Left Subclavian Arterial Coverage and Stroke During Thoracic Aortic Endografting: A Systematic Review.
systematic_review · Level I
Where this comes from
- Record sourced from PubMed, PMID 26588864.
- Also identified by DOI 10.1016/j.athoracsur.2015.05.138.
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Abstract
Stroke is a devastating complication of thoracic endovascular aortic repair (TEVAR). Whether left subclavian artery (LSA) coverage and LSA revascularization affect stroke rate is debated. Whether patients with aneurysms or dissections undergoing TEVAR have higher stroke rates is also debated. We report a systematic review of 63 studies comprising more than 3,000 patients. We conclude that stroke risk after TEVAR is increased by LSA coverage, and that LSA revascularization reduces stroke risk. LSA revascularization may lower the rate of posterior stroke. TEVAR for aneurysm is associated with increased stroke risk compared to TEVAR for dissection.
Medical subject headings
- Aorta, Thoracic
- Aortic Diseases
- Blood Vessel Prosthesis
- Endovascular Procedures
- Intraoperative Complications
- Stents
- Stroke
- Subclavian Artery