>https://orcid.org/0000-0002-8922-2456</orcidid><orcidid>https://orcid.org/0000-0002-9709-1097</orcidid><orcidid>https://orcid.org/0000-0003-2203-0457</orcidid><orcidid>https://orcid.org/0000-0001-8249-3790</orcidid><orcidid>https://orcid.org/0000-0002-5135-0479</orcidid><orcidid>https://orcid.org/0000-0002-7781-1421</orcidid><orcidid>https://orcid.org/0000-0003-4414-5458</orcidid><orcidid>https://orcid.org/0000-0001-6361-581X</orcidid><orcidid>https://orcid.org/0000-0002-8514-0824</orcidid><orcidid>https://orcid.org/0000-0002-2903-5042</orcidid><orcidid>https://orcid.org/0000-0002-7457-3149</orcidid><orcidid>https://orcid.org/0000-0002-4859-1888</orcidid><orcidid>https://orcid.org/0000-0002-9280-8845</orcidid><orcidid>https://orcid.org/0000-0002-2452-1631</orcidid><orcidid>https://orcid.org/0000-0001-6122-4639</orcidid><orcidid>https://orcid.org/0000-0003-1023-8920</orcidid><orcidid>https://orcid.org/0000-0002-3904-6415</orcidid><orcidid>https://orcid.org/0000-0003-2094-0596</orcidid><orcidid>https://orcid.org/0000-0001-8246-8798</orcidid><orcidid>https://orcid.org/0000-0002-5089-5549</orcidid><orcidid>https://orcid.org/0000-0002-7646-4325</orcidid><orcidid>https://orcid.org/0000-0001-9970-4507</orcidid><orcidid>https://orcid.org/0000-0003-4008-3499</orcidid><orcidid>https://orcid.org/0000-0001-5762-4883</orcidid><orcidid>https://orcid.org/0000-0002-3650-7677</orcidid><orcidid>https://orcid.org/0000-0002-1115-609X</orcidid><orcidid>https://orcid.org/0000-0002-1296-8161</orcidid></search><sort><creationdate>20231101</creationdate><title>Prospective multicenter online testing of the carotid endarterectomy risk stratification calculator carotidscore.ru</title><author>Kazantsev, Anton Nikolaevich ; Korotkikh, Alexander ; Dzhanelidze, Merab ; Kharchilava, Elguja ; Zarkua, Nonna ; Alekseeva, Elena ; Staroverova, Valeria ; Koplik, Victoria ; Leader, Roman ; Zakeryaev, Aslan ; Bagdavadze, Goderzi ; Zakharova, Kristina ; Semyin, Igor ; Kostenkov, Anton ; Chernykh, Konstantin ; Shmatov, Dmitry ; Lebedev, Oleg ; Artyukhov, Sergey ; Mukhtorov, Otabek ; Wang, Shuowen ; Komarov, Roman ; Roshkovskaya, Lyudmila ; Khetagurov, Mikhail ; Unguryan, Vladimir ; Chernyavin, Maxim ; Palagin, Petr ; Sirotkin, Alexey ; Belov, Yuri</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c447t-da00212aeddd34120ec18cdad7fa72fcb869a80478fda2b698fd0127f4b2791b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Brief Research Report</topic><topic>Cardiac Surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Surgery</topic><topic>Thoracic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kazantsev, Anton Nikolaevich</creatorcontrib><creatorcontrib>Korotkikh, Alexander</creatorcontrib><creatorcontrib>Dzhanelidze, Merab</creatorcontrib><creatorcontrib>Kharchilava, Elguja</creatorcontrib><creatorcontrib>Zarkua, Nonna</creatorcontrib><creatorcontrib>Alekseeva, Elena</creatorcontrib><creatorcontrib>Staroverova, Valeria</creatorcontrib><creatorcontrib>Koplik, Victoria</creatorcontrib><creatorcontrib>Leader, Roman</creatorcontrib><creatorcontrib>Zakeryaev, Aslan</creatorcontrib><creatorcontrib>Bagdavadze, Goderzi</creatorcontrib><creatorcontrib>Zakharova, Kristina</creatorcontrib><creatorcontrib>Semyin, Igor</creatorcontrib><creatorcontrib>Kostenkov, Anton</creatorcontrib><creatorcontrib>Chernykh, Konstantin</creatorcontrib><creatorcontrib>Shmatov, Dmitry</creatorcontrib><creatorcontrib>Lebedev, Oleg</creatorcontrib><creatorcontrib>Artyukhov, Sergey</creatorcontrib><creatorcontrib>Mukhtorov, Otabek</creatorcontrib><creatorcontrib>Wang, Shuowen</creatorcontrib><creatorcontrib>Komarov, Roman</creatorcontrib><creatorcontrib>Roshkovskaya, Lyudmila</creatorcontrib><creatorcontrib>Khetagurov, Mikhail</creatorcontrib><creatorcontrib>Unguryan, Vladimir</creatorcontrib><creatorcontrib>Chernyavin, Maxim</creatorcontrib><creatorcontrib>Palagin, Petr</creatorcontrib><creatorcontrib>Sirotkin, Alexey</creatorcontrib><creatorcontrib>Belov, Yuri</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Indian journal of thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kazantsev, Anton Nikolaevich</au><au>Korotkikh, Alexander</au><au>Dzhanelidze, Merab</au><au>Kharchilava, Elguja</au><au>Zarkua, Nonna</au><au>Alekseeva, Elena</au><au>Staroverova, Valeria</au><au>Koplik, Victoria</au><au>Leader, Roman</au><au>Zakeryaev, Aslan</au><au>Bagdavadze, Goderzi</au><au>Zakharova, Kristina</au><au>Semyin, Igor</au><au>Kostenkov, Anton</au><au>Chernykh, Konstantin</au><au>Shmatov, Dmitry</au><au>Lebedev, Oleg</au><au>Artyukhov, Sergey</au><au>Mukhtorov, Otabek</au><au>Wang, Shuowen</au><au>Komarov, Roman</au><au>Roshkovskaya, Lyudmila</au><au>Khetagurov, Mikhail</au><au>Unguryan, Vladimir</au><au>Chernyavin, Maxim</au><au>Palagin, Petr</au><au>Sirotkin, Alexey</au><au>Belov, Yuri</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective multicenter online testing of the carotid endarterectomy risk stratification calculator carotidscore.ru</atitle><jtitle>Indian journal of thoracic and cardiovascular surgery</jtitle><stitle>Indian J Thorac Cardiovasc Surg</stitle><addtitle>Indian J Thorac Cardiovasc Surg</addtitle><date>2023-11-01</date><risdate>2023</risdate><volume>39</volume><issue>6</issue><spage>608</spage><epage>614</epage><pages>608-614</pages><issn>0970-9134</issn><eissn>0973-7723</eissn><abstract>Aim
To evaluate the incidence of complications, including fatal outcomes, ischemic strokes, and transient ischemic attacks, associated with carotid endarterectomy (CEA) in patients categorized as low-, medium-, and high-risk based on their CarotidSCORE (carotidscore.ru).
Material and Methods
This prospective, multicenter study was conducted from January 1, 2022, to December 20, 2022, and enrolled 5,496 patients with stenosis of the internal carotid artery (ICA), who were categorized into four groups according to their risk level. Group 1 (n=1,759) included patients at low risk; Group 2 (n=2,483) included those at medium risk; Group 3 (n=429) included those at high risk, who underwent carotid angioplasty with stenting (CAS) due to the high risk of complications associated with carotid endarterectomy (CEA); and Group 4 (n=825) did not use CarotidSCORE (carotidscore.ru). Patients in Groups 1, 2, and 4 underwent CEA.
Results
During the postoperative hospital stay, the highest number of complications, including fatal outcomes (p=0.0007), ischemic strokes (p<0.0001), and the combined endpoints (p<0.0001) were observed in Group 4. No complications were reported in Group 1.
Conclusion
The use of CarotidSCORE (carotidscore.ru) allows for the identification of high-risk patients, enabling clinicians to opt for CAS instead of CEA and reduce the incidence of complications.</abstract><cop>Singapore</cop><pub>Springer Nature Singapore</pub><pmid>37885939</pmid><doi>10.1007/s12055-023-01538-z</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5970-6209</orcidid><orcidid>https://orcid.org/0000-0002-8922-2456</orcidid><orcidid>https://orcid.org/0000-0002-9709-1097</orcidid><orcidid>https://orcid.org/0000-0003-2203-0457</orcidid><orcidid>https://orcid.org/0000-0001-8249-3790</orcidid><orcidid>https://orcid.org/0000-0002-5135-0479</orcidid><orcidid>https://orcid.org/0000-0002-7781-1421</orcidid><orcidid>https://orcid.org/0000-0003-4414-5458</orcidid><orcidid>https://orcid.org/0000-0001-6361-581X</orcidid><orcidid>https://orcid.org/0000-0002-8514-0824</orcidid><orcidid>https://orcid.org/0000-0002-2903-5042</orcidid><orcidid>https://orcid.org/0000-0002-7457-3149</orcidid><orcidid>https://orcid.org/0000-0002-4859-1888</orcidid><orcidid>https://orcid.org/0000-0002-9280-8845</orcidid><orcidid>https://orcid.org/0000-0002-2452-1631</orcidid><orcidid>https://orcid.org/0000-0001-6122-4639</orcidid><orcidid>https://orcid.org/0000-0003-1023-8920</orcidid><orcidid>https://orcid.org/0000-0002-3904-6415</orcidid><orcidid>https://orcid.org/0000-0003-2094-0596</orcidid><orcidid>https://orcid.org/0000-0001-8246-8798</orcidid><orcidid>https://orcid.org/0000-0002-5089-5549</orcidid><orcidid>https://orcid.org/0000-0002-7646-4325</orcidid><orcidid>https://orcid.org/0000-0001-9970-4507</orcidid><orcidid>https://orcid.org/0000-0003-4008-3499</orcidid><orcidid>https://orcid.org/0000-0001-5762-4883</orcidid><orcidid>https://orcid.org/0000-0002-3650-7677</orcidid><orcidid>https://orcid.org/0000-0002-1115-609X</orcidid><orcidid>https://orcid.org/0000-0002-1296-8161</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0970-9134 |
| ispartof | Indian journal of thoracic and cardiovascular surgery, 2023-11, Vol.39 (6), p.608-614 |
| issn | 0970-9134 0973-7723 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10597897 |
| source | SpringerLink Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Brief Research Report Cardiac Surgery Medicine Medicine & Public Health Surgery Thoracic Surgery Vascular Surgery |
| title | Prospective multicenter online testing of the carotid endarterectomy risk stratification calculator carotidscore.ru |
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