Query: stroke

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Source: The Annals of Thoracic Surgery

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Total 200 results found since Jan 2013.

TAVR After Prior Mitral Valve Surgery: Results from the Transcatheter Valve Therapy Registry.
CONCLUSIONS: Patients with prior SMVR undergoing TAVR had similar 30-day outcomes, slightly higher 1-year mortality, and no increase in early PVL compared to those without previous SMVR. Prior SMVR should not preclude TAVR in appropriately selected patients. PMID: 31655043 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - October 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Thourani VH, Kelly JJ, Cervantes D, Vemulapalli S, Manandhar P, Forcillo J, Holmes D, Cohen DJ, Kirtane A, Kodali S, Leon M, Babaliaros V, Waksman R, Satler L, Shults C, Ben-Dor I, Rogers T, Kapadia S, Reardon M, Chris Malaisrie S, Gleason T, Holper EM, B Tags: Ann Thorac Surg Source Type: research

Total endovascular repair of the aortic arch: initial experience in the Netherlands.
CONCLUSIONS: Total endovascular aortic arch repair using the Relay Branch device is technically feasible and effective in excluding aortic arch pathology. The observed stroke rate in the initial experience, however, was considerable. Although appealing, this new lesser-invasive technique should be carefully introduced, and its progress thoroughly evaluated. PMID: 31593657 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - October 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: van der Weijde E, Heijmen RH, van Schaik PM, Hazenberg CEVB, van Herwaarden JA Tags: Ann Thorac Surg Source Type: research

Impact of Cerebral Perfusion on Outcomes of Aortic Surgery: STS Adult Cardiac Database Analysis.
CONCLUSIONS: For patients without dissection and requiring >30 minutes circulatory arrest, optimal cerebral protection strategies are deep hypothermia with either antegrade or retrograde cerebral perfusion; or moderate hypothermia with antegrade cerebral perfusion. PMID: 31563489 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 26, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Itagaki S, Chikwe J, Sun E, Chu D, Toyoda N, Egorova N Tags: Ann Thorac Surg Source Type: research

Long-Term Single Centre Outcomes of Patients with Chronic Renal Dialysis Undergoing Cardiac Surgery.
CONCLUSIONS: Cardiac surgery in DD-CRF patients is associated with high morbidity and mortality. Interestingly, overall mortality was mainly none cardiac-related, where elderly patients or those presented with CHF had the worst life expectancy. However, subsequent kidney transplantation positively impact long-term survival in such patients. PMID: 31563486 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 26, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Mourad F, Cleve N, Nowak J, Wendt D, Sander A, Demircioglu E, El Gabry M, Jakob H, Shehada SE Tags: Ann Thorac Surg Source Type: research

Aortic Valve Replacement in Bioprosthetic Failure:Insights from The Society of Thoracic Surgeons National Database.
CONCLUSIONS: The number of patients undergoing SAVR for degenerated bioprosthesis is decreasing in U.S, particularly among older and high-risk patients. These trends may reflect the adoption of valve-in-valve transcatheter aortic valve replacement for degenerated bioprosthesis after its FDA approval in 2015. PMID: 31557477 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kalra A, Raza S, Hussain M, Shorbaji K, Delozier S, Deo SV, Khera S, Kleiman NS, Reardon MJ, Kolte D, Gupta T, Mustafa R, Bhatt DL, Sabik JF Tags: Ann Thorac Surg Source Type: research

Stroke on LVAD: moving from the preoperative patient stratification to the postoperative prevention (Reply).
PMID: 31526782 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 14, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kawabori M, Kurihara C, Morgan JA Tags: Ann Thorac Surg Source Type: research

Surgical Treatment for Stand-Alone Atrial Fibrillation in North America.
CONCLUSIONS: Steady growth of stand-alone SA operations was noted. Procedures performed either on-pump or off-pump were relatively safe. However, intraoperative conversion was associated with significantly higher morbidity and mortality. Patient selection, improvement of surgical techniques, and long-term follow-up should be emphasized to improve decision-making and outcome. PMID: 31430460 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 17, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ad N, Holmes SD, Roberts HG, Rankin JS, Badhwar V Tags: Ann Thorac Surg Source Type: research

Epiaortic Ultrasound to Prevent Stroke in Coronary Artery Bypass Grafting.
CONCLUSIONS: Avoiding aortic manipulation is associated with the lowest risk of stroke in patients undergoing CABG. When manipulation of the ascending aorta is planned, EAU is effective in guiding the surgical strategy to reduce the risk for embolic stroke in these patients. PMID: 31421104 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 14, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Biancari F, Santini F, Tauriainen T, Bancone C, Ruggieri VG, Perrotti A, Gherli R, Demal T, Dalén M, Santarpino G, Rubino AS, Nardella S, Nicolini F, Zanobini M, De Feo M, Onorati F, Mariscalco G, Gatti G Tags: Ann Thorac Surg Source Type: research

Dissection of Arch Branches Alone an Indication for Aggressive Arch Management in Type A Dissection?
CONCLUSIONS: In ATAAD, dissection of arch branches alone should not be an indication for routine zone 1/2/3 arch replacement; however, zone 1/2/3 arch replacement could be considered to prevent future reoperations in select patients. PMID: 31404544 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Norton EL, Wu X, Farhat L, Kim KM, Patel HJ, Deeb GM, Yang B Tags: Ann Thorac Surg Source Type: research

Stroke on LVAD: moving from the preoperative patient stratification to the postoperative prevention.
PMID: 31400336 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Dell'Aquila AM, Welp H Tags: Ann Thorac Surg Source Type: research

Impact of Aortic Atherosclerosis Burden on Outcomes of Surgical Aortic Valve Replacement.
CONCLUSIONS: Moderate/severe aortic atherosclerosis was associated with an increased risk of adverse events following SAVR. Epiaortic ultrasound may serve as a useful adjunct for identifying patients who may benefit from strategies to reduce atheroembolic complications during SAVR. PMID: 31400333 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Iribarne A, Pan S, McCullough JN, Mathew JP, Hung J, Zeng X, Voisine P, O'Gara PT, Sledz NM, Gelijns AC, Taddei-Peters WC, Messé SR, Moskowitz AJ, Thourani VH, Argenziano M, Groh MA, Giustino G, Overbey JR, DiMaio JM, Smith PK Tags: Ann Thorac Surg Source Type: research

Increased Glucose Variability Is Associated With Major Adverse Events After Coronary Artery Bypass.
CONCLUSIONS: Increased 24-hour, but not 12-hour, postoperative GV following CABG is a predictor of poor outcomes. Preoperative HbA1c is not associated with MAEs after adjusting for postoperative mean glucose and GV. PMID: 31400320 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Clement KC, Suarez-Pierre A, Sebestyen K, Alejo D, DiNatale J, Whitman GJR, Matthew TL, Lawton JS Tags: Ann Thorac Surg Source Type: research

Direct Cannulation in Minimally Invasive Cardiac surgery with limited resources.
CONCLUSIONS: In our experience, this approach is a reliable platform for a variety of MICS procedures and has resulted in low complication rates. The technique can be applied safely to both paediatric and adult population. Also, it is very cost effective as regular instruments and cannulas are used. PMID: 31336068 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kandakure PR, Batra M, Garre S, Nagendra S, Shaikh F, Pani K Tags: Ann Thorac Surg Source Type: research

Long-term outcomes of stand-alone Maze IV for persistent/long-standing persistent atrial fibrillation.
CONCLUSIONS: This study confirmed the safety and efficacy at long-term (7 years) of the stand-alone Maze IV surgical procedure for persistent/long-standing persistent AF. Indeed, more than 70% of the pts were in SR off class I/III AADs and off oral anticoagulation. PMID: 31325420 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 17, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Lapenna E, De Bonis M, Giambuzzi I, Del Forno B, Ruggeri S, Cireddu M, Gulletta S, Castiglioni A, Alfieri O, Della Bella P, Benussi S Tags: Ann Thorac Surg Source Type: research

Impact of Complications After Cardiac Surgery on One-Year Patient Reported Outcomes.
CONCLUSIONS: While cardiac surgical patients have PRO scores similar to the general population, complications after cardiac surgery continue to negatively influence patient quality of life one-year after surgery. Using the NIH-PROMIS, prolonged ventilation and renal failure have the largest impact on one-year patient reported outcomes. PMID: 31323207 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 16, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Mehaffey JH, Hawkins RB, Charles EJ, Kron IL, Ailawadi G, Kern JA, Roeser ME, Kozower B, Teman NR Tags: Ann Thorac Surg Source Type: research

Transcatheter and Surgical Aortic Valve Replacement in Patients with Recent Acute Heart Failure.
CONCLUSIONS: Recent AHF is associated with increased risk of mortality and morbidity after SAVR and TAVR. These findings suggest that AS patients should be referred for invasive treatment before the development of clinically evident heart failure. PMID: 31288017 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 6, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jalava MP, Laakso T, Virtanen M, Niemelä M, Ahvenvaara T, Tauriainen T, Maaranen P, Husso A, Kinnunen EM, Dahlbacka S, Jaakkola J, Airaksinen J, Anttila V, Rosato S, D'Errigo P, Savontaus M, Laine M, Mäkikallio T, Valtola A, Raivio P, Eskola M, Biancari Tags: Ann Thorac Surg Source Type: research

Comparative Outcomes of Transcarotid and Trans-subclavian Transcatheter Aortic Valve Replacement.
CONCLUSIONS: The transcarotid and the trans-subclavian approaches have similar safety and efficacy outcomes. The transcarotid approach had a shorter procedure duration and a trend towards lower fluoroscopy duration and radiation exposure. PMID: 31279787 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Amer MR, Mosleh W, Joshi S, Mather JF, El-Mallah W, Cheema M, McKay RG Tags: Ann Thorac Surg Source Type: research

Steps forward in minimally invasive cardiac surgery: 10-year experience.
CONCLUSIONS: The present study shows the considerable and attractive results of our decision making process based on the tailored approach: the 10-year outcome analysis demonstrates a trend toward a progressive decrease in the overall rate of post-operative complications and a significant protective effect of the tailored approach on the occurrence of stroke. PMID: 31233725 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - June 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Barbero C, Marchetto G, Ricci D, Stura EC, Clerici A, El Qarra S, Filippini C, Boffini M, Rinaldi M Tags: Ann Thorac Surg Source Type: research

Preoperative anemia and outcomes in cardiovascular surgery: systematic review and meta-analysis.
CONCLUSIONS: Preoperative anemia is associated with adverse outcomes following cardiac surgery. These findings support the addition of preoperative anemia to future risk prediction models, and as a target for risk modification. PMID: 31233718 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - June 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Padmanabhan H, Siau K, Curtis J, Ng A, Menon S, Luckraz H, Brookes MJ Tags: Ann Thorac Surg Source Type: research

Characterizing Risks Associated with Mitral Annular Calcification in Mitral Valve Replacement.
CONCLUSIONS: The presence of MAC alone, regardless of severity, was independently associated with increased operative mortality and adverse postoperative outcomes. Even after adjusting for attendant cardiovascular and metabolic comorbidities, centers with low MV case volumes were found to have worse outcomes after MVR. PMID: 31207248 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - June 14, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kaneko T, Hirji S, Percy E, Aranki S, McGurk S, Body S, Heydarpour M, Mallidi H, Singh S, Pelletier M, Rawn J, Shekar P Tags: Ann Thorac Surg Source Type: research

Early Outcomes after Thoracoabdominal Aortic Aneurysm Repair with Hypothermic Circulatory Arrest.
CONCLUSIONS: Our extended experience with this technique confirms its safety and effectiveness when used on a routine basis. The rates of spinal cord injury and permanent renal failure are among the lowest reported in the literature. Particularly favorable outcomes were observed in younger patients and those undergoing elective operations. PMID: 31085168 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kouchoukos NT, Kulik A, Haynes M, Castner CF Tags: Ann Thorac Surg Source Type: research

Preliminary results of debranch-first technique in Frozen Elephant Trunk procedures.
CONCLUSIONS: FET with debranch-first technique is safe and feasible and resulted in low mortality and morbidity rates. Further investigation is needed to compare it with standard techniques. PMID: 31082360 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 10, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Bertoglio L, Fittipaldi A, Giambuzzi I, Redaelli P, Verzini A, Cambiaghi T, Bargagna M, Alfieri O, Chiesa R, Castiglioni A Tags: Ann Thorac Surg Source Type: research

Long-term outcomes with mechanical versus biological aortic valve prosthesis in patients > 70 years.
CONCLUSIONS: Mechanical aortic valve prosthesis is associated with worse long-term survival and increased bleeding after SAVR in patients aged >70 years. Our results suggest caution when considering mechanical aortic valve prostheses in elderly patients. PMID: 31082357 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 10, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kytö V, Myllykangas ME, Sipilä J, Niiranen TJ, Rautava P, Gunn J Tags: Ann Thorac Surg Source Type: research

The Impact of Preoperative Clopidogrel on Outcomes Following Coronary Artery Bypass Grafting.
CONCLUSIONS: CABG can be safely performed in patients with recent Clopidogrel exposure with no increased risk of early or late mortality. However, CABG should be delayed for at least 5 days if clinically feasible to minimize transfusions and reoperation risk. In patients with more urgent indications, delaying CABG at least 3 days can mitigate but not eliminate the increased bleeding risk. PMID: 31039353 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 27, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Seese L, Sultan I, Gleason TG, Navid F, Wang Y, Kilic A Tags: Ann Thorac Surg Source Type: research

Open Descending and Thoracoabdominal Aortic Repairs in Patients Younger than 50 Years Old.
CONCLUSIONS: Patients under 50 years old with D/TAAA have low surgical risks and open repairs can be performed with excellent short-term and durable long-term results. Open surgical repairs should be considered initially in younger patients requiring D/TAAA repairs. HTAD warrants closer postoperative surveillance. PMID: 31009630 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Tanaka A, Leonard SD, Sandhu HK, Afifi RO, Miller CC, Charlton-Ouw KM, Ray A, Hassan M, Safi HJ, Estrera AL Tags: Ann Thorac Surg Source Type: research

The Buffalo Trunk Technique for Aortic Arch Reconstruction.
CONCLUSIONS: The benefits of a hybrid approach to the frozen elephant trunk can be attained without the complex industry available technology as presented by our technique, the Buffalo Trunk. Evolution of this approach has facilitated shorter circulatory arrest time, and subsequently overall decreased operative times without compromising outcomes. PMID: 30981849 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Eldeiry M, Aftab M, Bergeron E, Pal J, Cleveland JC, Fullerton D, Reece TB Tags: Ann Thorac Surg Source Type: research

Hemolysis and Non-Hemorrhagic Stroke during Venoarterial Extracorporeal Membrane Oxygenation.
CONCLUSIONS: Hemolysis at low levels during VA ECMO support is associated with subsequent non-hemorrhagic stroke. PMID: 30980824 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 10, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Saeed O, Jakobleff WA, Forest SJ, Chinnadurai T, Mellas N, Rangasamy S, Xia Y, Madan S, Acharya P, Algodi M, Patel SR, Shin J, Vukelic S, Sims DB, Gil MR, Billett HH, Kizer JR, Goldstein DJ, Jorde UP Tags: Ann Thorac Surg Source Type: research

Survival Following Myectomy for Obstructive Hypertrophic Cardiomyopathy-What Causes Late Mortality?
CONCLUSIONS: This study, using two independent sources to verify vital status and cause of mortality, confirms that survival following septal myectomy is excellent. Hypertrophic cardiomyopathy was identified as the primary cause of death in less than 20%, with mortality in most patients unrelated to hypertrophic cardiomyopathy. PMID: 30978316 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Nguyen A, Schaff HV, Nishimura RA, Geske JB, Ackerman MJ, Bos JM, Dearani JA, Ommen SR Tags: Ann Thorac Surg Source Type: research

Relationship of Aortic Stiffness to Exercise and Ventricular Volumes in Single Ventricles.
CONCLUSIONS: SV patients with reconstructed aortas demonstrate increased aortic stiffness, increasing afterload on the ventricle. Native DAo stiffness distal to the reconstruction is inversely correlated with exercise performance, presumably to decrease impedance mismatch maintaining homogeneity of the aortic wall. This information suggests a possible mechanism for decreased exercise performance in SV patients with aortic reconstructions. PMID: 30959013 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Biko DM, Gaynor JW, Partington SL, Harris MA, Whitehead KK, Trusty P, Yoganathan AP, Fogel M Tags: Ann Thorac Surg Source Type: research

Outcomes of Isolated Tricuspid Valve Surgery Have Improved in the Modern Era.
CONCLUSIONS: In the current era with careful patient selection and periprocedural management, isolated TV surgery can be performed with lower morbidity and mortality than has traditionally been reported with good long term survival. These outcomes can also serve as a benchmark for catheter-based tricuspid valve intervention outcomes. PMID: 30951698 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hamandi M, Smith RL, Ryan WH, Grayburn PA, Vasudevan A, George TJ, DiMaio JM, Hutcheson KA, Brinkman W, Szerlip M, Moore DO, Mack MJ Tags: Ann Thorac Surg Source Type: research

Continuous-Flow Left Ventricular Assist Device Survival Improves with Multidisciplinary Approach.
CONCLUSIONS: Implementing a comprehensive multidisciplinary approach substantially improved outcomes for CF-LVAD recipients. PMID: 30853587 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jorde UP, Shah AM, Sims DB, Madan S, Siddiqi N, Luke A, Saeed O, Patel SR, Murthy S, Shin J, Oviedo J, Watts S, Jakobleff W, Forest S, Vukelic S, Belov D, Puius Y, Minamoto G, Muggia V, Carlese A, Leung S, Rahmanian M, Leff J, Goldstein D Tags: Ann Thorac Surg Source Type: research

The Addition of Aortic Root Procedures during Elective Arch Surgery Does Not Confer Added Morbidity nor Mortality.
CONCLUSIONS: The addition of an aortic root procedure during elective aortic arch surgery lengthens cardiopulmonary bypass and aortic crossclamp times but does not increase postoperative morbidity nor mortality. PMID: 30851260 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 6, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Keeling B, Tian D, Jakob H, Shrestha M, Fujikawa T, Corvera JS, Di Eusanio M, Leshnower B, Chen EP, ARCH Investigators Tags: Ann Thorac Surg Source Type: research

Impact of Bleeding Revision on Outcomes after Left-Ventricular Assist Device Implantation.
CONCLUSIONS: A bleeding revision is associated with significantly reduced survival and substantially increased morbidity during LVAD support. Pre-, intra- and post-operative prophylactic strategies may help to prevent this life-threatening complication. PMID: 30851258 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 6, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Angleitner P, Simon P, Kaider A, Wiedemann D, Dimitrov K, Schlöglhofer T, Rajek MA, Riebandt J, Laufer G, Zimpfer D Tags: Ann Thorac Surg Source Type: research

Reversal and Resumption of Antithrombotic Therapy in LVAD- Associated Intracranial Hemorrhage.
CONCLUSIONS: Reversal of anticoagulation appears safe following LVAD-associated intracranial hemorrhage, though inadequate reversal was common. Resumption of warfarin±antiplatelet was associated with fewer fatal and non-fatal thrombotic events compared to antiplatelets alone, though more non-fatal hemorrhage events occurred. PMID: 30763560 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - February 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Cho SM, Moazami N, Katz S, Starling R, Frontera JA 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.
CONCLUSIONS: A 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. PMID: 30529671 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - December 7, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Thourani VH, O'Brien SM, Kelly JJ, Cohen DJ, Peterson ED, Mack MJ, Shahian DM, Grover FL, Carroll EJ, Brennan JM, Forcillo J, Arnold SV, Vemulapalli S, Fitzgerald S, Holmes DR, Bavaria JE, Edwards FH 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

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

In DeBakey Type I Aortic Dissection, Bovine Aortic Arch Is Associated With Arch Tears and Stroke.
CONCLUSIONS: BAA is an independent predictor for the distinctive location of the entry site in the aortic arch and risk factor for stroke. PMID: 28811002 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 12, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Dumfarth J, Peterss S, Kofler M, Plaikner M, Ziganshin BA, Schachner T, Tranquilli M, Grimm M, Elefteriades JA 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

Random Finding of a Ruptured Kommerell Aneurysm After  Stroke.
We report the case of a 74-year-old man who received an incidental diagnosis of a contained rKA involving an aberrant right subclavian artery after a stroke. He underwent successful hybrid repair with the use of thoracic endovascular aortic repair associated with cervical debranching of the left subclavian artery and vascular plug occlusion of both subclavian artery origins. Whereas no early adverse event was reported, the patient experienced a vertebrobasilar insufficiency once he had recovered, requiring an additional right carotid-to-subclavian bypass. PMID: 28007277 [PubMed - in process]
Source: The Annals of Thoracic Surgery - December 23, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Ben Abdallah I, El Batti S, Julia P, Alsac JM Tags: Ann Thorac Surg Source Type: research

Trends, Predictors, and Outcomes of Stroke After Surgical Aortic Valve Replacement in the United States.
CONCLUSIONS: The incidence of stroke after AVR has decreased but remains a significant cause of morbidity in medium- and high-risk patients. Superior outcomes can be achieved in medium- to high-risk patients at high-volume centers. PMID: 26611821 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 20, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Idrees JJ, Schiltz NK, Johnston DR, Mick S, Smedira NG, Sabik JF, Blackstone EH, Svensson LG, Soltesz EG Tags: Ann Thorac Surg Source Type: research

Left Subclavian Arterial Coverage and Stroke During Thoracic Aortic Endografting: A Systematic Review.
We report a systematic review of 63 studies comprising more than 3,000 patients. We conclude that stroke risk after TEVAR is increased by LSA coverage, and that LSA revascularization reduces stroke risk. LSA revascularization may lower the rate of posterior stroke. TEVAR for aneurysm is associated with increased stroke risk compared to TEVAR for dissection. PMID: 26588864 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 14, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Waterford SD, Chou D, Bombien R, Uzun I, Shah A, Khoynezhad A 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

Institutional Variation in Mortality After Stroke After Cardiac Surgery: An Opportunity for Improvement.
CONCLUSIONS: Institutional variation, more so than individual patient risk factors, is highly associated with postoperative stroke and FTR rates after stroke after cardiac surgery. Postoperative stroke remains significantly associated with mortality and morbidity. Institutional practice patterns may confer a disproportionate influence on postoperative stroke independent of case mix. Understanding differences between high and low performing centers is essential to improving outcomes, costs, and hospital quality. PMID: 26188969 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 15, 2015 Category: Cardiovascular & Thoracic Surgery Authors: LaPar DJ, Quader M, Rich JB, Kron IL, Crosby IK, Kern JA, Tribble CG, Speir AM, Ailawadi G Tags: Ann Thorac Surg 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

Stroke After Left Ventricular Assist Device Implantation: Outcomes in the Continuous-Flow Era.
CONCLUSIONS: Stroke while on CF-LVAD support was associated with significant mortality. To reduce the risk of stroke, it is essential to further elucidate risk factors, to optimize anticoagulation, and to further understand the impact of LVAD-related infections. PMID: 26070599 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - June 9, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Harvey L, Holley C, Roy SS, Eckman P, Cogswell R, Liao K, John R Tags: Ann Thorac Surg 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

Devices for a clampless approach to coronary artery operations: effect on stroke rate.
PMID: 25952236 [PubMed - in process]
Source: The Annals of Thoracic Surgery - May 1, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Bassano C, Bovio E Tags: Ann Thorac Surg Source Type: research

Off-Pump Coronary Artery Bypass Reduces Early Stroke in Octogenarians: A Meta-Analysis of 18,000 Patients.
CONCLUSIONS: Coronary artery bypass in octogenarians can be performed safely with low early mortality. Although off-pump operations reduce the risk of early stroke, all other adverse events are comparable in on- and off-pump coronary artery bypass operations. Data regarding late mortality is at present limited; however, both on- and off-pump procedures appear to produce comparable survival. PMID: 25791924 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 17, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Altarabsheh SE, Deo SV, Rababa'h AM, Lim JY, Cho YH, Sharma V, Jung SH, Shin E, Markowitz AH, Park SJ Tags: Ann Thorac Surg 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. PMID: 25683323 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - February 12, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Arnan MK, Hsieh TC, Yeboah J, Bertoni AG, Burke GL, Bahrainwala Z, Grega MA, Baumgartner WA, Gottesman RF Tags: Ann Thorac Surg Source Type: research