Why the study?
Neurologic injury remains a significant complication of aortic arch surgery with variable stroke rates reported after acute type A aortic dissection and elective total-arch replacements.
While postoperative stroke remains a feared complication of aortic arch surgery, high-volume centers utilizing advanced neuromonitoring and neuroprotection can achieve excellent neurologic outcomes.
May support referral to high-volume centers; leaves open generalizability beyond selected series and neuromonitoring techniques.
Neurologic injury remains one of the most-feared complications of aortic arch surgery. The reported incidence of postoperative stroke after acute type A aortic dissection ranges from 8.1% to 11.5%.1-3 Even in elective total-arch replacements, the stroke rate remains 3.5% to 8.6%.4,5 At high-volume centers, excellent outcomes are possible. In a series of 114 patients undergoing elective ascending aortic replacement (11% total arch replacement, 75% hemiarch replacement), a <1% stroke rate was reported.
No takes yet. Share an insight, caveat, or question.
Falasa et al. (2021) conducted a review in Aortic arch surgery (n=114). Elective ascending aortic replacement was evaluated on Postoperative stroke.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: