Query: stroke

Filtered By:
Procedure: Coronary Artery Bypass Graft

This page shows you your search results in order of date.

Order by Relevance | Date

Total 921 results found since Jan 2013.

Effects and outcomes of cardiac surgery in patients with cardiometabolic syndrome
ConclusionsPatients with CMS were more likely to present with increased comorbidities. Patients with CMS undergoing CABG were at risk for worse short ‐term secondary postoperative outcomes and reduced long‐term survival. The data supports the need for further investigation for risk reduction surrounding operative revascularization.
Source: Journal of Cardiac Surgery - February 17, 2020 Category: Cardiovascular & Thoracic Surgery Authors: David Zapata, Michael Halkos, Jose Binongo, John Puskas, Robert Guyton, Omar Lattouf Tags: ORIGINAL ARTICLE Source Type: research

Concomitant carotid endarterectomy and cardiac surgery does not decrease postoperative stroke rates
We examined the Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database to evaluate the association of combined carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG) with postoperative outcomes.
Source: Journal of Vascular Surgery - February 14, 2020 Category: Surgery Authors: Derek Klarin, Virendra I. Patel, Shuaiqi Zhang, Ying Xian, Andrzej Kosinski, Babatunde Yerokun, Vinay Badhwar, Vinod H. Thourani, Thoralf M. Sundt, David Shahian, Serguei Melnitchouk Source Type: research

Impact of left ventricular ejection fraction on clinical outcomes after left main coronary artery revascularization: results from the randomized EXCEL trial
ConclusionIn the EXCEL trial, the composite rate of death, stroke or myocardial infarction at 3  years was significantly higher in patients with HFrEF compared with HFmrEF or preserved LVEF, driven by an increased rate of all‐cause death. No significant differences after PCI vs. CABG were observed among patients with HFrEF, HFmrEF and preserved LVEF. Longer‐term follow‐up could provide important insights on differences in clinical outcomes that might emerge over time.Clinical Trial Registration:ClinicalTrials.gov IDNCT01205776.
Source: European Journal of Heart Failure - February 13, 2020 Category: Cardiology Authors: Daniel J.F.M. Thuijs, Milan Milojevic, Gregg W. Stone, John D. Puskas, Patrick W. Serruys, Joseph F. Sabik, Ovidiu Dressler, Aaron Crowley, Stuart J. Head, A. Pieter Kappetein Tags: Research Article Source Type: research

Association of Postoperative Complications and Outcomes Following Coronary Artery Bypass Grafting
ConclusionsPostoperative complications are associated with an increased risk of both early and late mortality and all-cause rehospitalization, particularly during the “value” window within 90 days of CABG. These findings underscore the need to develop avoidance strategies as well as cost-adjustment methods for each of these complications.
Source: American Heart Journal - February 9, 2020 Category: Cardiology Source Type: research

Compared with matched controls, patients with postoperative atrial fibrillation (POAF) have increased long-term AF after CABG, and POAF is further associated with increased ischemic stroke, heart failure and mortality even after adjustment for AF
ConclusionsPatients with POAF after CABG had three times the incidence of long-term AF compared with both non-POAF patients and matched controls. POAF was associated with long-term ischemic stroke, heart failure, and corresponding mortality even after adjustment for AF during follow-up. The increased overall mortality was partly explained by morbidities associated with POAF.Graphic abstract
Source: Clinical Research in Cardiology - February 8, 2020 Category: Cardiology Source Type: research

Current Use and Trends in Unprotected Left Main Coronary Artery Percutaneous Intervention
AbstractPurpose of ReviewTo review the clinical evidence on the use of percutaneous coronary intervention (PCI) revascularization options in left main (LM) disease in comparison with coronary artery bypass graft (CABG). Coronary artery disease (CAD) involving the LM is associated with high morbidity and mortality. Though CABG remains the gold standard for complex CAD involving the LM artery, recent trials have shown a trend towards non-inferiority of the LM PCI when compared with CABG in certain subset of patients.Recent FindingsTwo recent major randomized trials compared the outcomes of PCI versus CABG in the LM and multi...
Source: Current Cardiology Reports - February 8, 2020 Category: Cardiology Source Type: research

Efficacy and Safety of Potent Oral P2Y 12 Inhibitors in Medically Managed ACS Patients: a Meta-analysis
ConclusionPotent oral P2Y12 inhibitors, especially ticagrelor, decrease the risk of ischemic events in MMACS patients as compared with clopidogrel, without significantly increasing major bleeding.
Source: Cardiovascular Drugs and Therapy - February 1, 2020 Category: Cardiology Source Type: research

Long-term outcomes after percutaneous coronary intervention relative to bypass surgery in diabetic patients with multivessel coronary artery disease according to clinical presentation
Conclusion Among diabetic patients with MVD, the long-term outcomes of PCI versus CABG differed according to clinical presentation. CABG may be more beneficial for NSTE-ACS patients with MVD in reducing MACCE and MI, whereas PCI was as effective as CABG for SCAD patients with MVD. Therefore, clinical presentation must be considered when choosing revascularization strategies in these patients.
Source: Coronary Artery Disease - January 31, 2020 Category: Cardiology Tags: CAD in Diabetics Source Type: research

Minimally invasive multivessel coronary bypass surgery: Angiographic patency data
ConclusionsMIM CABG allows complete surgical revascularization with excellent clinical outcomes and promising angiographic graft patency rates.
Source: Journal of Cardiac Surgery - January 23, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Mikhail A. Snegirev, Artem A. Paivin, Dmitrii O. Denisyuk, Olga A. Drozdova, Galina M. Mitusova, Lana B. Sichinava, Nikolai E. Khvan, Vladimir E. Sharafutdinov Tags: ORIGINAL ARTICLE Source Type: research

Long-Term Outcomes of Unprotected Left Main Coronary Artery Disease: Comparison of Coronary Artery Bypass Grafting and Percutaneous Coronary Intervention.
CONCLUSION: In patients with ULMCA disease, PCI was comparable with CABG for long-term MACCE and death rates. The TVR rate was higher in the PCI group. PMID: 31941834 [PubMed - as supplied by publisher]
Source: The Journal of Invasive Cardiology - January 18, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Coronary artery bypass grafting vs. drug-eluting stent implantation in patients with end-stage renal disease requiring dialysis.
Conclusions: Among patients with CAD and dialysis-dependent chronic kidney disease (CKD), treatment with CABG or PCI with DES exhibited similar long-term outcomes. However, CABG was associated with higher short-term risk of death. Higher mortality was revealed in patients over 65 years and underwent PD. PMID: 31918608 [PubMed - in process]
Source: Renal Failure - January 12, 2020 Category: Urology & Nephrology Tags: Ren Fail Source Type: research

Early surgical myocardial revascularization in non-ST-segment elevation acute coronary syndrome.
Conclusions: Early revascularized patients showed a higher level of illness. However, results of early CABG were comparable to those following delayed revascularization. Moreover, EuroSCORE II was determined as independent risk factors for mortality. PMID: 31903232 [PubMed]
Source: Journal of Thoracic Disease - January 8, 2020 Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research

Optimal timing of coronary artery bypass grafting in hemodynamically stable patients after myocardial infarction and definition of poor prognostic factors
ConclusionOptimal timing for surgical revascularization of MI seems to be between 3 and 10 days in stable patients. But, timing is not the only influencing factors in death rate, patient's health condition and disease severity must be considered in the individual management strategy.
Source: Archives of Cardiovascular Diseases Supplements - January 7, 2020 Category: Cardiology Source Type: research

Percutaneous coronary angioplasty versus coronary artery bypass grafting in the treatment of unprotected left main stenosis: updated 5-year outcomes from the randomised, non-inferiority NOBLE trial
Publication date: Available online 23 December 2019Source: The LancetAuthor(s): Niels R Holm, Timo Mäkikallio, M Mitchell Lindsay, Mark S Spence, Andrejs Erglis, Ian B A Menown, Thor Trovik, Thomas Kellerth, Gintaras Kalinauskas, Lone Juul Hune Mogensen, Per H Nielsen, Matti Niemelä, Jens F Lassen, Keith Oldroyd, Geoffrey Berg, Peteris Stradins, Simon J Walsh, Alastair N J Graham, Petter C Endresen, Ole FröbertSummaryBackgroundPercutaneous coronary intervention (PCI) is increasingly used in revascularisation of patients with left main coronary artery disease in place of the standard treatment, coronary artery bypass gra...
Source: The Lancet - December 24, 2019 Category: General Medicine Source Type: research

Can Moyamoya Disease Susceptibility Gene Affect Extracranial Systemic Artery Stenosis?
We report a case of a unique Japanese pedigree associated with RNF213. A 53-year-old woman with no arteriosclerotic risk factors experienced coronary artery disease, followed by coronary artery bypass surgery. In 8 years, she suffered sudden abdominal pain.
Source: Journal of Stroke and Cerebrovascular Diseases - December 2, 2019 Category: Neurology Authors: Shunsuke Nomura, Yasuo Aihara, Hiroyuki Akagawa, Kentaro Chiba, Koji Yamaguchi, Akitsugu Kawashima, Yoshikazu Okada, Takakazu Kawamata Source Type: research

The utility of traditional Chinese medicine (Shenmai) in the cardiac rehabilitation after coronary artery bypass grafting: A single-center randomized clinical trial.
CONCLUSION: Shenmai improves the exercise tolerance in the early stage of the cardiac rehabilitation for patients received coronary artery bypass grafting. PMID: 31779994 [PubMed - in process]
Source: Complementary Therapies in Medicine - December 1, 2019 Category: Complementary Medicine Authors: Zhang C, Zheng Y, Chen T, Wang S, Xu M Tags: Complement Ther Med Source Type: research

Influence of Final Kissing Balloon Inflation on Long-term Outcomes After PCI of Distal Left Main Bifurcation Lesions: Analysis From the EXCEL Trial.
CONCLUSIONS: In the EXCEL trial, the performance of FKBI after PCI of distal LM bifurcation lesions was not associated with improved 4-year clinical outcomes regardless of whether 1 stent or ≥2 stents were implanted. PMID: 31763982 [PubMed - as supplied by publisher]
Source: EuroIntervention - November 27, 2019 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

Commentary: Silent brain lesions add noise to the on- versus off-pump coronary artery bypass grafting debate
The debate between on-pump (ONCABG) and off-pump coronary artery bypass grafting (OPCABG) has waged on for more than 30  years. Early proponents favored OPCABG based on the hypothesis that removing cardiopulmonary bypass (CPB) from the operation would mitigate perioperative complications such as stroke. However, after 3 large randomized controlled trials (Randomized On/Off Bypass [ROOBY], Coronary Artery Bypass Surg ery Off or On Pump Revascularization Study [CORONARY], and German Off Pump Coronary Artery Bypass Grafting in Elderly Patients [GOPCABE]) failed to show a difference in stroke rate between ONCABG and OPCABG,1-...
Source: The Journal of Thoracic and Cardiovascular Surgery - November 27, 2019 Category: Cardiovascular & Thoracic Surgery Authors: William C. Frankel, Tom C. Nguyen Tags: Commentary Source Type: research

A Multi Center Experience: Is Valve Replacement Safe for Patients with Hugely Dilated Left Ventricle?
CONCLUSION: Valve replacement in patients with hugely dilated left ventricle are safe operations with satisfactory outcomes even if combined with other procedures, especially with proper preoperative preparation, intraoperative preservation of posterior mitral leaflet, and meticulous postoperative follow up in the surgical ICU. PMID: 31895029 [PubMed - in process]
Source: The Heart Surgery Forum - November 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ahmed A, Toema A, Yehia A, Hashim Y, Elkahely M, Onsy A Tags: Heart Surg Forum Source Type: research

Coronary Artery Bypass Graft Surgery Improves Survival Without Increasing the Risk of Stroke in Patients with Ischemic Heart Failure in Comparison to Percutaneous Coronary Intervention: A Meta-Analysis With 54,173 Patients
Conclusion: This meta-analysis found that CABG surgery remains the best option for patients with ischemic HF, without increase in the risk of stroke.
Source: Revista Brasileira de Cirurgia Cardiovascular - August 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Epiaortic Ultrasound to Prevent Stroke in Coronary Artery Bypass Grafting
ConclusionsAvoiding aortic manipulation is associated with the lowest risk of stroke in patients undergoing CABG. When manipulation of the ascending aorta is planned, EAU is effective in guiding the surgical strategy to reduce the risk for embolic stroke in these patients.
Source: The Annals of Thoracic Surgery - August 15, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Epiaortic Ultrasound to Prevent Stroke in Coronary Artery Bypass Grafting.
CONCLUSIONS: Avoiding aortic manipulation is associated with the lowest risk of stroke in patients undergoing CABG. When manipulation of the ascending aorta is planned, EAU is effective in guiding the surgical strategy to reduce the risk for embolic stroke in these patients. PMID: 31421104 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 14, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Biancari F, Santini F, Tauriainen T, Bancone C, Ruggieri VG, Perrotti A, Gherli R, Demal T, Dalén M, Santarpino G, Rubino AS, Nardella S, Nicolini F, Zanobini M, De Feo M, Onorati F, Mariscalco G, Gatti G Tags: Ann Thorac Surg Source Type: research

Intraoperative Stroke During Robotic Totally Endoscopic Coronary Artery Bypass
THE INCIDENCE OF stroke after coronary artery bypass graft (CABG) surgery is between 1% and 5% and is one of the most detrimental complications.1 Off-pump CABG is associated with a lower stroke rate than traditional on-pump CABG (0.7% v 1.4%).2 Stroke after CABG is associated with increased morbidity and mortality and increased cost secondary to longer hospital stays and rehabilitation. The authors ’ presented case demonstrates the complexity of perioperative management of a patient scheduled for elective off-pump total endoscopic coronary artery bypass (TECAB) grafting with recent transient ischemic attack (TIA), stroke...
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 8, 2019 Category: Anesthesiology Authors: Jennette D. Hansen, Mark A. Chaney, Michael Essandoh, Jean Starr, BobbieJean Sweitzer Tags: Case Conference Source Type: research

Thrombectomy and reconstruction of the left vertebral artery after total arch replacement: never give up on postoperative stroke
AbstractThe patient was a 64-year-old man who had aortic regurgitation, ischemic heart disease, a transverse aortic aneurysm, and an abdominal-common iliac aneurysm. Concomitant operations including aortic valve replacement, coronary artery bypass grafting, and total aortic arch replacement with elephant trunk technique were performed successfully. The patient developed postoperative cardiac tamponade on the 5th postoperative day, resulting in bulbar palsy due to occlusion of the dominant left vertebral artery. Thrombectomy of the vertebral artery with reconstruction by a saphenous vein was performed. The patient ’s neur...
Source: General Thoracic and Cardiovascular Surgery - March 14, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Tick, tock … Time windows for intervention for stroke after cardiac surgery
Stroke after cardiac surgery is a devastating complication and a frequently cited disadvantage of cardiac operations to percutaneous interventions. Because the atherosclerotic process is not limited to the heart and great vessels, a higher prevalence of patients undergoing cardiac surgery have concomitant cerebrovascular disease. In addition, embolic risk is present with all cardiac surgery interventions. Consequently, much has been invested in reducing neurologic complications, with stroke now a rare occurrence (1.3%) after coronary artery bypass grafting.
Source: The Journal of Thoracic and Cardiovascular Surgery - December 27, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Juan Marcano, Ravi K. Ghanta Tags: Editorial Commentary Source Type: research

Commentary: Tick, tock … Time windows for intervention for stroke after cardiac surgery
Stroke after cardiac surgery is a devastating complication and a frequently cited disadvantage of cardiac operations to percutaneous interventions. Because the atherosclerotic process is not limited to the heart and great vessels, a higher prevalence of patients undergoing cardiac surgery have concomitant cerebrovascular disease. In addition, embolic risk is present with all cardiac surgery interventions. Consequently, much has been invested in reducing neurologic complications, with stroke now a rare occurrence (1.3%) after coronary artery bypass grafting.
Source: The Journal of Thoracic and Cardiovascular Surgery - December 27, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Juan Marcano, Ravi K. Ghanta Tags: Commentary Source Type: research

Consequence of Ischemic Stroke after Coronary Surgery with Cardiopulmonary Bypass According to Stroke Subtypes
Conclusion: Patients in the TACI group had higher in-hospital and cumulative mortality rates and higher mRS scores. We believe tha t use of the OCSP classification and the mRS may render it possible to predict the outcomes of stroke after coronary surgery.
Source: Revista Brasileira de Cirurgia Cardiovascular - December 13, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Consequence of Ischemic Stroke after Coronary Surgery with Cardiopulmonary Bypass According to Stroke Subtypes
Introduction: The aim of this study was to determine the outcomes of patients developing ischemic stroke after coronary artery bypass grafting (CABG).Methods: From March 2012 to January 2017, 5380 consecutive patients undergoing elective coronary surgery were analyzed. Ninety-five patients who developed ischemic strokes after on-pump coronary surgery were included in the study, retrospectively. The cohort was divided into four subgroups [total anterior circulation infarction (TACI), partial anterior circulation infarction (PACI), posterior circulation infarction (POCI), and lacunar...
Source: Brazilian Journal of Cardiovascular Surgery - November 22, 2018 Category: Cardiology Source Type: research

Review: In coronary artery disease, PCI reduces 30-day and 5-year risk for stroke compared with CABG.
PMID: 30452562 [PubMed - in process]
Source: Annals of Internal Medicine - November 20, 2018 Category: Internal Medicine Authors: Bates ER Tags: Ann Intern Med Source Type: research

Defining an Intraoperative Hypotension Threshold in Association with Stroke in Cardiac Surgery
Conclusions Hypotension is a potentially modifiable risk factor for perioperative stroke. The study ’s findings suggest that mean arterial pressure may be an important intraoperative therapeutic hemodynamic target to reduce the incidence of stroke in patients undergoing cardiopulmonary bypass.
Source: Anesthesiology - August 14, 2018 Category: Anesthesiology Source Type: research

Long-term Stroke Rate Higher With CABG vs Stenting Long-term Stroke Rate Higher With CABG vs Stenting
Five-year stroke rates were lower in patients with multivessel or left main coronary artery disease who underwent stenting than in those who had coronary bypass surgery, new research shows.Medscape Medical News
Source: Medscape Medical News Headlines - July 18, 2018 Category: Consumer Health News Tags: Neurology & Neurosurgery News Source Type: news

Five-Year Stroke Rates Lower After PCI Versus CABG
WEDNESDAY, July 18, 2018 -- Stroke rates are lower at 30 days and five years after percutaneous coronary intervention (PCI) than after coronary artery bypass grafting (CABG), according to a study published in the July 24 issue of the Journal of the...
Source: Drugs.com - Pharma News - July 18, 2018 Category: Pharmaceuticals Source Type: news

Left Atrial Appendage Occlusion and Stroke and Mortality Among Patients Undergoing Cardiac Surgery
This cohort study uses administrative data from a large US database to evaluate whether surgical occlusion of the left atrial appendage (LAAO) during CABG or valve surgery is associated with risk of stroke, mortality, and atrial fibrillation.
Source: JAMA - May 22, 2018 Category: General Medicine Source Type: research

Aortic Clamping Strategy and Postoperative Stroke
The impact of aortic clamping strategy on short-term stroke during proximal graft construction for coronary artery bypass grafting (CABG) remains undefined. The aim of this study was to test the hypothesis that partial occluding clamp (POC) technique does not increase incidence of postoperative stroke when compared to single clamp (SC) technique for performing proximal coronary anastomoses.
Source: The Journal of Thoracic and Cardiovascular Surgery - April 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Mohamad Alaeddine, Vinay Badhwar, Maria V. Grau-Sepulveda, Lawrence M. Wei, Chris C. Cook, Michael E. Halkos, Vinod H. Thourani, Jeffrey P. Jacobs, Roland Matsouaka, James Meza, Matthew Brennan, Thomas G. Gleason, Danny Chu Source Type: research

Implementation of the aortic no-touch technique to reduce stroke after off-pump coronary surgery
Despite substantial scientific effort, the relationship between stroke after CABG and the use of the aortic no-touch off-pump technique (anOPCAB) remains incompletely understood. The present study aims to define the impact of anOPCAB on the occurrence and time point of stroke.
Source: The Journal of Thoracic and Cardiovascular Surgery - April 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Alexander Albert, J ürgen Ennker, Yasser Hegazy, Sebastian Ullrich, Georgi Petrov, Payam Akhyari, Stefan Bauer, Eda Ürer, Ina Carolin Ennker, Artur Lichtenberg, Horst Priss, Alexander Assmann Source Type: research

CABG Improves Survival, Stroke vs PCI in Low-LVEF Diabetes CABG Improves Survival, Stroke vs PCI in Low-LVEF Diabetes
CABG ruled for CV events, stroke, and survival in a propensity-matched observational study. Randomized trial data are thin for patients with both diabetes and poor left ventricular function.Medscape Medical News
Source: Medscape Today Headlines - April 5, 2018 Category: Consumer Health News Tags: Cardiology News Source Type: news

Aortic clamping and stroke: Because two isn't worse doesn't mean one isn't better
Does the use of a partial occlusion clamp (POC) increase the risk of stroke during on-pump coronary artery bypass graft surgery (CABG) when compared with a single-clamp (SC) technique?1-3 In this issue of the Journal, Alaeddine and colleagues,4 beginning with a cohort of 52,611 patients in the Society of Thoracic Surgeons Database who underwent isolated CABG between July 1, 2014, and March 31, 2015, address this question by comparing outcomes between 2 propensity-matched groups of 17,819 patients each.
Source: The Journal of Thoracic and Cardiovascular Surgery - April 4, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Gaetano Paone Tags: Editorial commentary Source Type: research

Carotid artery stenosis at the time of coronary artery bypass grafting is a risk factor but not a cause for peri-operative stroke
Narayan et al. evaluated whether or not carotid artery screening at the time of coronary artery bypass grafting (CABG) influences neurological outcomes [1]. Two of the four strokes in the group with moderate/severe carotid stenosis occurred on the ipsilateral side of the carotid artery lesion, while two were in areas not related to the side of the carotid artery stenosis. In the group with no significant carotid artery stenosis, 18 patients had a stroke of which 16 were ischemic and 2 were hemorrhagic [1].
Source: International Journal of Cardiology - April 3, 2018 Category: Cardiology Authors: Kosmas I. Paraskevas, A. Ross Naylor Tags: Letter to the Editor Source Type: research

Off-Pump Coronary Artery Bypass Grafting and Stroke —Exploratory Analysis of the GOPCABE Trial and Methodological Considerations
Conclusion Within recent prospective randomized multicenter trials off-pump CABG did not result in lower stroke rates. The possible intrinsic benefit of off-pump CABG may be offset by the complexity of the operative therapy as well as the multiple pathomechanisms involved in perioperative stroke. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: The Thoracic and Cardiovascular Surgeon - March 22, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Reents, Wilko Zacher, Michael Boergermann, Jochen Kappert, Utz Hilker, Michael F ärber, Gloria Albert, Marc Holzhey, David Conradi, Lenard Riess, Friedrich Christian Veeckman, Philippe Strauch, Justus T. Diegeler, Anno B öning, Andreas Tags: Original Cardiovascular Source Type: research

Off-Pump Coronary Artery Bypass Grafting and Stroke-Exploratory Analysis of the GOPCABE Trial and Methodological Considerations.
CONCLUSION:  Within recent prospective randomized multicenter trials off-pump CABG did not result in lower stroke rates. The possible intrinsic benefit of off-pump CABG may be offset by the complexity of the operative therapy as well as the multiple pathomechanisms involved in perioperative stroke. PMID: 29566406 [PubMed - as supplied by publisher]
Source: The Thoracic and Cardiovascular Surgeon - March 22, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Reents W, Zacher M, Boergermann J, Kappert U, Hilker M, Färber G, Albert M, Holzhey D, Conradi L, Riess FC, Veeckman P, Strauch JT, Diegeler A, Böning A Tags: Thorac Cardiovasc Surg Source Type: research

Radiographic and Clinical Brain Infarcts in Cardiac and Diagnostic Procedures Clinical Sciences
Conclusions—One of 10 people with periprocedural RBIs during cardiac surgeries and invasive vascular diagnostic procedures resulted in strokes or transient ischemic attacks, which may serve as a potential surrogate marker of procedural proficiency and perhaps as a predictor of risk for periprocedural strokes.
Source: Stroke - September 25, 2017 Category: Neurology Authors: Sung-Min Cho, Abhishek Deshpande, Vinay Pasupuleti, Adrian V. Hernandez, Ken Uchino Tags: Magnetic Resonance Imaging (MRI), Cerebrovascular Disease/Stroke Original Contributions Source Type: research

Pathogenesis and Risk Factors for Cerebral Infarct After Surgical Aortic Valve Replacement Brief Reports
Conclusions— The principal mechanism of acute cerebral infarction after aortic valve replacement is embolism. There are distinct factors associated with watershed and embolic infarct, some of which may be modifiable.
Source: Stroke - July 25, 2016 Category: Neurology Authors: Massaro, A., Messe, S. R., Acker, M. A., Kasner, S. E., Torres, J., Fanning, M., Giovannetti, T., Ratcliffe, S. J., Bilello, M., Szeto, W. Y., Bavaria, J. E., Mohler, E. R., Floyd, T. F., for the Determining Neurologic Outcomes From Valve Operations (DeNO Tags: Valvular Heart Disease, Magnetic Resonance Imaging (MRI), Cardiovascular Surgery, Cerebrovascular Disease/Stroke, Ischemic Stroke Brief Reports Source Type: research

Predictors of In-Hospital Ischemic Stroke During Acute Myocardial Infarction Hospitalizations (P6.043)
CONCLUSIONS: The higher association of increasing age, sex and race with Ischemic stroke is depicted. The patients who undergo by-pass graft procedure are more likely to develop stroke. Therefore, further studies are warranted for improved risk stratification in AMI patients.Disclosure: Dr. Shah has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Bhatia has nothing to disclose. Dr. Jani has nothing to disclose. Dr. Lunagariya has nothing to disclose. Dr. Onteddu has nothing to disclose. Dr. Kassab has nothing to disclose. Dr. Mehta has nothing to disclose.
Source: Neurology - April 4, 2016 Category: Neurology Authors: Shah, H., Patel, A., Bhatia, P., Jani, V., Lunagariya, A., Onteddu, S., Mishra, P., Kassab, M., Mehta, S. Tags: In-Hospital Stroke and Stroke Complications Source Type: research

Stroke in Patients With Aortic Stenosis: The Simvastatin and Ezetimibe in Aortic Stenosis Study Clinical Sciences
Conclusions— In patients with aortic stenosis not prescribed oral anticoagulation, atrial fibrillation, AVR with concomitant coronary artery bypass grafting, and CHA2DS2-VASc score were the major predictors of stroke. Incident stroke was strongly associated with mortality. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique identifier: NCT00092677.
Source: Stroke - June 23, 2014 Category: Neurology Authors: Greve, A. M., Dalsgaard, M., Bang, C. N., Egstrup, K., Ray, S., Boman, K., Rossebo, A. B., Gohlke-Baerwolf, C., Devereux, R. B., Kober, L., Wachtell, K. Tags: Thrombosis risk factors, CV surgery: valvular disease, Acute Cerebral Infarction Clinical Sciences Source Type: research

Incidence, Trends, and Predictors of Ischemic Stroke 30 Days After an Acute Myocardial Infarction Clinical Sciences
Conclusions— The incidence of ischemic stroke within 30 days of an AMI has decreased during the period 1998 to 2008. This decrease is associated with increased use of acetylsalicylic acid, P2Y12 inhibitors, statins, and percutaneous coronary intervention.
Source: Stroke - April 28, 2014 Category: Neurology Authors: Kajermo, U., Ulvenstam, A., Modica, A., Jernberg, T., Mooe, T. Tags: Risk Factors, Acute myocardial infarction, Acute Cerebral Infarction, Epidemiology Clinical Sciences Source Type: research

Stroke need not delay bypass surgery
The time since a stroke need not determine when patients undergo elective coronary artery bypass grafting, say researchers.
Source: MedWire News - Stroke - January 15, 2013 Category: Neurology Source Type: news