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Table 2 The preoperative neurological presentation and outcomes in TAAAD complicated with CM underwent surgical treatment

From: Surgical treatment of type A acute aortic dissection with cerebral malperfusion: a systematic review

Author N of patients PreNS Neurological state (GCS/NIHSS) Involved SABV Neurological outcomes
Okita et al. [12] 50 TIA 10
Coma/altered consciousness 12
Hemiplegia 28
GCS: severe (3–8) 12 moderate (9–12) 18 mild (11–13) 20 RCCA 34
LCCA 2
B-CCA 14
Improved 14
No change 16
Worsened 3
Sugiyama et al. [13] 19 Neurological deficit 8 NA CCA Improved 3
No change 11
Worsened 5
Gomibuchi et al. [14] 42 Persistent neurological deficit 8
Transient 5
No 29
NA RCCA 28
LCCA 5
B-CCA 9
NewPOND 16
Sasaki et al. [8] 9 Seizure 2
Hemiplegia 4
Japan Coma Scale
2(6), 20(2), 200(1)
IA or RCCA Improved 9
No change 0
Worsened 0
Shimura et al. [15] 16 Coma 10
Hemiplegia 6
GCS: ≤ 8 (10) IA 16,
RCCA12
LCCA 7
LSA 8
Improved 14
No change 0
Worsened 2
Luehr et al. [16] 23 Syncope 7, seizure 1, vertigo 5, photopsia 1, confusion 7 NA B-CCA 1
LCCA 10
RCCA 12
NewPOND 14
Di Eusanio et al.[3] 99 Syncope 61, CVA 87, coma 54 NA NA Post-CVA 11
Post-coma 9
Morimoto et al. [5] 41 Coma 7, stupor 13, hemiplegia 19, hemianopsia 2 NIHSS:10.7 ± 7.9 (median 8.0) CCA Improved 26
No change 15
Worsened ?
Nakamura et al. [17] 10 Hemiplegia 9, CVA 6, motor aphasia 1 NIHSS: 5.5 ± 2.9 (4–13) IA 3
B-CCA 7
Improved 10
No change 0
Worsened 0
Tsukube et al. [18] 24 Coma 27 GCS 6.5 (3–10)
NIHSS 31.4 ± 6.6
Unilateral 12
Bilateral 10
Improved 19
No change ?
Worsened 1
Estrera et al. [9] 14 CVA 16
Coma 1
NIHSS: 12.9 NA Improved 8
No change 6
Worsened 1
(< 10 h, 80% improved
 > 10 h, none improved)
Tanaka et al. [19] 16 Hemiplegia 8, TIA 6, coma 5, drawsy 3, deficit of consciousness 2 GCS: 9.5 ± 5.2 (16, 5; 9–11, 4; < 6, 7) RCCA 4
LCCA 1
B-CCA 11
improved 5
No change 6
Worsened 5
Total 363   GCS (4 papers) definition is varied. NIHSS score 18.2 ± 13.3 (4 papers) RCCA (n = 99), LCCA (n = 25), B-CCA (n = 52), CCA (n = 131), IA (n = 19), LSA (n = 8) Improved 108
No change 54
Worsened 17 (of 199 patients)
  1. B-CCA = bilateral common carotid artery; CCA = common carotid artery; CM = cerebral malperfusion; CVA = cerebrovascular accident; GCS = Glasgow Coma Scale; IA = innominate artery; ICA = internal carotid artery; LCCA = left common carotid artery; LSA = left subclavian artery; NA = not available; NIHSS = National Institutes of Health stroke scale; PreNS = preoperative neurological symptom; RCCA = right common carotid artery; SABV = supra-aortic branch vessels; TAAAD = Type A acute aortic dissection