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) |