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Reply: Further expansion on the horizon? Thrombectomy for stroke after cardiothoracic surgery
We read with great interest the response to our publication1 from Schweitzer and colleagues.2 They found similar rates of cerebrovascular complications in their patients after cardiac surgery: just under 3%. As with our population, computed tomography angiography was the preferred acute imaging modality. Of patients with neurological deficits 5.3% had a large vessel occlusion (LVO) stroke, compared with the 10.1% in our series. In our population, we highlighted the fact that expanded time windows opened the therapeutic opportunity of thrombectomy for LVO to patients waking from anesthesia with deficit.
Source: The Journal of Thoracic and Cardiovascular Surgery - April 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Faheem Sheriff, Kenneth Shelton, Arminder S. Jassar, Aman B. Patel, Thabele M. Leslie-Mazwi Tags: Letter to the Editor Source Type: research

Reply to author: Further expansion on the horizon? Thrombectomy for stroke after cardiothoracic surgery
We read with great interest the response to our publication1 from Schweitzer and colleagues.2 They found similar rates of cerebrovascular complications in their patients after cardiac surgery: just under 3%. As with our population, computed tomography angiography was the preferred acute imaging modality. Of patients with neurological deficits 5.3% had a large vessel occlusion (LVO) stroke, compared with the 10.1% in our series. In our population, we highlighted the fact that expanded time windows opened the therapeutic opportunity of thrombectomy for LVO to patients waking from anesthesia with deficit.
Source: The Journal of Thoracic and Cardiovascular Surgery - April 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Faheem Sheriff, Kenneth Shelton, Arminder S. Jassar, Aman B. Patel, Thabele M. Leslie-Mazwi Tags: Adult: Perioperative Management: Letters to the Editor Source Type: research

Commentary: Subclinical valve thrombosis —Are all transcatheter aortic valves created equal?
Transcatheter aortic valve insertion (TAVI) technology presents new opportunities but also new challenges, including subclinical valve thrombosis (SCVT). In this edition of the Journal, Woldendorp and colleagues1 report a meta-analysis investigating SCVT after TAVI focusing on prevalence, predisposing factors, management, and consequences. Twelve studies that screened for SCVT using multidetector computed tomography (MDCT) were included comparing stroke risk between patients with SCVT and those without, as well as the effects of antiplatelet therapy and oral anticoagulation (OAC) on preventing SCVT.
Source: The Journal of Thoracic and Cardiovascular Surgery - February 20, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Sajiram Sarvananthan, Clifford William Barlow Tags: Commentary Source Type: research

Stent-Assisted Balloon-Induced Intimal Disruption and Relamination in Aortic Dissection Repair: The STABILISE concept
Conclusions: The Stent-Assisted Balloon-Induced Intimal Disruption and Relamination in Aortic Dissection Repair approach is a feasible endovascular technique that shows promise to achieve complete repair of the dissected aorta by inducing complete false lumen obliteration. The restoration of uniluminal flow in the thoracoabdominal aorta has the potential to improve long-term outcomes. Prospective, multicenter investigations are required to implement this strategy more broadly.
Source: The Journal of Thoracic and Cardiovascular Surgery - April 22, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Sophie C. Hofferberth, Ian K. Nixon, Raymond C. Boston, Craig S. McLachlan, Peter J. Mossop Tags: Acquired Cardiovascular Disease Source Type: research