Related Experiment Video
Updated: May 2, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Role of video-assisted thoracoscopy in the management of stroke
1Department of Cardiothoracic Surgery, Faculty of Medicine, Suez Canal University, Egypt Department of Cardiothoracic Surgery, King Fahd Hospital, Al-Madina Al-Munawara, Saudi Arabia.
Objective:
To evaluate the role of surgery (anterior thoracotomy versus video-assisted thoracoscopy) in avoidance of stroke by obliteration of the left atrial appendage in patients with chronic nonrheumatic atrial fibrillation.
Methods:
In a prospective study, 58 patients (35 men and 23 women, aged 62 ± 13.2 years) with chronic nonrheumatic atrial fibrillation were divided into 2 groups: group A was 29 patients who underwent an anterior thoracotomy, and group B was 29 patients who had video-assisted thoracoscopic obliteration of the left atrial appendage. All patients were followed up for at least 2 years.
Results:
The 2 groups were well matched for age, sex, and comorbidities. No stroke was observed in either group. Operative time was significantly longer in group B. There was no intraoperative or postoperative complication, except for 2 cases of superficial wound infection in group A.
Conclusions:
In chronic atrial fibrillation, prophylactic left atrial appendage exclusion is suggested to prevent occurrence of stroke, which can be achieved by a surgical or thoracoscopic approach, but a video-assisted thoracoscopic approach is effective, less invasive, and avoids the complications of a surgical approach.
More Related Videos
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
09:52Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Related Concept Videos
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Venous Thrombosis III: Interprofessional Care
Pulmonary Embolism III: Nursing Management
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Hemorrhagic Stroke l: Introduction