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Source: The Journal of Thoracic and Cardiovascular Surgery
Procedure: Coronary Artery Bypass Graft
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Total 64 results found since Jan 2013.
Low serum sodium level during cardiopulmonary bypass predicts increased risk of postoperative stroke after coronary artery bypass graft surgery
Conclusions: An average serum sodium level of less than 130 mEq/L during cardiopulmonary bypass is independently associated with an increased risk of postoperative stroke in patients who undergo primary coronary artery bypass grafting.
Source: The Journal of Thoracic and Cardiovascular Surgery - November 4, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Elizandro Munoz, Holly Briggs, Daniel A. Tolpin, Vei-Vei Lee, Terry Crane, MacArthur A. Elayda, Charles D. Collard, Wei Pan Tags: Perioperative Management Source Type: research
Can we make stroke during cardiac surgery a never event?
Stroke has been and continues to be the Achilles heel of cardiac surgery. Periprocedural neurologic events during cardiac surgery remain prevalent, with stroke reported in 2.0% to 4.6% of patients undergoing cardiac surgery and increasing to at least 12.8% in octogenarians.1-3 The fear of stroke or other adverse neurologic outcomes, including so-called pump head, is a deterrent for patients to undergo the otherwise successful, life-saving operations that we perform. The interpretation of the SYNTAX trial “that with coronary artery bypass grafting (CABG) the patient is trading a 3 times higher risk of stroke (2.2% vs 0.6%...
Source: The Journal of Thoracic and Cardiovascular Surgery - February 28, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Michael Mack Tags: Editorial commentary Source Type: research
Avoiding aortic clamping during CABG reduces postoperative stroke
This review of 12,079 patients evaluated the effect of aortic manipulation strategies on stroke following CABG. Stroke risk was independently associated with the degree of aortic manipulation, with the no-touch technique having the lowest risk. This suggests that avoiding aortic manipulation may minimize the incidence of stroke following CABG.
Source: The Journal of Thoracic and Cardiovascular Surgery - September 14, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Emmanuel Moss, John D. Puskas, Vinod H. Thourani, Patrick Kilgo, Edward P. Chen, Bradley G. Leshnower, Omar M. Lattouf, Robert A. Guyton, Kathryn E. Glas, Michael E. Halkos 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
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
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
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
Avoiding aortic clamping during coronary artery bypass grafting reduces postoperative stroke
The purpose of this study was to determine whether the incidence of postoperative stroke could be reduced by eliminating aortic clamping during coronary artery bypass grafting.
Source: The Journal of Thoracic and Cardiovascular Surgery - September 14, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Emmanuel Moss, John D. Puskas, Vinod H. Thourani, Patrick Kilgo, Edward P. Chen, Bradley G. Leshnower, Omar M. Lattouf, Robert A. Guyton, Kathryn E. Glas, Michael E. Halkos Tags: Acquired cardiovascular disease 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
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
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
