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Specialty: Cardiovascular & Thoracic Surgery
Procedure: Angioplasty

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Total 308 results found since Jan 2013.

Neuroimaging patterns of ischemic stroke after percutaneous coronary intervention
Conclusions The vast majority of radiologically‐confirmed ischemic strokes related to PCI are embolic. MCA territory strokes are most common and uniformly fatal when the entire MCA territory is affected. Functional outcomes in survivors of PCI‐stroke are improved when only a single arterial territory is affected. © 2014 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - September 25, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Scott J Hoffman, Alan H. Yee, Joshua P. Slusser, Charanjit S. Rihal, David R. Holmes, Alejandro A. Rabinstein, Rajiv Gulati Tags: Original Studies Source Type: research

Can we make stroke during cardiac surgery a never event?
Stroke has been and continues to be the Achilles heel of cardiac surgery. Periprocedural neurologic events during cardiac surgery remain prevalent, with stroke reported in 2.0% to 4.6% of patients undergoing cardiac surgery and increasing to at least 12.8% in octogenarians.1-3 The fear of stroke or other adverse neurologic outcomes, including so-called pump head, is a deterrent for patients to undergo the otherwise successful, life-saving operations that we perform. The interpretation of the SYNTAX trial “that with coronary artery bypass grafting (CABG) the patient is trading a 3 times higher risk of stroke (2.2% vs 0.6%...
Source: The Journal of Thoracic and Cardiovascular Surgery - February 28, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Michael Mack Tags: Editorial commentary Source Type: research

A mechanism for stroke complicating thrombus aspiration
We propose a mechanism of how stroke may be caused by thrombus aspiration during primary percutaneous coronary intervention (PPCI), and how it may be technique‐dependent. Two recent meta‐analyses report increased risk of stroke in patients undergoing routine thrombus aspiration during STEMI and the value of this technique has been controversial. The mechanism of stroke has not been fully explained. This case demonstrates 2 mechanisms by which aspiration might cause thrombus embolization. We recommend that if thrombus aspiration is performed during PPCI for STEMI, it should be done selectively and carefully. It is prude...
Source: Catheterization and Cardiovascular Interventions - October 2, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Eddie D. Brown, James C. Blankenship Tags: Coronary Artery Disease Source Type: research

Balloons are not for angioplasty alone: A novel occlusion technique for stroke prevention
Stroke remains a significant source of morbidity and mortality after thoracic endovascular aortic repair (TEVAR). This is especially true with “hybrid” aortic arch aneurysm repairs, with stroke rates as high as 8% reported previously.1 Many of these patients have significant medical comorbidities, including previous stroke, peripheral vascular, and coronary artery disease, and resultant aortic atheroma and calcifications. It is well kn own that endovascular procedures in the aortic arch result in significant cerebral embolization; in fact, in the SENTINEL trial evaluating transcatheter cerebral embolic protection devic...
Source: The Journal of Thoracic and Cardiovascular Surgery - November 2, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Christopher R. Burke, Pavan Atluri Tags: Editorial Commentary Source Type: research

Commentary: Balloons are not for angioplasty alone: A novel occlusion technique for stroke prevention
Stroke remains a significant source of morbidity and mortality after thoracic endovascular aortic repair (TEVAR). This is especially true with “hybrid” aortic arch aneurysm repairs, with stroke rates as high as 8% reported previously.1 Many of these patients have significant medical comorbidities, including previous stroke, peripheral vascular, and coronary artery disease, and resultant aortic atheroma and calcifications. It is well kn own that endovascular procedures in the aortic arch result in significant cerebral embolization; in fact, in the SENTINEL trial evaluating transcatheter cerebral embolic protection devic...
Source: The Journal of Thoracic and Cardiovascular Surgery - November 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Christopher R. Burke, Pavan Atluri Tags: Commentary Source Type: research

Coronary Artery Bypass Graft Surgery Improves Survival Without Increasing the Risk of Stroke in Patients with Ischemic Heart Failure in Comparison to Percutaneous Coronary Intervention: A Meta-Analysis With 54,173 Patients
Conclusion: This meta-analysis found that CABG surgery remains the best option for patients with ischemic HF, without increase in the risk of stroke.
Source: Revista Brasileira de Cirurgia Cardiovascular - August 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Optimizing endovascular stroke therapy: A primary PCI deja‐vu?
Key Points The optimal revascularization modality (thromboembolectomy, suction thrombectomy, angioplasty with stenting, and stent retriever thrombectomy) for the cerebral circulation remains to be defined Catheter‐based therapy of the acute stroke yields better clinical outcomes in patients <65‐year‐old, with a door‐to‐balloon time <4 hr and successful reperfusion TICI ≥ 2. Considering the significant incidence of acute strokes which are either ineligible for intravenous thrombolytic therapy or present too late, catheter‐based therapies may offer an alternative treatment option. Interventional card...
Source: Catheterization and Cardiovascular Interventions - April 23, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Mehmet Cilingiroglu, Kostas Marmagkiolis Tags: Peripheral Vascular Disease Source Type: research

Carotid endarterectomy versus carotid angioplasty for stroke prevention: a systematic review and meta-analysis
This meta-analysis aimed to evaluate the efficacy of carotid endarterectomy (CE) compared with carotid angioplasty (CA) in preventing stroke. Whether the use of CE is more efficient in preventing stroke than C...
Source: Journal of Cardiothoracic Surgery - September 8, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Zengyan Diao, Guoyong Jia, Wei Wu and Cuilan Wang Source Type: research

Endovascular prevention and treatment of stroke related to extracranial carotid artery disease.
Abstract Acute ischemic stroke (AIS) is the leading cause of premature mortality and morbidity worldwide for both men and women. Extracranial carotid artery stenosis/occlusion is responsible for approximately 11.5%% of ischemic strokes, whereas extracranial large vessel disease comprises roughly 16.6% of ischemic strokes. Carotid artery disease has been the source of significant debate among neurovascular and cardiovascular specialists, as well as vascular surgeons, as to the best method of revascularization, surgical reconstruction versus endovascular recanalization. There are different treatment modalities and t...
Source: The Journal of Cardiovascular Surgery - December 5, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Rangel-Castilla L, Rajah GB, Shakir HJ, Davies JM, Snyder KV, Siddiqui AH, Levy EI, Hopkins LN Tags: J Cardiovasc Surg (Torino) Source Type: research

Drug ‐eluting stents versus coronary artery bypass grafting for left‐main coronary artery disease
ConclusionsWhen compared with CABG, DES‐PCI for LMCAD was associated with increases in RRV and the composite of death, MI, and RRV (with/without stroke), despite no differences in mortality, MI, stroke, and the composite of death and MI (with/without stroke).
Source: Catheterization and Cardiovascular Interventions - August 11, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Hisato Takagi, Tomo Ando, Takuya Umemoto, Tags: CORONARY ARTERY DISEASE Source Type: research

Treatment of complex coronary artery disease in patients with diabetes: 5-year results comparing outcomes of bypass surgery and percutaneous coronary intervention in the SYNTAX trial ADULT CARDIAC
CONCLUSIONS In both diabetic and non-diabetic patients, PCI resulted in higher rates of MACCE and repeat revascularization at 5 years. Although PCI is a potential treatment option in patients with less-complex lesions, CABG should be the revascularization option of choice for patients with more-complex anatomic disease, especially with concurrent diabetes.
Source: European Journal of Cardio-Thoracic Surgery - April 8, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Kappetein, A. P., Head, S. J., Morice, M.-C., Banning, A. P., Serruys, P. W., Mohr, F.-W., Dawkins, K. D., Mack, M. J., on behalf of the SYNTAX Investigators Tags: ADULT CARDIAC Source Type: research

Antithrombotic strategy variability in atrial fibrillation and obstructive coronary disease revascularised with percutaneous coronary intervention: primary results from the AVIATOR 2 international registry
CONCLUSIONS: The AVIATOR 2 study is the first digital health study examining physician-patient perspectives on ATT choices after AF-PCI. TT was the most common strategy without differences in 1-year outcomes in ATT strategy. Physicians rated safety first when prescribing ATT; patients feared stroke over bleeding.CLINICALTRIALS: gov: NCT02362659.PMID:35656720 | DOI:10.4244/EIJ-D-21-01044
Source: EuroIntervention - June 3, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Jaya Chandrasekhar Usman Baber Samantha Sartori Ridhima Goel Johny Nicolas Birgit Vogel Clayton Snyder Annapoorna Kini Carlo Briguori Bernhard Witzenbichler Ioannis Iakovou Gennaro Sardella Kevin Marzo Anthony DeFranco Thomas Stuckey Alaide Chieffo Antoni Source Type: research