Aortic Arch Aneurysm Clinical Trial
Official title:
Silent Brain Infarction After Endovascular Arch Procedures: Preliminary Results From the STEP Registry
This is the largest study to evaluate incidence and distribution of silent cerebral infarction (SBI) following endovascular repair for disease of the aortic arch. Also, it is the first cohort to include total endovascular arch repair and devices flushed with carbon dioxide (CO2) to prevent gaseous cerebral embolization.
Introduction. Poor data exist concerning the rate of silent cerebral ischemic events
following endovascular treatment of the aortic arch. The objective of this work was to
quantify these lesions using the STEP registry.
Methods. This multicentre retrospective cohort study included consecutive patients treated
with an aortic endoprosthesis deployed in Ishimaru zone 0 to 3 and brain diffusion-weighted
magnetic resonance imaging (DW-MRI) within 7 days after the procedure. DW-MRI was performed
to identify the location and number of new silent brain infarctions (SBI), microbleeds ans
general outcome of the patients.
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