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Specialty: Cardiovascular & Thoracic Surgery
Procedure: CT Scan

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Total 244 results found since Jan 2013.

Early Operation in Patients With Mitral Valve Infective Endocarditis and Acute Stroke Is Safe
Conclusions MV surgery for IE and acute stroke can be performed early with a low risk of postoperative neurologic complications. When indicated, surgical intervention for MV IE complicated by acute stroke should not be delayed.
Source: The Annals of Thoracic Surgery - November 11, 2017 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early Operation in Patients With Mitral Valve Infective Endocarditis and Acute Stroke Is Safe.
CONCLUSIONS: MV surgery for IE and acute stroke can be performed early with a low risk of postoperative neurologic complications. When indicated, surgical intervention for MV IE complicated by acute stroke should not be delayed. PMID: 29132700 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 11, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Ghoreishi M, Foster N, Pasrija C, Shah A, Watkins AC, Evans CF, Maghami S, Quinn R, Wehman B, Taylor BS, Dawood MY, Griffith BP, Gammie JS Tags: Ann Thorac Surg 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

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

Obstructive carotid and/or intracranial artery disease rarely affects the incidence of haemodynamic ischaemic stroke during cardiac surgery: a study on brain perfusion single-photon emission computed tomography with acetazolamide ADULT CARDIAC
CONCLUSIONS It is unusual for CIAD to affect the incidence of haemodynamic ischaemic stroke during cardiac surgery. Brain perfusion SPECT with acetazolamide is effective for narrowing down patients at high risk of ischaemic stroke during cardiac surgery. Meanwhile, the application of brain perfusion single-photon emission tomography should be confined only to patients with obstructive CIAD because it is an expensive examination tool.
Source: European Journal of Cardio-Thoracic Surgery - October 16, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Imasaka, K.-i., Yasaka, M., Tayama, E., Tomita, Y. Tags: Cardiac - other ADULT CARDIAC 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.
Source: The Annals of Thoracic Surgery - March 25, 2017 Category: Cardiovascular & Thoracic Surgery Source Type: research

Stroke of a cardiac myxoma origin
Conclusion: Cardiac myxoma stroke is rare. Often does it affect young females. For an improved diagnostic accuracy, magnetic resonance imaging of the brain and echocardiography are imperative for young stroke patients in identifying the cerebral infarct and determining the stroke of a cardiac origin. Immediate thrombolytic therapy may completely resolve the cerebral stroke and improve the neurologic function of the patients. An early surgical resection of cardiac myxoma is recommended in patients with not large territory cerebral infarct. Resumo Objetivo: As características clínicas do acidente vascular cerebral causado ...
Source: Revista Brasileira de Cirurgia Cardiovascular - June 19, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Computed Tomography Scan Predicts Abdominal Interventions but Not Stroke after Surgery for Acute Type A Aortic Dissection.
Conclusion In patients undergoing surgery for AAAD, analysis of preoperative CT images allows identifying those with a high risk of postoperative abdominal intervention for visceral malperfusion. Postoperative stroke is best predicted by preoperative neurologic symptoms. PMID: 25866976 [PubMed - as supplied by publisher]
Source: The Thoracic and Cardiovascular Surgeon - April 13, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Banerjee P, Theus C, Bremerich J, Wolff T, Reuthebuch O, Eckstein F, Matt P Tags: Thorac Cardiovasc Surg Source Type: research

Risk factors for perioperative ischemic stroke in cardiac surgery
Conclusion:Risk factors for ischemic stroke were carotid stenosis of 70% or more, diabetes on insulin and peripheral arteriopathy.ResumoObjetivo:O objetivo do presente trabalho foi avaliar os fatores de risco para acidente vascular encefálico isquêmico em pacientes submetidos à cirurgia cardíaca.Métodos:Entre janeiro de 2010 e dezembro de 2012, foram analisados prospectivamente 519 pacientes consecutivos submetidos à cirurgia cardíaca. A amostra foi dividida em dois grupos: os pacientes com acidente vascular encefálico isquêmico (AVEi) trans e pós-operatório foram alocados no grupo GAVEi (n=22) e os demais pacie...
Source: Revista Brasileira de Cirurgia Cardiovascular - August 25, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Computed Tomography Scan Predicts Abdominal Interventions but Not Stroke after Surgery for Acute Type A Aortic Dissection
Conclusion In patients undergoing surgery for AAAD, analysis of preoperative CT images allows identifying those with a high risk of postoperative abdominal intervention for visceral malperfusion. Postoperative stroke is best predicted by preoperative neurologic symptoms.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text
Source: The Thoracic and Cardiovascular Surgeon - April 13, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Banerjee, PreranaTheus, ChristophBremerich, JensWolff, ThomasReuthebuch, OliverEckstein, FriedrichMatt, Peter Tags: Original Cardiovascular Source Type: research

Feasibility and safety of direct catheter-based thrombectomy in the treatment of acute ischemic stroke. Cooperation of cardiologists, neurologists and radiologists. Prospective registry PRAGUE-16.
CONCLUSIONS: Direct catheter-based thrombectomy may be considered in patients with contraindications for thrombolysis or in patients with very short CT - groin puncture times. A randomized trial is needed to better evaluate the role of direct catheter-based thrombectomy. Acute stroke interventions performed in close cooperation of cardiologists, neurologists and radiologists are feasible and safe. PMID: 28242586 [PubMed - as supplied by publisher]
Source: EuroIntervention - March 2, 2017 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

Prediction of stroke reconvalescence after coronary bypass surgery indicated by CT scan parameters
ConclusionBoth the ARWMC and MRVRS were found to be appropriate. They reliably discriminate the groups of stroke patients after coronary artery bypass grafting (CABG)  in the analysis of CCT images. When applied at the onset of neurological symptoms both scales are able to predict neurological reconvalescence upon hospital dismission. The ARWMC scale appeared superior as it demonstrated better accuracy and discrimination. The use of both VRS in patients with sus pected stroke after CABG surgery can give insightful information toward a progression of neurological dysfunction or postoperative improvement.
Source: Journal of Cardiac Surgery - July 29, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Marc Irqsusi, Titus Schenk zu Schweinsberg, Felix Allendorff Johnson, Kai Dielmann, Rabia Ramzan, Sebastian Vogt, Nikolas Mirow, Ardawan J. Rastan Tags: ORIGINAL ARTICLE Source Type: research

Stroke after coronary artery bypass surgery: Can we predict full neurological recovery?
AbstractPostoperative stroke is a rare but feared complication after cardiac surgery. The clinical presentation and the evolution of postoperative stroke associated with bypass surgery are extremely heterogeneous and depend on multiple factors, which are not always easy to identify. Computed tomography scan parameters like visual rating scales,  in particular, the age-related white matter changes and Mendes Ribero visual rating scale scores, could be used to predict postoperative stroke reconvalescence. Being reproducible and quickly appliable in everyday clinical practice, their implementation results are easy. Further ...
Source: Journal of Cardiac Surgery - July 29, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Bleri Celmeta, Antonio Miceli Tags: COMMENTARY Source Type: research

Stroke Following Thoracic Endovascular Aortic Repair: Determinants, Short and Long Term Impact
We performed a contemporary assessment of clinical and radiographic factors of stroke after thoracic endovascular aortic repair (TEVAR). Patients undergoing TEVAR from 2006-2017 were identified. We assessed clinical and radiographic data, including preoperative head and neck computed tomography, Doppler ultrasonography and intraoperative angiography. Our primary outcome was stroke after TEVAR. 479 patients underwent TEVAR, mean age 68.1 ±19.5 years, 52.6% male. Indications for TEVAR included aneurysms (n=238, 49.7%) or dissections (n=152, 31.7%).
Source: Seminars in Thoracic and Cardiovascular Surgery - January 25, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Arnoud V. Kamman, Pieter A.J. van Bakel, Bo Yang, David M. Williams, Karen M. Kim, Minhaj S. Khaja, Frans L. Moll, Joost A. van Herwaarden, Santi Trimarchi, Kim A. Eagle, Jonathan L. Eliason, Himanshu J. Patel Tags: ADULT – Original Submission Source Type: research