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Condition: Heart Attack
Procedure: Coronary Artery Bypass Graft

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Total 1114 results found since Jan 2013.

Predictors of Stroke Associated with Coronary Artery Bypass Grafting in Patients with Diabetes Mellitus and Multivessel Coronary Artery Disease
This study assesses demographic and clinical variables associated with perioperative and late stroke in diabetes mellitus patients following multivessel coronary artery bypass grafting (CABG). FREEDOM is the largest randomized trial of diabetic patients undergoing multivessel CABG. FREEDOM patients had improved survival free of death, myocardial infarction or stroke and increased overall survival following CABG compared to percutaneous intervention (PCI). However, the stroke rate was greater following CABG than PCI.
Source: The American Journal of Cardiology - February 20, 2015 Category: Cardiology Authors: Michael J. Domanski, Michael E. Farkouh, Victor Zak, Steven Feske, Donald Easton, Jesse Weinberger, Martial Hamon, Jorge Escobedo, Peter Shrader, Flora S. Siami, Valentin Fuster Source Type: research

Off-Pump Coronary Artery Bypass Reduces Early Stroke in Octogenarians: A Meta-Analysis of 18,000 Patients
Conclusions Coronary artery bypass in octogenarians can be performed safely with low early mortality. Although off-pump operations reduce the risk of early stroke, all other adverse events are comparable in on- and off-pump coronary artery bypass operations. Data regarding late mortality is at present limited; however, both on- and off-pump procedures appear to produce comparable survival.
Source: The Annals of Thoracic Surgery - March 17, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Postoperative Atrial Fibrillation Following Coronary Artery Bypass Graft Surgery Predicts Long-Term Atrial Fibrillation and Stroke.
CONCLUSIONS: POAF is a common complication of CABG surgery, which is correlated with late AF and stroke. Patients with POAF should be closely monitored to facilitate early administration of anticoagulant therapy in a high risk population upon recurrence of AF. PMID: 28457078 [PubMed - in process]
Source: The Israel Medical Association Journal - May 1, 2017 Category: Journals (General) Tags: Isr Med Assoc J 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

Cerebrovascular Events After a Primary Percutaneous Coronary Intervention Strategy for Acute ST-Segment- Elevation Myocardial Infarction: Analysis From the HORIZONS-AMI Trial Coronary Interventions
Conclusions— In HORIZONS-AMI, cerebrovascular events within 3 years after ST-segment–elevation myocardial infarction in patients undergoing a primary percutaneous coronary intervention management strategy occurred in 2.0% of patients and were most frequent after coronary artery bypass grafting. Cerebrovascular events were often disabling and were strongly associated with high rates of death, reinfarction, recurrent ischemia, and major bleeding. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique identifier: NCT00433966.
Source: Circulation: Cardiovascular Interventions - April 9, 2015 Category: Cardiology Authors: Nikolsky, E., Mehran, R., Dangas, G. D., Xu, K., Parvataneni, R., Witzenbichler, B., Guagliumi, G., Kornowski, R., Genereux, P., Brener, S. J., Stone, G. W. Tags: Catheter-based coronary interventions: stents, Acute myocardial infarction, Acute Stroke Syndromes Source Type: research

Coronary revascularisation in patients with diabetes: a chance to be better
Commentary on: Farkouh ME, Domanski M, Sleeper LA, et al.. Strategies for multivessel revascularisation in patients with diabetes. N Engl J Med 2012;367:2375–84. Context In 2009, a pooled analysis of individual patient data from randomised clinical trials comparing percutaneous coronary interventions (PCI) with coronary artery bypass grafting (CABG) showed a survival benefit in favour of CABG.1 Techniques of both PCI and CABG evolved during the last decade with the use of drug-eluting stents (DES) and novel antiplatelet agents. Methods In the FREEDOM trial, patients with diabetes and multivessel coronary artery disea...
Source: Evidence-Based Medicine - November 21, 2013 Category: Internal Medicine Authors: Windecker, S., Stefanini, G. G. Tags: Epidemiologic studies, Drugs: cardiovascular system, Stroke, Interventional cardiology, Ischaemic heart disease Therapeutics Source Type: research

Staged CABG After Endarterectomy Minimizes Risk of MI, StrokeStaged CABG After Endarterectomy Minimizes Risk of MI, Stroke
Coronary artery bypass grafting (CABG) within 24 hours after carotid endarterectomy (CEA) reduces the risk of myocardial infarction and stroke. Reuters Health Information
Source: Medscape Medical News Headlines - March 6, 2014 Category: Consumer Health News Tags: Neurology & Neurosurgery News Source Type: news

Bypass surgery is more cost-effective than percutaneous coronary interventions for most patients with multivessel or left main coronary artery disease
Commentary on: Cohen DJ, Osnabrugge RL, Magnuson EA, et al; SYNTAX Trial Investigators. Cost-effectiveness of percutaneous coronary intervention with drug-eluting stents versus bypass surgery for patients with 3-vessel or left main coronary artery disease: final results from the Synergy Between Percutaneous Coronary Intervention With TAXUS and Cardiac Surgery (SYNTAX) trial. Circulation 2014;130:1146–57. Context The SYNTAX (SYNergy between percutaneous coronary intervention with TAXus and cardiac surgery) trial compared outcomes of percutaneous coronary intervention (PCI) with drug eluting stents (DES) and coronary a...
Source: Evidence-Based Medicine - March 17, 2015 Category: Internal Medicine Authors: Agarwal, S., Kapadia, S. R. Tags: Health policy, Drugs: cardiovascular system, Stroke, Interventional cardiology, Ischaemic heart disease, Health economics, Health service research Economic analysis Source Type: research

Outcomes of simultaneous carotid endarterectomy and coronary artery bypass grafting: A single centre experience
CONCLUSIONS: Synchronous CEA/CABG procedure can be performed with acceptable results in patients having a high risk of stroke, septuagenarians and older.PMID:35491987 | DOI:10.1177/17085381221098281
Source: Vascular - May 2, 2022 Category: Surgery Authors: Aleksandras Antu ševas Adomas Aladaitis Linas Veli čka Raminta Černevičiūtė Agn ė Gimžauskaitė Emilija Bernotait ė Donatas In čiūra Source Type: research

Influence of unilateral, asymptomatic severe carotid artery stenosis in patients undergoing coronary artery bypass grafting.
CONCLUSIONS: 1.Asymptomatic, unilateral severe carotid artery stenosis does not increase the risk of stroke, myocardial infarction and mortality within 30 days of coronary artery bypass grafting. 2.The presence of asymptomatic unilateral, severe carotid artery stenosis increases the risk of cardiovascular events during the first 12 months postoperatively. PMID: 24846367 [PubMed - as supplied by publisher]
Source: Polish Heart Journal - May 20, 2014 Category: Cardiology Authors: Podolecka E, Wańha W, Michalewska-Włudarczyk A, Włudarczyk W, Bachowski R, Deja M, Kaźmierski M Tags: Kardiol Pol Source Type: research

Drug ‐eluting stents versus coronary artery bypass grafting for left‐main coronary artery disease
ConclusionsWhen compared with CABG, DES‐PCI for LMCAD was associated with increases in RRV and the composite of death, MI, and RRV (with/without stroke), despite no differences in mortality, MI, stroke, and the composite of death and MI (with/without stroke).
Source: Catheterization and Cardiovascular Interventions - August 11, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Hisato Takagi, Tomo Ando, Takuya Umemoto, Tags: CORONARY ARTERY DISEASE Source Type: research

Treatment of complex coronary artery disease in patients with diabetes: 5-year results comparing outcomes of bypass surgery and percutaneous coronary intervention in the SYNTAX trial ADULT CARDIAC
CONCLUSIONS In both diabetic and non-diabetic patients, PCI resulted in higher rates of MACCE and repeat revascularization at 5 years. Although PCI is a potential treatment option in patients with less-complex lesions, CABG should be the revascularization option of choice for patients with more-complex anatomic disease, especially with concurrent diabetes.
Source: European Journal of Cardio-Thoracic Surgery - April 8, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Kappetein, A. P., Head, S. J., Morice, M.-C., Banning, A. P., Serruys, P. W., Mohr, F.-W., Dawkins, K. D., Mack, M. J., on behalf of the SYNTAX Investigators Tags: ADULT CARDIAC Source Type: research

Off-pump versus on-pump coronary artery bypass surgery: meta-analysis and meta-regression of 13,524 patients from randomized trials
BACKGROUND: Most recent published meta-analysis of randomized controlled trials (RCTs) showed that off-pump coronary artery bypass graft surgery (CABG) reduces incidence of stroke by 30% compared with on-pump CABG, but showed no difference in other outcomes. New RCTs were published, indicating need of new meta-analysis to investigate pooled results adding these further studies. METHODS: MEDLINE, EMBASE, CENTRAL/CCTR, SciELO, LILACS, Google Scholar and reference lists of relevant articles were searched for RCTs that compared outcomes (30-day mortality for all-cause, myocardial infarction or stroke) between off-pump versus o...
Source: Revista Brasileira de Cirurgia Cardiovascular - April 12, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Meta-Analysis of Staged Versus Combined Carotid Endarterectomy and Coronary Artery Bypass Grafting.
CONCLUSIONS: Our meta-analysis of observational studies suggests comparable outcomes in combined and staged approach for synchronous carotid and coronary artery disease. Hence, the 2 strategies can be used interchangeable in the clinical practice, with each having specific applications linked to specific clinical conditions. A randomized trial is warranted to answer this question definitively. PMID: 24090581 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - October 1, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Sharma V, Deo SV, Park SJ, Joyce LD Tags: Ann Thorac Surg Source Type: research