Cardiothoracic & vascular anesthesia

Risk Factors for Stroke Development After Thoracic Aortic Surgery

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

Lower hemoglobin, longer duration of cardiopulmonary bypass, deep hypothermic circulatory arrest, and postoperative hypothermia are potential risk factors for postoperative stroke.

Study context

Population
Patients undergoing surgical repair of thoracic aortic diseases (ascending aortic aneurysm or type A aortic dissection), tertiary high-volume cardiac surgery centre, 2017–2021533 aneurysms · 171 dissections
Participants
704 patients
Exposure
Stroke vs nonstroke after thoracic aortic surgery
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Postoperative stroke incidence, ascending aortic aneurysm

4.5%

95% CI 2.9%–6.6%

Postoperative stroke incidence, type A aortic dissection

12.3%

95% CI 7.8%–18.16%

Observational data: associations, not effects.

Further findings

Intraoperative hemoglobin

P < 0.001

CPB time

P = 0.014

Circulatory arrest use

P = 0.017

Initial temperature after leaving operating room

P = 0.021

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Risk Factors for Stroke Development After Thoracic Aortic Surgery. J Cardiothorac Vasc Anesth. Published 19 August 2023. doi:10.1053/j.jvca.2023.08.135

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.