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Source: Journal of Cardiac Surgery

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Total 267 results found since Jan 2013.

Stroke after implantation of continuous flow left ventricular assist devices
ConclusionThe occurrence of stroke significantly increases morbidity and mortality after LVAD implantation. Despite an adverse impact on survival and quality of life, several patients who suffered stroke still received a heart transplant. Furthermore, none of our patients had recurrence of a neurological event. Strict implementation of anticoagulation protocols is likely the mainstay of preventing this devastating complication.
Source: Journal of Cardiac Surgery - May 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Athanasios Tsiouris, Ioannis Heliopoulos, Dimitrios Mikroulis, Panayiotis D. Mitsias Tags: ORIGINAL ARTICLE Source Type: research

Predictors and outcomes of stroke after transcatheter aortic valve replacement
ConclusionsAlternative access approach and a history of transient ischemic attack emerged as independent predictors of postoperative stroke. Patients with stroke suffered more complications and had worse survival, underscoring the importance of characterizing the stroke risk in these patients.
Source: Journal of Cardiac Surgery - December 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Sarah A. Hatfield, Marcos A. Nores, Taylor M. James, Mark Rothenberg, Arvind Kapila, Roberto J. Cubeddu, Sotiris C. Stamou Tags: ORIGINAL ARTICLE Source Type: research

Characteristics and anatomic distribution of early vs late stroke after cardiac surgery
ConclusionsEarly and late strokes after cardiac surgery have distinct incidence, location, and likely etiology. Both early and late strokes portend a very high incidence of operative mortality.
Source: Journal of Cardiac Surgery - June 17, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Natalia S. Ivascu, Faiza M. Khan, Mohammed Rahouma, Irbaz Hameed, Ahmed Abouarab, Alan Z. Segal, Mario F. L. Gaudino, Leonard N. Girardi Tags: ORIGINAL ARTICLE Source Type: research

Neuroanatomy and severity of stroke in patients with type A aortic dissection
ConclusionsStrokes associated with ATAAD are severe at presentation resulting in significant disability. One in 10 strokes is due to LVO and potentially amenable to endovascular treatment. Heterogeneity in both location and etiology of stroke makes prevention challenging. Future trials may evaluate the role of early neuroimaging and simultaneous treatment of stroke given advancements in endovascular therapy.
Source: Journal of Cardiac Surgery - November 17, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Akash Fichadiya, Bijoy K. Menon, Alexander J. Gregory, Ericka Teleg, Jehangir J. Appoo Tags: ORIGINAL ARTICLE Source Type: research

Impact of stroke on outcomes following cardiac surgery: Propensity matched analysis
ConclusionPerioperative stroke is a devastating complication following cardiac surgery. Perioperative stroke is associated with significantly inferior outcomes in terms of both morbidity and mortality. Notably a 28% reduction in 1 ‐year survival. Efforts should focus on identifying strategies aimed at reducing the incidence, morbidity, and mortality of perioperative stroke following cardiac surgery.
Source: Journal of Cardiac Surgery - August 15, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Jayenthan Karunanantham, Jason M. Ali, Nicholas R. Evans, Stephen Webb, Stephen R. Large Tags: ORIGINAL ARTICLE Source Type: research

Stroke risk following implantation of current generation centrifugal flow left ventricular assist devices
ConclusionsDifferent LVAD models appear to be associated with significantly different stroke risks.
Source: Journal of Cardiac Surgery - December 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Yuting P. Chiang, Daniel Cox, Jacob N. Schroder, Mani A. Daneshmand, Laura J. Blue, Chetan B. Patel, Adam D. DeVore, Muath Bishawi, Carmelo A. Milano Tags: ORIGINAL ARTICLE Source Type: research

Brachiocephalic artery dissection is a marker of stroke after acute type A aortic dissection repair
ConclusionBCA dissection was an independent risk factor of stroke after ATAAD repair.
Source: Journal of Cardiac Surgery - January 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Tomoki Cho, Keiji Uchida, Keiichiro Kasama, Daisuke Machida, Tomoyuki Minami, Shota Yasuda, Yusuke Matsuki, Shinichi Suzuki, Munetaka Masuda Tags: ORIGINAL ARTICLE 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

Endovascular thrombectomy for large vessel occlusion acute ischemic stroke after cardiac surgery
ConclusionWe report the largest case series of EVT after cardiac surgery. EVT can be associated with excellent outcomes in these patients. Close neurological monitoring postoperatively to identify patients who may benefit from intervention is key.
Source: Journal of Cardiac Surgery - November 6, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Aashray K. Gupta, Ahad Sabab, Rudy Goh, Christopher D. Ovenden, Joshua G. Kovoor, Fabio Ramponi, Justin C. Y. Chan, Benjamin A. J. Reddi, Jayme S. Bennetts, Guy J. Maddern, Timothy J. Kleinig Tags: ORIGINAL ARTICLE Source Type: research

Prediction of stroke reconvalescence after coronary bypass surgery indicated by CT scan parameters
ConclusionBoth the ARWMC and MRVRS were found to be appropriate. They reliably discriminate the groups of stroke patients after coronary artery bypass grafting (CABG)  in the analysis of CCT images. When applied at the onset of neurological symptoms both scales are able to predict neurological reconvalescence upon hospital dismission. The ARWMC scale appeared superior as it demonstrated better accuracy and discrimination. The use of both VRS in patients with sus pected stroke after CABG surgery can give insightful information toward a progression of neurological dysfunction or postoperative improvement.
Source: Journal of Cardiac Surgery - July 29, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Marc Irqsusi, Titus Schenk zu Schweinsberg, Felix Allendorff Johnson, Kai Dielmann, Rabia Ramzan, Sebastian Vogt, Nikolas Mirow, Ardawan J. Rastan Tags: ORIGINAL ARTICLE Source Type: research

Stroke after coronary artery bypass surgery: Can we predict full neurological recovery?
AbstractPostoperative stroke is a rare but feared complication after cardiac surgery. The clinical presentation and the evolution of postoperative stroke associated with bypass surgery are extremely heterogeneous and depend on multiple factors, which are not always easy to identify. Computed tomography scan parameters like visual rating scales,  in particular, the age-related white matter changes and Mendes Ribero visual rating scale scores, could be used to predict postoperative stroke reconvalescence. Being reproducible and quickly appliable in everyday clinical practice, their implementation results are easy. Further ...
Source: Journal of Cardiac Surgery - July 29, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Bleri Celmeta, Antonio Miceli Tags: COMMENTARY Source Type: research

Endovascular therapy for acute ischemic stroke after cardiac surgery: Why  not?
AbstractThere are few publications regarding the use of endovascular therapy (EVT) for the treatment of acute ischemic stroke (AIS) secondary to large vessel occlusion (LVO) after cardiac surgery. In the manuscript entitled “Endovascular Thrombectomy for Large Vessel Occlusion Acute Ischemic Stroke after Cardiac Surgery,” Gupta et al. report their experience with EVT for AIS after cardiac surgery.
Source: Journal of Cardiac Surgery - November 2, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Martin G. Radvany Tags: COMMENTARY Source Type: research

Massive air embolism resulting in ischemic stroke after left ventricular assist device implantation
We present the first case of ischemic stroke secondary to massive air embolus during implantation of a left ventricular assist device (LVAD). The patient experienced a suction event at the time of aortic cannula removal. Despite the use of all standard deairing techniques and flooding the operative field with continuous ‐flow carbon dioxide, a significant amount of air was delivered into the ascending aorta through the LVAD pump.
Source: Journal of Cardiac Surgery - August 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Aditya Bansal, Faisal Akhtar, Nathan P. Zwintscher, Arnav Bansal, Arjun Verma, Vivek Sabharwal Tags: CASE REPORT Source Type: research