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Procedure: Coronary Artery Bypass Graft

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Total 1001 results found since Jan 2013.

Postoperative Atrial Fibrillation and Long-Term Risk of Stroke After Isolated Coronary Artery Bypass Graft Surgery.
CONCLUSIONS: Patients with pAF after coronary artery bypass grafting are at higher risk of CVA. These findings challenge the notion that pAF is a benign complication. PMID: 33017213 [PubMed - as supplied by publisher]
Source: Circulation - October 5, 2020 Category: Cardiology Authors: Benedetto U, Gaudino MF, Dimagli A, Gerry S, Gray A, Lees B, Flather M, Taggart DP, ART Investigators* Tags: Circulation Source Type: research

Meta-Analysis of Perioperative Stroke and Mortality in CABG Patients With Carotid Stenosis
Conclusions: Together, these data suggest an association between stroke and mortality in the perioperative period in patients undergoing CABG, demonstrating a need for improved monitoring, screening, and treatment of stroke before, during, and shortly after surgery.
Source: The Neurologist - September 1, 2020 Category: Neurology Tags: Original Articles Source Type: research

Impact of stroke on outcomes following cardiac surgery: Propensity matched analysis
ConclusionPerioperative stroke is a devastating complication following cardiac surgery. Perioperative stroke is associated with significantly inferior outcomes in terms of both morbidity and mortality. Notably a 28% reduction in 1 ‐year survival. Efforts should focus on identifying strategies aimed at reducing the incidence, morbidity, and mortality of perioperative stroke following cardiac surgery.
Source: Journal of Cardiac Surgery - August 15, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Jayenthan Karunanantham, Jason M. Ali, Nicholas R. Evans, Stephen Webb, Stephen R. Large Tags: ORIGINAL ARTICLE Source Type: research

Acute kidney injury, stroke and death after cardiopulmonary bypass surgery: the role of perfusion flow and pressure.
CONCLUSIONS: Neither low perfusion pressure nor low perfusion flow during cardiopulmonary bypass were predictive of postoperative acute kidney injury, stroke or death. PMID: 32515271 [PubMed - as supplied by publisher]
Source: Perfusion - June 8, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Turner L, Hardikar A, Jose MD, Bhattarai K, Fenton C, Sharma R, Kirkland G, Jeffs L, Breslin M, Silva Ragaini B, Newland RF Tags: Perfusion 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 7, 2020 Category: Cardiology 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 26, 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 13, 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 7, 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 13, 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 26, 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

Does left atrial appendage ligation during coronary bypass surgery decrease the incidence of postoperative stroke?
The study objective was to evaluate the association between surgical left atrial appendage ligation and in-hospital stroke incidence after coronary artery bypass grafting among patients with atrial fibrillation.
Source: The Journal of Thoracic and Cardiovascular Surgery - March 12, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Yen-Yi Juo, Katherine Lee Bailey, Young-Ji Seo, Esteban Aguayo, Peyman Benharash Tags: Perioperative management Source Type: research

Does Left Atrial Appendage Ligation during Coronary Bypass Surgery Decrease the Incidence of Postoperative Stroke?
To evaluate the association between surgical left atrial appendage ligation and in-hospital stroke incidence following coronary artery bypass graft among atrial fibrillation patients.
Source: The Journal of Thoracic and Cardiovascular Surgery - March 12, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Yen-Yi Juo, Katherine Lee Bailey, Young-Ji Seo, Esteban Aguayo, Peyman Benharash Source Type: research

Which aortic clamp strategy is better to reduce postoperative stroke and death: Single center report and a meta-analysis
Background: Stroke is severe complication of coronary artery bypass grafting (CABG) which may be associated with clamp strategy, there are 2 strategies to clamp aorta including single aortic clamp (SAC) and partial aortic clamp (PAC). It is controversial that which clamping strategy is better to reduce the postoperative stroke and death, so this study aims to investigate which is better for reducing postoperative stroke and death within 30 days. Methods: We collected 469 patients who had on-pump CABG in Fuwai Hospital during January 2014 to July 2015. The SAC group consisted of 265 patients while the PAC group include...
Source: Medicine - March 1, 2018 Category: Internal Medicine Tags: Research Article: Systematic Review and Meta-Analysis Source Type: research

Perioperative stroke: pathophysiology and management.
Authors: Ko SB Abstract Although perioperative stroke is uncommon during low-risk non-vascular surgery, if it occurs, it can negatively impact recovery from the surgery and functional outcome. Based on the Society for Neuroscience in Anesthesiology and Critical Care Consensus Statement, perioperative stroke includes intraoperative stroke, as well as postoperative stroke developing within 30 days after surgery. Factors related to perioperative stroke include age, sex, a history of stroke or transient ischemic attack, cardiac surgery (aortic surgery, mitral valve surgery, or coronary artery bypass graft surgery), and...
Source: Korean Journal of Anesthesiology - February 16, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Does epiaortic ultrasound screening reduce perioperative stroke in patients undergoing coronary surgery? A topical review
Publication date: Available online 3 February 2018 Source:Journal of Clinical Neuroscience Author(s): Asad Ikram, Hafsa Mohiuddin, Aisha Zia, Hafiz Umair Siddiqui, Hoda Javadikasgari, Marijan Koprivanac, Sajjad Raza, Atif Zafar Although the occurrence of stroke in patients undergoing coronary artery bypass grafting (CABG) is decreasing, it remains an important concern. Therefore, it is important to identify and adopt strategies that can decrease the incidence of stroke in these patients. One of the strategies that have demonstrated the potential to decrease the rate of post-CABG stroke is an assessment of aorta for athero...
Source: Journal of Clinical Neuroscience - February 3, 2018 Category: Neuroscience Source Type: research

Incidence of perioperative stroke in clampless aortic anastomosis during off-pump coronary artery bypass grafting
This study aimed to assess if clampless off-pump coronary artery bypass grafting (OPCAB) decreases the incidence of perioperative stroke (POS) rate and in-hospital mortality. The secondary aim was to evaluate 12-year rates of overall mortality. Between January 2003 to December 2015, data of 645 consecutive patients undergoing isolated CABG were retrospectively collected. 363 underwent aortic no-touch OPCAB (No-touch group) and 282 underwent OPCAB with the Heartstring device (HS group). In-hospital mortality and perioperative stroke rate as primary endpoint, as well as long-term follow-up outcome were analysed. In-hospital ...
Source: Heart and Vessels - December 12, 2017 Category: Cardiology Source Type: research

Platelet Counts and Postoperative Stroke After Coronary Artery Bypass Grafting Surgery: Erratum.
Authors: PMID: 29190222 [PubMed - in process]
Source: Anesthesia and Analgesia - December 1, 2017 Category: Anesthesiology Tags: Anesth Analg Source Type: research

Carotid Artery Disease as a Predictor of In-Hospital Postoperative Stroke After Coronary Artery Bypass Grafting From 1999 to 2011
In this study, the risk factors for stroke after coronary artery bypass grafting (CABG) were examined. In particular, the role of asymptomatic carotid artery stenosis (both unilateral and bilateral) as a predictor of in-hospital postoperative stroke was investigated. Finally, the trends surrounding in-hospital postoperative stroke from 1999 to 2011 also were examined. The purpose of the study was to appropriately identify patients at high risk for stroke after CABG and spark discussion about the perioperative management of such patients.
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 20, 2017 Category: Anesthesiology Authors: Amol Mehta, Ravi Choxi, Thomas Gleason, Lawrence Wechsler, Tudor Jovin, Parthasarathy D. Thirumala Tags: Original Article 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

Safety of Simultaneous Coronary Artery Bypass Grafting and Carotid Endarterectomy Versus Isolated Coronary Artery Bypass Grafting Clinical Sciences
Conclusions—Although our results cannot rule out a treatment-group effect because of lack of power, a superiority of the synchronous combined carotid endarterectomy+CABG approach seems unlikely. Five-year follow-up of patients is still ongoing.Clinical Trial Registration—URL: https://www.controlled-trials.com. Unique identifier: ISRCTN13486906.
Source: Stroke - September 25, 2017 Category: Neurology Authors: Christian Weimar, Konstantinos Bilbilis, Jan Rekowski, Torulv Holst, Friedhelm Beyersdorf, Martin Breuer, Manfred Dahm, Anno Diegeler, Arne Kowalski, Sven Martens, Friedrich W. Mohr, Jiri Ondrašek, Beate Reiter, Peter Roth, Ralf Seipelt, Markus Sig Tags: Cardiovascular Surgery Original Contributions Source Type: research

Atheromatous disease of the aorta and perioperative stroke
Despite continued improvements in patient outcomes after cardiac surgery, stroke remains one of the most feared and devastating complications of cardiac surgery and is estimated to occur in 1.2% to 1.6% of patients undergoing coronary artery bypass grafting (CABG).1-3 The incidence of stroke increases for other common cardiac surgical procedures, and contemporary studies from the Society of Thoracic Surgeons database have reported perioperative stroke rates of 1.4% for mitral valve repair,4 1.5% for aortic valve replacement,5 2.1% for mitral valve replacement,4 and 6.6% for proximal aorta replacement.
Source: The Journal of Thoracic and Cardiovascular Surgery - September 13, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Nicholas D. Andersen, Stephen A. Hart, Ganesh P. Devendra, Esther S.H. Kim, Douglas R. Johnston, Jacob N. Schroder, Richard A. Krasuski Tags: Expert review Source Type: research

Hyperbaric oxygen in patients with ischemic stroke following cardiac surgery: a retrospective observational trial.
CONCLUSIONS: HBO2₂ therapy was associated with significant improvement in patients with acute neurological deficits due to ischemic stroke following cardiac surgery. Though this fact suggests gas embolism as the most likely cause of stroke in this collective, other underlying pathologies cannot be ruled out. Randomized studies are needed for further evaluation. PMID: 29116691 [PubMed - in process]
Source: Undersea and Hyperbaric Medicine - September 1, 2017 Category: Sports Medicine Authors: Weixler VH, Yates AE, Puchinger M, Zirngast B, Pondorfer P, Ratzenhofer-Komenda B, Amegah-Sakotnik A, Smolle-Juettner FM, Dapunt O Tags: Undersea Hyperb Med Source Type: research

Left Atrial Appendage Closure: Is the Strategy Enough to Lower Long-Term Stroke Risk?
AbstractPurpose of ReviewLeft atrial appendage closure (LAAC) emerged as a promising site-directed therapy to mitigate stroke risk in patients ineligible for long-term oral anticoagulation. We sought to summarize the current evidence regarding the role of LAAC on long-term risk of ischemic stroke and systemic thromboembolism.Recent FindingsData from EWOLUTION registry provides real world evidence on the 1-year outcomes of LAAC by WATCHMAN device. The annual ischemic stroke rate was 1.1 per 100 patient-years, as opposed to the CHADS2VASC score-predicted stroke rate of 7.2% (84% relative risk reduction). No differences in de...
Source: Current Cardiovascular Risk Reports - August 19, 2017 Category: Cardiology Source Type: research

Epicardial left atrial appendage AtriClip occlusion reduces the incidence of stroke in patients with atrial fibrillation undergoing cardiac surgery
ConclusionThe long-term results from our first-in-man prospective human trial plus our institutional registry of epicardial LAA occlusion with the AtriClip in patients with AF undergoing cardiac surgery demonstrate the safety and durability of the procedure. In addition, our data are suggestive for the potential efficacy of LAA occlusion in reducing the incidence of stroke. If validated in future large randomized trials, routine LAA occlusion in patients undergoing cardiac surgery (with contraindications to treatment with oral anticoagulants) may represent a reasonable adjunct procedure to reduce the risk of future stroke....
Source: Europace - July 18, 2017 Category: Cardiology Source Type: research

Perioperative stroke as a predictor of mortality and morbidity in patients undergoing CABG
This study emphasizes the importance of prevention and early intervention in patients at risk for perioperative stroke.
Source: Journal of Clinical Neuroscience - July 8, 2017 Category: Neuroscience 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 24, 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 3, 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