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Specialty: Cardiovascular & Thoracic Surgery
Condition: Atrial Fibrillation

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Total 564 results found since Jan 2013.

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

Left atrial appendage angiography for stroke risk prediction in patients with atrial fibrillation
Conclusions: Impaired mechanical function of the LAA, indicated by a low LAAEF and CR, is associated with a history of stroke in patients with AF. Assessment of CR using LAA angiography helps improve the stratification scheme for stroke risk prediction.PMID:37594402 | DOI:10.4244/EIJ-D-23-00325
Source: EuroIntervention - August 18, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Lisheng Jiang Ziyong Hao Xiaoyi Xie Ke Xu Lan Shen Xin Pan Cheng Wang Lan Ma Linghong Shen Yiting Fan Ben He Source Type: research

Role of Intraoperative Neurophysiological Monitoring in Preventing Stroke after Cardiac Surgery
CONCLUSIONS: Permanent EEG change and diabetes were significant postoperative stroke predictors in cardiac surgeries. Furthermore, overall survival out to 10-years postoperatively was significantly higher in the group without intraoperative neurophysiological monitoring changes, emphasizing its important predictive role.PMID:36634835 | DOI:10.1016/j.athoracsur.2023.01.004
Source: The Annals of Thoracic Surgery - January 12, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Cara M Fleseriu Ibrahim Sultan James A Brown Amir Mina Jacob Frenchman Donald J Crammond Jeffrey Balzer Katherine M Anetakis Kathirvel Subramaniam Varun Shandal Forozan Navid Parthasarathy D Thirumala Source Type: research

Stroke associated with coronary artery bypass grafting
Abstract While coronary artery bypass grafting (CABG) has been playing a significant role in the revascularization for ischemic heart disease, neurological complications associated with CABG have been a primary concern. Stroke, although the incidence is low, is one of the most devastating complication of CABG. Many studies have identified the risk factors for stroke with CABG, such as prior stroke, carotid artery stenosis, aortic atherosclerosis, atrial fibrillation and cardiopulmonary bypass. Various rational approaches focusing on individual risk factor have been proposed for the stroke. Prophylactic carotid rev...
Source: General Thoracic and Cardiovascular Surgery - July 7, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Thoracoscopic Ablation With Appendage Ligation Versus Medical Therapy for Stroke Prevention: A Proof-of-Concept Randomized Trial
Conclusions: This small proof-of-concept study showed that TPVIAL improved QOL on two subscores and restored normal sinus rhythm in all but one patient, and it showed the potential to prevent secondary stroke. A larger study will be needed.
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - March 1, 2016 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Postoperative stroke related to cardiac surgery in octogenarians
CONCLUSIONS Incidence of postoperative stroke after CPB was not significantly higher in our octogenarian population. Although in younger patients peripheral vascular disease and cardiac rhythm disturbances were significant risk factors, it seems that factors related to intraoperative brain oxygenation (secondary to preoperative anaemia) are the most critical determinant of stroke in the elderly.
Source: Interactive CardioVascular and Thoracic Surgery - April 21, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Carrascal, Y., Guerrero, A. L., Blanco, M., Valenzuela, H., Pareja, P., Laguna, G. Tags: Adult Cardiac Source Type: research

Patent foramen ovale closure following cryptogenic stroke or transient ischaemic attack: Long‐term follow‐up of 301 cases
Patent foramen ovale has been identified as a conduit for paradoxical embolism resulting in cryptogenic stroke or transient ischemic attack (TIA). We aimed to establish rates of death, recurrent stroke or TIA among patients undergoing PFO closure for stroke or TIA at our unit. A retrospective analysis of all PFO closure patients was performed between May 2004 and January 2013. Follow up was performed by mortality tracing using the Medical Research Information Service of the Office of National Statistics. With regard to stroke or TIA recurrence, written consent forms and questionnaires were mailed with follow up telephone c...
Source: Catheterization and Cardiovascular Interventions - June 23, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Mikaeil Mirzaali, Maureen Dooley, Dylan Wynne, Nina Cooter, Lorraine Lee, Peter Haworth, Romi Saha, Nicola Gainsborough, David Hildick‐Smith Tags: Valvular and Structural Heart Diseases 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

Predictors of stroke in patients undergoing cardiac surgery
Conclusion: The study identified the following risk predictors for stroke after cardiac surgery: age, urgent and emergency surgery, aortic valve disease, history of atrial fibrillation, peripheral artery disease, history of cerebrovascular disease and cardiopulmonary bypass time > 110 minutes. OBJETIVOS: Determinar os preditores de risco relacionados ao desenvolvimento de acidente vascular cerebral em pacientes que realizaram cirurgia cardíaca. Métodos: Estudo de coorte histórico. Incluímos 4626 pacientes com idade > 18 anos submetidos à cirurgia de revascularização do miocárdio, cirurgia cardíaca valvar is...
Source: Revista Brasileira de Cirurgia Cardiovascular - August 20, 2014 Category: Cardiovascular & Thoracic Surgery Source Type: research

Annual atrial tachyarrhythmia burden determined by device interrogation in patients with cardiac implanted electronic devices is associated with a risk of ischaemic stroke independent of known risk factors ADULT CARDIAC
CONCLUSIONS Patients who accumulated an AT duration exceeding 5% (18 days) of the total time in any of the 1-year periods are more likely to have an ischaemic stroke than those who have a low or zero AT burden.
Source: European Journal of Cardio-Thoracic Surgery - April 9, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Wang, S.-H., Kang, Y.-C., Wang, C.-C., Wen, M.-S., Hung, K.-C., Wang, C.-Y., Chen, T.-H. Tags: Electrophysiology - arrhythmias ADULT CARDIAC 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

Stroke after MitraClip: Systematic Review and Meta-Analysis.
CONCLUSIONS: Although with a low number of pooled events, there was a trend for a lower post-procedure stroke in TMVR when compared with SMVR and a similar one between TMVR and OMT alone. PMID: 31829941 [PubMed - as supplied by publisher]
Source: EuroIntervention - December 13, 2019 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research