Patients with acute ischemic stroke treated with the Solitaire FR

Patients with acute ischemic stroke treated with the Solitaire FR device were retrospectively analyzed from a prospectively collected database. We assessed the effect of selected demographic characteristics, clinical and imaging factors on poor outcome at 3 months (modified Rankin score 3-6), mortality at 3 months, and hemorrhage at day 1 (symptomatic and asymptomatic).

From May 2010 to April 2012, 59 consecutive patients with an acute ischemic stroke underwent

mechanical thrombectomy. At 3 months, 57.6 % of the patients were functionally independent (modified Rankin Scale 0-2) and mortality was 20.4 %. Multivariate analyses revealed that a thrombus length > 14 mm (p = 0.02; OR 7.55; 95 % CI 1.35-42.31) and longer endovascular procedure duration (p = 0.01; OR 1.04; 95 % CI 1.01-1.07) were Q-VD-Oph mw independently associated with poor outcome. A higher baseline Alberta Stroke Program Early CT (ASPECT) score (p = 0.04; OR 0.79 per point; 95 % CI 0.63-0.99) and successful recanalization

(p = 0.02; OR 0.07; 95 % CI 0.01-0.72) were independent predictors this website of good functional outcome. Baseline ASPECT score (p < 0.01; OR 0.65; 95 % CI 0.54-0.78) independently predicted symptomatic intracranial hemorrhage at day 1.

Absolute baseline ASPECT score reflects early symptomatic hemorrhage risk and functional outcome at 3 months. Thrombus length measured on MRI play an important role on functional outcome at 3 months after thrombectomy. Further analyses are needed to determine its importance in the selection of patients for mechanical thrombectomy.”
“Objectives: Reinterventions after

the Ross procedure are a concern for patients and treating physicians. The scope of the present report was to provide an update on the reinterventions observed in the large patient population of the German-Dutch Ross Registry.

Patients and Methods: MRIP From 1988 to 2011, 2023 patients (age, 39.05 +/- 16.5 years; male patients, 1502; adults, 1642) underwent a Ross procedure in 13 centers. The mean follow-up was 7.1 +/- 4.6 years (range, 0-22 years; 13,168 patient-years).

Results: In the adult population, 120 autograft reinterventions in 113 patients (1.03%/patient-year) and 76 homograft reinterventions in 67 patients (0.65%/patient-year) and, in the pediatric population, 14 autograft reinterventions in 13 patients (0.91%/patient-year) and 42 homograft reinterventions in 31 patients (2.72%/patient-year) were observed. Of the autograft and homograft reinterventions, 17.9% and 21.2% were performed because of endocarditis, respectively. The subcoronary technique in the adult population resulted in significantly superior autograft durability (freedom from autograft reintervention: 97% at 10 years and 91% at 12 years; P < .001). The root replacement technique without root reinforcement (hazard ratio, 2.4; 95% confidence interval, 1.4-4.1) and the presence of pure aortic insufficiency preoperatively (hazard ratio, 2.

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