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• W2025801562 abstract "I read with interest the article by Gutsche and colleagues [1Gutsche J.T. Cheung A.T. McGarvey M.L. et al.Risk factors for perioperative stroke after thoracic endovascular aortic repair.Ann Thorac Surg. 2007; 84: 1195-1200Abstract Full Text Full Text PDF PubMed Scopus (173) Google Scholar] evaluating risk factors of stroke after thoracic endovascular aortic repair (TEVAR). Dr Gutsche and coauthors have misquoted our results in Table 1 [1Gutsche J.T. Cheung A.T. McGarvey M.L. et al.Risk factors for perioperative stroke after thoracic endovascular aortic repair.Ann Thorac Surg. 2007; 84: 1195-1200Abstract Full Text Full Text PDF PubMed Scopus (173) Google Scholar]. The authors report 91 patients undergoing TEVAR with a stroke rate of 5.5%, quoting a subgroup analysis of our manuscript including only aneurysms [2Khoynezhad A. Donayre C.E. Bui H. Kopchok G. Walot I. White R.A. Risk factors of neurologic deficit after thoracic aortic endografting.Ann Thorac Surg. 2007; 83: S882-S889Abstract Full Text Full Text PDF PubMed Scopus (158) Google Scholar]. In fact, the postprocedural stroke was found in 8 of 184 consecutive patients in our series, with a stroke rate of 4.3% [2Khoynezhad A. Donayre C.E. Bui H. Kopchok G. Walot I. White R.A. Risk factors of neurologic deficit after thoracic aortic endografting.Ann Thorac Surg. 2007; 83: S882-S889Abstract Full Text Full Text PDF PubMed Scopus (158) Google Scholar]. Six of 8 patients with postprocedural stroke had a grading of 4 to 5 in the thoracic aorta, and 7 of 8 patients had either atherosclerotic aneurysm or calcified chronic type B aortic dissection [2Khoynezhad A. Donayre C.E. Bui H. Kopchok G. Walot I. White R.A. Risk factors of neurologic deficit after thoracic aortic endografting.Ann Thorac Surg. 2007; 83: S882-S889Abstract Full Text Full Text PDF PubMed Scopus (158) Google Scholar].Because stroke rate after TEVAR may not be equal among various aortic pathologies, I feel the current correction in Table 1 is necessary in order to have patients with similar underlying aortic disease. I read with interest the article by Gutsche and colleagues [1Gutsche J.T. Cheung A.T. McGarvey M.L. et al.Risk factors for perioperative stroke after thoracic endovascular aortic repair.Ann Thorac Surg. 2007; 84: 1195-1200Abstract Full Text Full Text PDF PubMed Scopus (173) Google Scholar] evaluating risk factors of stroke after thoracic endovascular aortic repair (TEVAR). Dr Gutsche and coauthors have misquoted our results in Table 1 [1Gutsche J.T. Cheung A.T. McGarvey M.L. et al.Risk factors for perioperative stroke after thoracic endovascular aortic repair.Ann Thorac Surg. 2007; 84: 1195-1200Abstract Full Text Full Text PDF PubMed Scopus (173) Google Scholar]. The authors report 91 patients undergoing TEVAR with a stroke rate of 5.5%, quoting a subgroup analysis of our manuscript including only aneurysms [2Khoynezhad A. Donayre C.E. Bui H. Kopchok G. Walot I. White R.A. Risk factors of neurologic deficit after thoracic aortic endografting.Ann Thorac Surg. 2007; 83: S882-S889Abstract Full Text Full Text PDF PubMed Scopus (158) Google Scholar]. In fact, the postprocedural stroke was found in 8 of 184 consecutive patients in our series, with a stroke rate of 4.3% [2Khoynezhad A. Donayre C.E. Bui H. Kopchok G. Walot I. White R.A. Risk factors of neurologic deficit after thoracic aortic endografting.Ann Thorac Surg. 2007; 83: S882-S889Abstract Full Text Full Text PDF PubMed Scopus (158) Google Scholar]. Six of 8 patients with postprocedural stroke had a grading of 4 to 5 in the thoracic aorta, and 7 of 8 patients had either atherosclerotic aneurysm or calcified chronic type B aortic dissection [2Khoynezhad A. Donayre C.E. Bui H. Kopchok G. Walot I. White R.A. Risk factors of neurologic deficit after thoracic aortic endografting.Ann Thorac Surg. 2007; 83: S882-S889Abstract Full Text Full Text PDF PubMed Scopus (158) Google Scholar]. Because stroke rate after TEVAR may not be equal among various aortic pathologies, I feel the current correction in Table 1 is necessary in order to have patients with similar underlying aortic disease. ReplyThe Annals of Thoracic SurgeryVol. 86Issue 6PreviewThe authors would like to thank Dr Khoynezhad [1] for his comments regarding our article [2]. He has raised some important points that we would like to address. Full-Text PDF" @default.
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• W2025801562 title "Stroke Rate After Thoracic Endovascular Aortic Repair May Not Be Equal Among Various Aortic Pathologies" @default.
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