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Epicardial left atrial appendage AtriClip occlusion reduces the incidence of stroke in patients with atrial fibrillation undergoing cardiac surgery
ConclusionThe long-term results from our first-in-man prospective human trial plus our institutional registry of epicardial LAA occlusion with the AtriClip in patients with AF undergoing cardiac surgery demonstrate the safety and durability of the procedure. In addition, our data are suggestive for the potential efficacy of LAA occlusion in reducing the incidence of stroke. If validated in future large randomized trials, routine LAA occlusion in patients undergoing cardiac surgery (with contraindications to treatment with oral anticoagulants) may represent a reasonable adjunct procedure to reduce the risk of future stroke....
Source: Europace - July 18, 2017 Category: Cardiology Source Type: research

Acute stroke intervention after transcatheter aortic valve replacement.
Abstract Stroke is a devastating complication in patients undergoing transcatheter aortic valve replacement (TAVR). We sought to determine whether early stroke intervention after TAVR would improve the neurological outcomes. Two patients experienced stroke immediately after TAVR, one treated with mechanical thrombectomy and localized lytic therapy and one treated with systemic lytic therapy. Our limited experience showed that early stroke intervention with either treatment option may reduce the risk of complications and improve neurological outcomes. PMID: 30948989 [PubMed]
Source: Baylor University Medical Center Proceedings - September 30, 2018 Category: Universities & Medical Training Authors: Hamandi M, Farber AJ, Tatum JK, Brinkman WT, Brown DL, Lawrence ME, Mack MJ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Relationship Between Cardiac Surgery and Acute Ischemic Stroke: An Examination in Terms of Clinical, Radiological, and Functional Outcomes and Possible Pathophysiological Mechanisms
CONCLUSION: Calculation of cerebrovascular reserve with extra/intracranial vascular imaging is important in patients with multiple risk factors, whose association with stroke has been determined before cardiac surgery. We believe that cardiovascular surgery and neurology multidisciplinary prospective randomized studies should be conducted to obtain pre-, peri- and post-procedural risk calculation scales, according to cardiac surgery type and to reshape surgical procedures accordingly.PMID:34473018 | DOI:10.1532/hsf.4007
Source: The Heart Surgery Forum - September 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Mehmet I şık Hasan H üseyin Kozak Niyazi G örmüş Source Type: research

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