The impact of epiaortic ultrasonographic scanning on the risk of perioperative stroke

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Bartolo ZingoneLuca Lattuada

Abstract

To assess the impact of epiaortic scanning on the incidence of perioperative stroke in patients undergoing cardiac surgery. Patients consecutively enrolled in our surgical database between January 2000 and August 2004 were subdivided into three groups depending on the planned use of epiaortic ultrasonographic scan. Patients treated before the availability of the equipment constituted group A (n=366). Epiaortic scanning was next performed selectively in group B (n=1116) and finally adopted on a regular basis in group C patients (n=690). Comparisons of stroke rates were performed in the whole series both according to the actual use of epiaortic scan and to the intended scan policy. A sub-analysis was additionally performed in the CABG cohort, where expected stroke rates could also be estimated by a validated model. Multivariable analysis was employed to identify predictors of early stroke. In the whole series, total stroke rates were 3.3%, 1.1%, and 1.9% for groups A, B, and C, respectively (p=0.02). Correspondingly, in the CABG cohort they were 3.4%, 0.5%, and 1.7%, respectively (p=0.002), with no substantial change following risk-adjustment. For the CABG cohort, total stroke rates were no different from expected estimates in th...Continue Reading

Citations

Oct 3, 2013·European Heart Journal·Stuart J HeadArie Pieter Kappetein
Oct 31, 2008·Artificial Organs·Mark S SlaughterPatrokolos S Pappas
Apr 17, 2013·Journal of Cardiothoracic Surgery·Gokce SirinErgun Demirsoy
Apr 3, 2014·General Thoracic and Cardiovascular Surgery·Hiroshi BabaYasuhide Okawa
Mar 12, 2016·International Journal of Vascular Medicine·Wouter W Jansen KlompArno P Nierich
Feb 21, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Isa CoskunOner Gulcan
Sep 5, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Stephan WindeckerAdam Witkowski
Jul 24, 2012·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Ciarán O McDonnellM Kevin O' Malley
Jul 2, 2010·Mayo Clinic Proceedings·Hector I MichelenaMaurice Enriquez-Sarano
Oct 30, 2009·Best Practice & Research. Clinical Anaesthesiology·Alistair George Royse, Colin Forbes Royse
Nov 3, 2007·The Journal of Thoracic and Cardiovascular Surgery·Ani C AnyanwuDavid H Adams
Apr 8, 2016·Heart, Lung & Circulation·Giuseppe GattiAniello Pappalardo
May 13, 2008·The American Journal of Cardiology·Farzan FilsoufiDavid H Adams
Jan 28, 2010·The Annals of Thoracic Surgery·Bartolo ZingoneAniello Pappalardo
Jul 15, 2015·General Thoracic and Cardiovascular Surgery·Keiji Oi, Hirokuni Arai
Dec 15, 2011·The Heart Surgery Forum·Sahin SenayTayyar Sarioglu
Apr 10, 2015·Heart and Vessels·Giuseppe GattiAniello Pappalardo
Oct 9, 2014·The Journal of Thoracic and Cardiovascular Surgery·Emmanuel MossMichael E Halkos
Oct 11, 2016·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Ana-Catarina Pinho-Gomes, David P Taggart
Oct 29, 2009·Interactive Cardiovascular and Thoracic Surgery·Hiroyuki NishiYuji Miyamoto
Jun 19, 2019·Journal of Cardiac Surgery·Natalia S IvascuLeonard N Girardi
Jun 28, 2019·Journal of the American Heart Association·Mario GaudinoDavid P Taggart
Mar 1, 2012·The Korean Journal of Thoracic and Cardiovascular Surgery·Suryeun ChungJae-Han Jeong
Jun 13, 2013·Journal of Cardiovascular Medicine·Giuseppe GattiAniello Pappalardo
Feb 27, 2010·Journal of Cardiovascular Medicine·Amedeo SpinaBartolo Zingone
Aug 9, 2011·Current Opinion in Cardiology·Sridhar Venkatachalam, Mehdi H Shishehbor
Aug 7, 2007·Expert Review of Neurotherapeutics·Uma MenonRoger E Kelley
Oct 2, 2020·Current Opinion in Cardiology·Aaron J WeissFaisal G Bakaeen
Jan 28, 2021·Journal of Cardiac Surgery·Fabio RamponiMichael P Vallely
Dec 7, 2020·The American Journal of Cardiology·Ko YamamotoUNKNOWN CREDO-Kyoto PCI/CABG Registry Cohort-3 investigators
Jun 2, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Nadia B HensleyJames A Abernathy

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atherosclerosis Disease Progression

Atherosclerosis is the buildup of plaque on artery walls, causing stenosis which can eventually lead to clinically apparent cardiovascular disease. Find the latest research on atherosclerosis disease progression here.