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Specialty: Cardiovascular & Thoracic Surgery
Condition: Ischemic Stroke

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Total 1324 results found since Jan 2013.

Stroke after implantation of continuous flow left ventricular assist devices
ConclusionThe occurrence of stroke significantly increases morbidity and mortality after LVAD implantation. Despite an adverse impact on survival and quality of life, several patients who suffered stroke still received a heart transplant. Furthermore, none of our patients had recurrence of a neurological event. Strict implementation of anticoagulation protocols is likely the mainstay of preventing this devastating complication.
Source: Journal of Cardiac Surgery - May 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Athanasios Tsiouris, Ioannis Heliopoulos, Dimitrios Mikroulis, Panayiotis D. Mitsias Tags: ORIGINAL ARTICLE Source Type: research

A review of the complex landscape of stroke in left ventricular assist device trials.
CONCLUSIONS: Based on this review, we propose that future clinical trials: 1) utilize standardized stroke definitions and define stroke subtypes, 2) ensure that neurologists are integrated in study design and event adjudication, 3) include more thorough evaluations of stroke etiology using multimodality techniques, and 4) adopt the National Institutes of Health Stroke Scale to define stroke severity. PMID: 32289297 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 10, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Mai X, Reyentovich A, Norcliffe-Kaufmann L, Moazami N, Frontera JA Tags: Ann Thorac Surg Source Type: research

Technical improvements in carotid revascularization based on the mechanism of procedural stroke.
In conclusion, this review provides an overview of the pathophysiological mechanism of stroke following carotid revascularization (both CAS and CEA) and of the technical improvements that have contributed to reducing this stroke risk. PMID: 30827087 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Surgery - February 28, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Fassaert LM, de Borst GJ Tags: J Cardiovasc Surg (Torino) Source Type: research

Long-Term Risk of Ischemic Stroke After the Cox-Maze III Procedure for Atrial Fibrillation
Conclusions This multicenter study showed a low incidence of perioperative and long-term postoperative ischemic stroke/TIA after CM-III. Although general risk of ischemic stroke/TIA was reduced, patients with CHA2DS2-VASc score 2 or greater had a higher risk compared with score 0 or 1. Complete left atrial appendage excision may be an important reason for the low ischemic stroke rate.
Source: The Annals of Thoracic Surgery - July 20, 2017 Category: Cardiovascular & Thoracic Surgery Source Type: research

Predictors and outcomes of stroke after transcatheter aortic valve replacement
ConclusionsAlternative access approach and a history of transient ischemic attack emerged as independent predictors of postoperative stroke. Patients with stroke suffered more complications and had worse survival, underscoring the importance of characterizing the stroke risk in these patients.
Source: Journal of Cardiac Surgery - December 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Sarah A. Hatfield, Marcos A. Nores, Taylor M. James, Mark Rothenberg, Arvind Kapila, Roberto J. Cubeddu, Sotiris C. Stamou Tags: ORIGINAL ARTICLE Source Type: research

Carotid interventions (CEA and CAS) in acute stroke patients: which procedure on which patient.
Abstract Treatment of carotid bifurcation disease in patients presenting with acute stroke has been a controversial issue over the past four decades. Classically, patients were asked to wait four to six weeks before intervention was entertained in order for the brain to stabilize and the risks of intervention to be minimized. Unfortunately, up to 20% of patients will have a secondary event after their index event and the window of opportunity to save, potentially salvageable ischemic tissue will be missed. Early reports had demonstrated poor results with intervention. However, more recently, institutions such as o...
Source: The Journal of Cardiovascular Surgery - December 23, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Darling RC, Warner C, Yeh CC, Shah MD, Hnath JC, Shah DM Tags: J Cardiovasc Surg (Torino) Source Type: research

Neuroanatomy and severity of stroke in patients with type A aortic dissection
ConclusionsStrokes associated with ATAAD are severe at presentation resulting in significant disability. One in 10 strokes is due to LVO and potentially amenable to endovascular treatment. Heterogeneity in both location and etiology of stroke makes prevention challenging. Future trials may evaluate the role of early neuroimaging and simultaneous treatment of stroke given advancements in endovascular therapy.
Source: Journal of Cardiac Surgery - November 17, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Akash Fichadiya, Bijoy K. Menon, Alexander J. Gregory, Ericka Teleg, Jehangir J. Appoo Tags: ORIGINAL ARTICLE Source Type: research

Outcomes of stroke events during transcatheter aortic valve implantation
CONCLUSIONS: Among Medicare beneficiaries undergoing TAVI, procedure-related ischaemic stroke was associated with worse outcomes, increased Medicare expenditures, and less time spent at home. Procedure-related ischaemic stroke during TAVI remains a critically important and potentially preventable source of patient mortality, morbidity and healthcare utilisation.PMID:35135749 | DOI:10.4244/EIJ-D-21-00951
Source: EuroIntervention - February 9, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Zaid I Almarzooq Dhruv S Kazi Yun Wang Mabel Chung Wei Tian Jordan B Strom Suzanne J Baron Robert W Yeh Source Type: research

Assessment of Stroke and Concomitant Cerebrovascular Disease with Heart Disease Requires Invasive Treatment: Analysis of 249 Consecutive Patients with Heart Disease.
Conclusion The risk of perioperative stroke was very low in combined cardiac disease and the CVD. However, for preventing ischemic stroke due to the predetected cerebrovascular lesions, precautionary efforts could be needed for patients undergoing an invasive cardiac procedure, and concomitant cerebrovascular lesions should be considered as main source of delayed ischemic stroke. PMID: 24065603 [PubMed - as supplied by publisher]
Source: The Thoracic and Cardiovascular Surgeon - September 24, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Kim MJ, Song H, Oh SY, Choi JH, Kim BS, Kang J, Shin YS Tags: Thorac Cardiovasc Surg Source Type: research

Association of Ischemic Stroke, Hormone Therapy, and Right to Left Shunt in Postmenopausal Women
Conclusions Approximately 20% of older women have a right to left shunt. Hormone therapy in these women may increase the risk of ischemic stroke by promoting paradoxical embolism. © 2014 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - February 12, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Nancy C. Greep, David S. Liebeskind, Rubine Gevorgyan, Tam Truong, Bennett Cua, Chi‐Hong Tseng, David W. Dodick, Bart M. Demaerschalk, David E. Thaler, Jonathan M. Tobis Tags: Original Studie Source Type: research