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Specialty: Cardiovascular & Thoracic Surgery
Condition: Thrombosis

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Total 372 results found since Jan 2013.

Effect of prior stroke on long ‐term outcomes of percutaneous coronary interventions in Chinese patients: A large single‐center study
ConclusionsPrior stroke history was the only predictor of risk of post ‐PCI stroke. The noncerebrovascular adverse events were not increased after adjusted analyses of baseline characteristics and propensity analyses.
Source: Catheterization and Cardiovascular Interventions - November 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Jing ‐Jing Xu, Ying Song, Ping Jiang, Zhan Gao, Jian‐Xin Li, Jue Chen, Yue‐Jin Yang, Run‐Lin Gao, Bo Xu, Jin‐Qing Yuan Tags: CORONARY ARTERY DISEASE Source Type: research

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

Long-Term Risk of Ischemic Stroke After the Cox-Maze III Procedure for Atrial Fibrillation
Conclusions This multicenter study showed a low incidence of perioperative and long-term postoperative ischemic stroke/TIA after CM-III. Although general risk of ischemic stroke/TIA was reduced, patients with CHA2DS2-VASc score 2 or greater had a higher risk compared with score 0 or 1. Complete left atrial appendage excision may be an important reason for the low ischemic stroke rate.
Source: The Annals of Thoracic Surgery - July 20, 2017 Category: Cardiovascular & Thoracic Surgery 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

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

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

Management of acute ischemic stroke after pulmonary resection: incidence and efficacy of endovascular thrombus aspiration
ConclusionSince cerebral infarction impairs the patient ’s quality of life, thrombus removal should be considered if possible.
Source: General Thoracic and Cardiovascular Surgery - October 26, 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

Early Results With the LARIAT Device for Left Atrial Appendage Exclusion in Patients With Atrial Fibrillation at High Risk for Stroke and Anticoagulation
Conclusions: These results show that percutaneous LAA exclusion can be achieved successfully with an acceptable rate of periprocedural and short‐term complications. Further studies and longer follow‐up are needed to determine whether LAA exclusion lowers the long‐term risk of thromboembolic events in patients with AF and contraindications to anticoagulation. © 2013 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - June 13, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Diana Stone, Timothy Byrne, Ashish Pershad Tags: Original Study 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

Spontaneous echo contrast, left atrial appendage thrombus and stroke in patients undergoing transcatheter aortic valve implantation.
CONCLUSIONS: SEC and LAAT were detected in a relevant number of patients undergoing TAVI. SEC may represent an important risk factor for intraprocedural stroke and increased mortality was observed in patients with LAAT. PMID: 32863242 [PubMed - as supplied by publisher]
Source: EuroIntervention - August 31, 2020 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

Left atrial appendage occlusion for stroke prevention in atrial fibrillation: multicentre experience with the AMPLATZER Cardiac Plug.
Conclusions: In this multicentre study, LAAO with the ACP showed high procedural success and a favourable outcome for the prevention of AF-related thromboembolism. Modification in antithrombotic therapy after LAAO may result in reduction of bleeding events. PMID: 25604089 [PubMed - as supplied by publisher]
Source: EuroIntervention - January 26, 2015 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention 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

A comparison between stand-alone left atrial appendage occlusion and resection as a method of preventing cardiogenic thromboembolic stroke
ConclusionThere were no significant differences between LAAO and LAAR in terms of the feasibility and the effectiveness as a method for stroke prophylaxis only to selected patients for both procedures, although further studies including the comparison between groups with the same backgrounds to confirm the authentic differences in the clinical results between these procedures.
Source: General Thoracic and Cardiovascular Surgery - July 19, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research