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Source: The Journal of Thoracic and Cardiovascular Surgery
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Total 276 results found since Jan 2013.
Reply: Time to show greater appreciation of large vessel occlusion stroke after cardiovascular surgery
We read with great interest the letter by Schweizer and colleagues.1 It seems timely that efforts to increase awareness of the issues relating to the importance of treating large vessel occlusion (LVO) in the setting of cardiovascular surgery (CVS) is being brought to the forefront. LVO stroke is relatively rare; Sheriff and colleagues2 reported an overall stroke rate of 2.48% in their series, of which ischemic stroke accounted for 92.5% and LVO stroke comprised only 10.1%. Similarly, Schweizer and colleagues reported an overall stroke rate of 2.9%, of which LVO stroke accounted for only 5.3%, or 3 of 57 patients.
Source: The Journal of Thoracic and Cardiovascular Surgery - January 12, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Suk Jung Choo Tags: Letter to the Editor Source Type: research
The impact of CHADS2 score on late stroke after the Cox maze procedure
Conclusions: The risk of stroke or transient ischemic attack in patients after a surgical Cox maze procedure was low and not associated with CHADS2 score or warfarin use. Given the known risks of warfarin, we recommend discontinuation of anticoagulation 3 months after the procedure if the patient has no evidence of atrial fibrillation, has discontinued antiarrhythmic medications, and is without any other indication for systemic anticoagulation.
Source: The Journal of Thoracic and Cardiovascular Surgery - July 23, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Mitchell Pet, Jason O. Robertson, Marci Bailey, Tracey J. Guthrie, Marc R. Moon, Jennifer S. Lawton, Andrew Rinne, Ralph J. Damiano, Hersh S. Maniar Tags: Acquired Cardiovascular Disease Source Type: research
Low serum sodium level during cardiopulmonary bypass predicts increased risk of postoperative stroke after coronary artery bypass graft surgery
Conclusions: An average serum sodium level of less than 130 mEq/L during cardiopulmonary bypass is independently associated with an increased risk of postoperative stroke in patients who undergo primary coronary artery bypass grafting.
Source: The Journal of Thoracic and Cardiovascular Surgery - November 4, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Elizandro Munoz, Holly Briggs, Daniel A. Tolpin, Vei-Vei Lee, Terry Crane, MacArthur A. Elayda, Charles D. Collard, Wei Pan Tags: Perioperative Management 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
Risk of stroke early after implantation of a left ventricular assist device
Stroke is one of the major adverse events after left ventricular assist device (LVAD) implantation. Risk of stroke is the highest immediately after LVAD implantation and then increases again in chronic periods. There is no study which analyzed risk factors for stroke in acute phase, we investigated the risk factors for stroke in acute phase after LVAD implantation in the present study.
Source: The Journal of Thoracic and Cardiovascular Surgery - July 3, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Takaaki Samura, Daisuke Yoshioka, Koichi Toda, Ryoto Sakaniwa, Mikito Shimizu, Shigeru Miyagawa, Yasushi Yoshikawa, Hiroki Hata, Shunsuke Saito, Yasushi Sakata, Yoshiki Sawa Source Type: research
Avoiding aortic clamping during CABG reduces postoperative stroke
This review of 12,079 patients evaluated the effect of aortic manipulation strategies on stroke following CABG. Stroke risk was independently associated with the degree of aortic manipulation, with the no-touch technique having the lowest risk. This suggests that avoiding aortic manipulation may minimize the incidence of stroke following CABG.
Source: The Journal of Thoracic and Cardiovascular Surgery - September 14, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Emmanuel Moss, John D. Puskas, Vinod H. Thourani, Patrick Kilgo, Edward P. Chen, Bradley G. Leshnower, Omar M. Lattouf, Robert A. Guyton, Kathryn E. Glas, Michael E. Halkos Source Type: research
In-hospital Mortality and Stroke Following Surgical Aortic Valve Replacement: A Nationwide Perspective
Stroke is a widely recognized complication following aortic valve replacement (AVR), especially among elderly patients. Significant heterogeneity exists in the current literature around the actual incidence of stroke following AVR among high-risk patients. Our objective was to define risk of stroke in patients undergoing surgical AVR from a large national database.
Source: The Journal of Thoracic and Cardiovascular Surgery - June 4, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Shikhar Agarwal, Aatish Garg, Akhil Parashar, Lars G. Svensson, E. Murat Tuzcu, Jose Navia, Stephanie Mick, Samir R. Kapadia Source Type: research
In-hospital mortality and stroke after surgical aortic valve replacement: A nationwide perspective
Stroke is a widely recognized complication after aortic valve replacement (AVR), especially among elderly patients. The literature contains substantial variability in reports of the actual incidence of stroke after AVR among high-risk patients. Our objective was to define risk of stroke in patients undergoing surgical AVR, using a large national database.
Source: The Journal of Thoracic and Cardiovascular Surgery - June 4, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Shikhar Agarwal, Aatish Garg, Akhil Parashar, Lars G. Svensson, E. Murat Tuzcu, Jose L. Navia, Stephanie Mick, Samir R. Kapadia Tags: Acquired cardiovascular disease Source Type: research
Atheromatous disease of the aorta and perioperative stroke
Despite continued improvements in patient outcomes after cardiac surgery, stroke remains one of the most feared and devastating complications of cardiac surgery and is estimated to occur in 1.2% to 1.6% of patients undergoing coronary artery bypass grafting (CABG).1-3 The incidence of stroke increases for other common cardiac surgical procedures, and contemporary studies from the Society of Thoracic Surgeons database have reported perioperative stroke rates of 1.4% for mitral valve repair,4 1.5% for aortic valve replacement,5 2.1% for mitral valve replacement,4 and 6.6% for proximal aorta replacement.
Source: The Journal of Thoracic and Cardiovascular Surgery - September 13, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Nicholas D. Andersen, Stephen A. Hart, Ganesh P. Devendra, Esther S.H. Kim, Douglas R. Johnston, Jacob N. Schroder, Richard A. Krasuski Tags: Expert review 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
Stroke after type A aortic dissection repair: Can we do better?
We thank Hawkins and colleagues1 for their commentary “Stroke After Type A Aortic Dissection Repair - A Web of Risk With No Single Answer” regarding our recently published article,2 in which we sought to examine the incidence and factors associated with acute stroke after type A repair. Undoubtedly, stroke is a common and deadly complication after type A repair, and yet limited effort has been done to prevent this morbid complication. It is worth mentioning that Hawkins and colleagues3 have shown that the rate of stroke after type A repair has not changed in the last 2 decades (>10% since 2003).
Source: The Journal of Thoracic and Cardiovascular Surgery - September 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Mehrdad Ghoreishi, Sari D. Holmes, Bradley S. Taylor Tags: Letter to the Editor Source Type: research
Utility of Neuromonitoring in Hypothermic Circulatory Arrest Cases for Early Detection of Stroke – Listening through the Noise
– Stroke remains a potentially devastating complication of aortic arch intervention. The value of neurophysiologic intraoperative monitoring (NIOM) in the early identification of stroke is unclear. We evaluated the utility of NIOM for early stroke detection in aortic arch surgery.
Source: The Journal of Thoracic and Cardiovascular Surgery - February 17, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Christian V. Ghincea, Devon A. Anderson, Yuki Ikeno, Gavriel F. Roda, Mohamed Eldeiry, Michael R. Bronsert, Kelly Aunkst, David A. Fullerton, T. Brett Reece, Muhammad Aftab Source Type: research
Utility of neuromonitoring in hypothermic circulatory arrest cases for early detection of stroke: Listening through the noise
Stroke remains a potentially devastating complication of aortic arch intervention. The value of neurophysiologic intraoperative monitoring (NIOM) in the early identification of stroke is unclear. We evaluated the utility of NIOM for early stroke detection in aortic arch surgery.
Source: The Journal of Thoracic and Cardiovascular Surgery - February 17, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Christian V. Ghincea, Devon A. Anderson, Yuki Ikeno, Gavriel F. Roda, Mohamed Eldeiry, Michael R. Bronsert, Kelly Aunkst, David A. Fullerton, T. Brett Reece, Muhammad Aftab Tags: Adult Source Type: research
The influence of positive end-expiratory pressure on stroke volume variation in patients undergoing cardiac surgery: An observational study
Measurements of stroke volume variation for volume management in mechanically ventilated patients are influenced by various factors, such as tidal volume, respiratory rate, and chest/lung compliance. However, research regarding the effect of positive end-expiratory pressure on stroke volume variation is limited.
Source: The Journal of Thoracic and Cardiovascular Surgery - August 8, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Woon-Seok Kang, Seong-Hyop Kim, Sung Yun Kim, Chung-Sik Oh, Song-Am Lee, Jun-Seok Kim Tags: Perioperative management Source Type: research
