Silent Cerebral Ischemia After Thoracic Endovascular Aortic Repair: A Neuroimaging Study

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Silent cerebral ischemia after thoracic endovascular aortic repair: a neuroimaging study.

BACKGROUND The risk of clinically apparent, periprocedural stroke after thoracic endovascular aortic repair (TEVAR) due to dislodgement and embolization of aortic debris from intravascular manipulation of guidewires, catheters, and large-bore delivery systems ranges between 2% and 6% and has been associated with increased postoperative mortality. The rate of clinically silent cerebral ischemia ...

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Thoracic endovascular aortic repair (TEVAR)

Department of Cardiovascular Surgery, Hospital Hietzing, Vienna, Austria; Interventional Cardiology, Clı́nico San Carlos University Hospital, Madrid, Spain; Department of Cardiovascular Surgery, Zayed Military Hospital, Abu Dhabi, United Arab Emirates; Department of Cardiothoracic Surgery, University Hospital Birmingham, NHS Foundation Trust, Birmingham, UK; Department of Cardiovascular Surgery,...

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Thoracic endovascular aortic repair (TEVAR) for descending thoracic aortic aneurysms (DTAs) was first reported by Dake et al1 in 1994. The advent of TEVAR was clinically relevant because open DTA repair had long been associated with operative mortality rates ranging from 5% to 7% at centers of excellence2,3 to as high as 20% to 22% in real-world practice.4,5 The favorable results6 of TEVAR with...

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ژورنال

عنوان ژورنال: Journal of Vascular Surgery

سال: 2015

ISSN: 0741-5214

DOI: 10.1016/j.jvs.2014.11.054