Conclusion
In conclusion, incidence of stroke seems to be independent from cross-clamping technique in a non-severely calcified aorta with low to moderate carotid atherosclerotic burden.
More generally, we could infer that the global rate of stroke after CABG is probably more influenced by other factors (such as, for example, plaques extent and composition).
We do believe in the principle of knowing and respecting the aorta: a careful pre-operative and intra-procedural analysis of the aorta and of the supra-aortic vessels is the best strategy to personalize the surgical therapy to achieve optimal general and neurological outcomes.
Acknowledgement :we state no acknowledgement.
Author contributions statement: Giorgio Mastroiacovo:writing-original draft, data curation, Marco Gennari:writing-original draft, data curation, Ilaria Giambuzzi:writing-original draft, data curation, Sergio Pirola:conceptualization, Giuseppe Nanci: data curation, Alice Bonomi: formal analyses, Gabriele Egidy Assenza : data curation, Marco Agrifoglio : Investigation, supervision.
Funding statement :we state no funding source for this work
Conflict of interest statement :none related to this paper.