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Specialty: Cardiovascular & Thoracic Surgery

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Total 8511 results found since Jan 2013.

Left atrial appendage angiography for stroke risk prediction in patients with atrial fibrillation
Conclusions: Impaired mechanical function of the LAA, indicated by a low LAAEF and CR, is associated with a history of stroke in patients with AF. Assessment of CR using LAA angiography helps improve the stratification scheme for stroke risk prediction.PMID:37594402 | DOI:10.4244/EIJ-D-23-00325
Source: EuroIntervention - August 18, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Lisheng Jiang Ziyong Hao Xiaoyi Xie Ke Xu Lan Shen Xin Pan Cheng Wang Lan Ma Linghong Shen Yiting Fan Ben He 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

Postoperative Blood Urea Nitrogen Is Associated With Stroke in Cardiac Surgical Patients
Conclusions In these analyses, we identified BUN as a marker of heightened postoperative stroke risk after cardiac surgical procedures. Postoperative risk markers may improve assessment of delayed postoperative strokes.
Source: The Annals of Thoracic Surgery - February 19, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Anemia Is a Risk Factor of New Intraoperative Hemorrhagic Stroke During Valve Surgery for Endocarditis.
CONCLUSIONS: Intraoperative hemorrhagic stroke was not rare, and ectopic hemorrhagic stroke, associated with preoperative anemia, was more prevalent than hemorrhagic transformation of existing cerebral lesions. PMID: 25979239 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 13, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Yoshioka D, Toda K, Okazaki S, Sakaguchi T, Miyagawa S, Yoshikawa Y, OSCAR Study Group, Sawa Y Tags: Ann Thorac Surg Source Type: research

Epidemiology of Stroke in Pediatric Cardiac Surgical Patients Supported With Extracorporeal Membrane Oxygenation.
CONCLUSIONS: This multicenter analysis demonstrates that pediatric cardiac surgical patients on ECMO are at high risk of stroke; younger or underweight patients and those with longer ECMO duration are at greatest risk, independent of procedural complexity. Future study is necessary to determine how anticoagulation or other clinical practices can be modified to reduce stroke incidence. PMID: 26298170 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 20, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Werho DK, Pasquali SK, Yu S, Donohue J, Annich GM, Thiagarajan RR, Hirsch-Romano JC, Gaies M, ELSO member centers Tags: Ann Thorac Surg Source Type: research

Thromboembolic stroke in patients with a HeartMate-II left ventricular assist device – the role of anticoagulation
Conclusion: In our experience anticoagulation within predefined targets is not associated with a reduced thromboembolic stroke risk in patients with a HeartMate-II LVAD on antiplatelet therapy. However, no firm statement about the effect of either anticoagulant or antiaggregant therapy can be made based on our study. A larger randomized study is needed to support the hypothesis that there may be no additional benefit of coumarin or heparin therapy compared with antiplatelet therapy alone.
Source: Journal of Cardiothoracic Surgery - October 15, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Walter van den BerghAnnemieke Lansink-HartgringAbram van DuijnAnnemarie EngströmJaap LahporArjen Slooter Source Type: research

Incidence and clinical impact of stroke complicating transcatheter aortic valve implantation: Results from the German TAVI registry
ConclusionsStroke complicating TAVI is a serious complication with a clinically relevant incidence even in daily practice leading to a fivefold increase in 30‐day‐mortality rate, as well as a significant increase in morbidity and disability in patients, who survive this devastating complication. Further research is needed to identify risk factors and ways to reduce stroke after TAVI. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - June 2, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Nicolas Werner, Uwe Zeymer, Steffen Schneider, Timm Bauer, Ulrich Gerckens, Axel Linke, Christian Hamm, Horst Sievert, Holger Eggebrecht, und Ralf Zahn, Tags: Valvular and Structural Heart Diseases Source Type: research

Stroke Volume Ratio Predicts Redilatation of the Right Ventricle After Pulmonary Valve Replacement.
CONCLUSIONS: The preoperative stroke volume ratio can predict redilatation of the right ventricle after pulmonary valve replacement and the degree of right ventricular myocardial fibrosis. PMID: 28347541 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 24, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Kido T, Ueno T, Taira M, Ozawa H, Kanaya T, Okuda N, Toda K, Kuratani T, Sawa Y Tags: Ann Thorac Surg Source Type: research

Long-Term Outcomes for Patients with Stroke After Coronary and Valve Surgery.
CONCLUSIONS: Postoperative stroke often leads to high mortality and poor long-term outcomes. Patients who experienced a severe stroke and underwent neurosurgical procedures also exhibited poor outcomes. Patients and their families should be informed of relatively high mortality and poor long-term outcomes before neurosurgical operation. PMID: 29501638 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Chen CC, Chen TH, Tu PH, Chien-Chia Wu V, Yang CH, Yi-Chou Wang A, Lee ST, Tsai FC, Chen SW Tags: Ann Thorac Surg Source Type: research

Development and Application of a Risk Prediction Model for In-Hospital Stroke After Transcatheter Aortic Valve Replacement – A Report from the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry
ConclusionsA risk model for in-hospital stroke following TAVR was developed from the STS/ACC TVT Registry and used to estimate site-specific stroke performance. This model can serve as a valuable resource for quality improvement, clinical decision-making, and patient counseling.
Source: The Annals of Thoracic Surgery - December 8, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Identifying asymptomatic patients at high-risk for stroke.
CONCLUSIONS: Results from ongoing large, multi-centre randomised clinical trials comparing carotid endarterectomy and carotid artery stenting with good medical therapy may be consistent with earlier trials, showing a halving of the long-term risk of stroke following successful carotid revascularisation. However, they may well lack sufficient statistical power to identify higher-risk subgroups in whom the absolute gains of treatment are significantly higher. Large contemporary cohort studies are needed to provide further clarity regarding high-risk features associated with increased long-term stroke risk in asymptomatic pat...
Source: The Journal of Cardiovascular Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Gaba K, Bulbulia R Tags: J Cardiovasc Surg (Torino) Source Type: research

Impact of stroke on outcomes following cardiac surgery: Propensity matched analysis
ConclusionPerioperative stroke is a devastating complication following cardiac surgery. Perioperative stroke is associated with significantly inferior outcomes in terms of both morbidity and mortality. Notably a 28% reduction in 1 ‐year survival. Efforts should focus on identifying strategies aimed at reducing the incidence, morbidity, and mortality of perioperative stroke following cardiac surgery.
Source: Journal of Cardiac Surgery - August 15, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Jayenthan Karunanantham, Jason M. Ali, Nicholas R. Evans, Stephen Webb, Stephen R. Large Tags: ORIGINAL ARTICLE Source Type: research