BLearning

CX 2019: Why stroke following cardiac surgery is a “wake-up call”; Safety of carotid stenting debate

In the Acute Stroke Challenges session, Nick Hopkins talks to CX Live about the “significant increase” of incidents of stroke following cardiac surgery which is “much more common than previously thought”.

Ross Naylor and Peter Schneider debated the impact of new technologies and innovations making carotid artery stenting as safe as endarterectomy in the first 14 days after TIA / stroke. Naylor who spoke against the motion, won the debate.

Schneider discussed the “incredible promise” shown by new technologies such as TCAR and mesh stents and how changes to carotid stenting are “on the horizon”.

Naylor, however, argued that most of the outcomes published have been in patients who were either asymptomatic or had symptoms without any details on how long after the event they had occurred. Naylor said that data on mesh stents and flow reversal devices such as TCAR must instead be looked at in the first 7–14 days after onset of symptoms.

Hopkins, Nick

Hopkins, Nick


Dr Nick (L Nelson) Hopkins is a professor of radiology. He is the chair of neurosurgery, and a director at the Toshiba Stroke Research Center in the University at Buffalo, State University of New York (USA). He is considered a pioneer of stroke treatment and of the development of non-surgical therapies to treat stroke and carotid disease

Add comment

Subscribe to receive the very best in medical videos





/* ]]> */