Predictive factors for cerebrovascular accidents after thoracic endovascular aortic repair

The Annals of Thoracic Surgery
Giovanni MariscalcoPatrizio Castelli

Abstract

Cerebrovascular accidents are devastating and worrisome complications after thoracic endovascular aortic repair. The aim of this study was to determine cerebrovascular accident predictors after thoracic endovascular aortic repair. Between January 2001 and June 2008, 76 patients treated with thoracic endovascular aortic repair were prospectively enrolled. The study cohort included 61 men; mean age was 65.4 +/- 16.8 years. All patients underwent a specific neurologic assessment on an hourly basis postoperatively to detect neurologic deficits. Cerebrovascular accidents were diagnosed on the basis of physical examination, tomography scan or magnetic resonance imaging, or autopsy. Cerebrovascular accidents occurred in 8 (10.5%) patients, including 4 transient ischemic attack and 4 major strokes. Four cases were observed within the first 24-hours. Multivariable analysis revealed that anatomic incompleteness of the Willis circle (odds ratio [OR] 17.19, 95% confidence interval [CI] 2.10 to 140.66), as well as the presence of coronary artery disease (OR 6.86, 95 CI% 1.18 to 40.05), were independently associated with postoperative cerebrovascular accident development. Overall hospital mortality was 9.2%, with no significant difference fo...Continue Reading

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Citations

Dec 29, 2013·Annals of Vascular Surgery·Filippo BenedettoPatrizio Castelli
Nov 22, 2015·The Annals of Thoracic Surgery·Stephen D WaterfordAli Khoynezhad
Nov 23, 2010·JACC. Cardiovascular Interventions·Martin ArnoldJosef Ludwig
Oct 13, 2012·Journal of Vascular Surgery·Gabriele PiffarettiPatrizio Castelli
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Oct 26, 2011·Seminars in Cardiothoracic and Vascular Anesthesia·Brant W UlleryAlbert T Cheung
Jan 24, 2020·Journal of Cardiac Surgery·Giovanni MariscalcoGiuseppe F Serraino
Feb 12, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Gabriele Piffaretti, Santi Trimarchi
Feb 28, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Martin HaensigTamer Owais
Nov 19, 2018·The Journal of Thoracic and Cardiovascular Surgery·Yoshimasa SeikeJunjiro Kobayashi
Dec 29, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Christian MpodyOlubukola O Nafiu

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