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Specialty: Cardiovascular & Thoracic Surgery
Condition: Bleeding

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Total 2859 results found since Jan 2013.

Technical improvements in carotid revascularization based on the mechanism of procedural stroke.
In conclusion, this review provides an overview of the pathophysiological mechanism of stroke following carotid revascularization (both CAS and CEA) and of the technical improvements that have contributed to reducing this stroke risk. PMID: 30827087 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Surgery - February 28, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Fassaert LM, de Borst GJ Tags: J Cardiovasc Surg (Torino) Source Type: research

Left atrial appendage occlusion for stroke prevention in patients with atrial fibrillation: a systematic review and network meta-analysis of randomized controlled trials.
CONCLUSIONS: LAA occlusion appears to preserve the benefits of oral anticoagulation therapy for stroke prevention in patients with AF, but the current evidence is of low quality. PMID: 28215062 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Surgery - February 16, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Hanif H, Belley-Cote EP, Alotaibi A, Dvirnik N, Neupane B, Beyene J, Eikelboom JW, Holmes D, Whitlock RP Tags: J Cardiovasc Surg (Torino) Source Type: research

Closure of Patent Foramen Ovale versus Medical Therapy after Cryptogenic Stroke: Meta-Analysis of Five Randomized Controlled Trials with 3440 Patients
Conclusion: This meta-analysis found that stroke rates are lower with percutaneously implanted device closure than with medical therapy alone, being these rates modulated by the rates of effective closure.
Source: Revista Brasileira de Cirurgia Cardiovascular - March 29, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Ischemic stroke and intracranial hemorrhage in extracorporeal membrane oxygenation for COVID-19: A systematic review and meta-analysis
CONCLUSIONS: Ischemic stroke and ICH were common under the double "hit" of COVID-19 and ECMO. The prevalence of ICH was significantly higher in COVID-19 patients supported with ECMO than non-COVID-19 patients requiring ECMO. Individualized anticoagulation regimens may be a good choice to balance thrombosis and bleeding. More detailed research and further exploration are needed to clarify the underlying mechanism and clinical management decisions.PMID:36189498 | DOI:10.1177/02676591221130886
Source: Perfusion - October 3, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Yu Jin Yang Zhang Jinping Liu Source Type: research

Endoaortic Clamping Does Not Increase the Risk of Stroke in Minimal Access Mitral Valve Surgery: A Multicenter Experience.
CONCLUSIONS: Once procedural proficiency is acquired, endoaortic balloon clamping in MIMVS is a safe and effective technique. Despite the fact that this patient cohort also includes combined and redo procedures, the observed mortality and stroke rate compared favorably with the existing literature on primary isolated mitral valve surgery irrespective of the approach. PMID: 26163356 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 7, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Casselman F, Aramendi J, Bentala M, Candolfi P, Coppoolse R, Gersak B, Greco E, Herijgers P, Hunter S, Krakor R, Rinaldi M, Van Praet F, Van Vaerenbergh G, Zacharias J Tags: Ann Thorac Surg Source Type: research

Updated Meta-analysis on the Closure of Patent Foramen Ovale in Reduction of Stroke Rates: the DEFENSE-PFO Trial Does not Change the Scenario
Conclusion: This meta-analysis found that stroke rates are lower with percutaneously implanted device closure than with medical therapy alone, being these rates modulated by the rates of hypertension, atrial septal aneurysm and effective closure. The publication of a new trial did not change the scenario in the medical literature.
Source: Revista Brasileira de Cirurgia Cardiovascular - December 13, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Left atrial appendage exclusion is effective in reducing postoperative stroke after mitral valve replacement
ConclusionsConcurrent LAA exclusion during MVR is a safe and effective way to reduce postoperative ischemic stroke, particularly in patients with AF.
Source: Journal of Cardiac Surgery - September 15, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Shengli Jiang, Huajun Zhang, Shixiong Wei, Lin Zhang, Zhiyun Gong, Bojun Li, Yao Wang Tags: ORIGINAL ARTICLE Source Type: research

Lower body surface area is highly related to mortality due to stroke or systemic bleeding in patients receiving an axial flow blood pump as a left ventricular assist device TRANSPLANTATION AND MECHANICAL CIRCULATORY SUPPORT
CONCLUSIONS The lower BSA is an independent risk factor for mortality due to stroke or systemic bleeding during the VAD support.
Source: European Journal of Cardio-Thoracic Surgery - April 8, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Komoda, T., Drews, T., Hetzer, R., Lehmkuhl, H. B. Tags: TRANSPLANTATION AND MECHANICAL CIRCULATORY SUPPORT Source Type: research

Left atrial appendage closure for stroke prevention in non-valvular atrial fibrillation: rationale, devices in clinical development and insights into implantation techniques.
CONCLUSIONS: Catheter-based LAA occlusion is now being developed further as an interventional approach for stroke prevention in patients with atrial fibrillation. Implantation techniques and devices are being improved, which will probably result in better procedural safety. Appropriate operator training is of major importance for this approach. PMID: 25138187 [PubMed - in process]
Source: EuroIntervention - November 12, 2014 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

Endoaortic Clamping Does Not Increase the Risk of Stroke in Minimal Access Mitral Valve Surgery: A Multicenter Experience
Conclusions Once procedural proficiency is acquired, endoaortic balloon clamping in MIMVS is a safe and effective technique. Despite the fact that this patient cohort also includes combined and redo procedures, the observed mortality and stroke rate compared favorably with the existing literature on primary isolated mitral valve surgery irrespective of the approach.
Source: The Annals of Thoracic Surgery - July 7, 2015 Category: Cardiovascular & Thoracic Surgery 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

Thoracoscopic Left Atrial Appendage Excision plus Ablation for Atrial Fibrillation to Prevent Stroke
Atrial fibrillation (AF) patients with a previous stroke are often at a high risk of recurrent stroke and bleeding. Anticoagulation therapy in such patients is a challenging dilemma. Thoracoscopic left atrial appendage excision (LAAE) plus AF ablation is an interventional approach offered to some AF patients. We hypothesized that this approach may be suitable as a secondary stroke prevention strategy for these high-risk patients. Between January 2013 and December 2016, a total of 44 patients (26 male; mean age 65.0 ±9.1 years) with nonvalvular AF and a previous stroke or systemic thromboembolic event were enrolled.
Source: Seminars in Thoracic and Cardiovascular Surgery - July 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Buqing Ni, Zidun Wang, Weidong Gu, Mingfang Li, Minglong Chen, Gregory Y.H. Lip, Yongfeng Shao Tags: ADULT – Original Submission Source Type: research

Transcatheter Left Atrial Appendage Occlusion for Stroke Prevention in Patients with Atrial Fibrillation : Results from the Belgian Registry.
CONCLUSIONS: The data of the Belgian left atrial appendage occlusion registry suggest that the procedure is effective and relatively safe in a real world setting, using either the Watchman or the ACP/Amulet device. PMID: 28966159 [PubMed - as supplied by publisher]
Source: EuroIntervention - October 4, 2017 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

The Gap in Prescribing Stroke Prevention Therapies in Postoperative Atrial Fibrillation After Isolated Coronary Artery Bypass Grafting Surgery
CONCLUSIONS: This data set suggests that approximately only 1 in 5 patients with POAF after isolated CABG got prescribed OAC.PMID:34173739 | DOI:10.1532/hsf.3857
Source: The Heart Surgery Forum - June 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Mohammed Shurrab Dennis T Ko Rony Atoui Kari Kostiw Mark Henderson Source Type: research