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CHADS2 and CHA2DS2-VASc Scores for Prediction of Immediate and Late Stroke after Coronary Artery Bypass Graft Surgery
Conclusions: A significant number of patients may suffer stroke late after CABG, and patients with a high risk of stroke can be identified by CHADS2 and CHA2DS2-VASc scores independently from the presence of pre- or postoperative atrial fibrillation.
Source: Journal of Stroke and Cerebrovascular Diseases - December 17, 2012 Category: Neurology Authors: Fausto Biancari, Muhammad Ali Asim Mahar, Olli-Pekka Kangasniemi Tags: Original Articles Source Type: research

Late Stroke: Comparison of Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Patients With Multivessel Disease and Unprotected Left Main Disease: A Meta-Analysis and Review of Literature Clinical Sciences
Conclusions— There is a significantly lower risk of stroke within 30 days and cumulative stroke with PCI as compared with CABG up to year 5. There is no late catch up of stroke in the PCI arm. The risk of stroke should be weighed in deciding between revascularization strategies.
Source: Stroke - December 23, 2013 Category: Neurology Authors: Athappan, G., Chacko, P., Patvardhan, E., Gajulapalli, R. D., Tuzcu, E. M., Kapadia, S. R. Tags: CV surgery: coronary artery disease 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 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

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

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

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

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

Sex Differences in Ischemic Stroke Readmission Rates and Subsequent Outcomes After Coronary Artery Bypass Graft Surgery
Prior studies examining sex-related risk of readmission for ischemic stroke (IS) after coronary artery bypass grafting (CABG) did not adjust for preoperative comorbidities and used small study samples that were single-center or otherwise poorly generalizable. We assessed risk of readmission for IS after CABG for females compared to males in a nationwide sample.
Source: Journal of Stroke and Cerebrovascular Diseases - February 20, 2021 Category: Neurology Authors: Marianna Atiya, Emily Schorr, Laura K. Stein, Amit S. Dhamoon, Mandip S. Dhamoon Source Type: research

Procedure- Related and Perioperative Strokes in Patients on Hemodialysis: A 10-Year Retrospective Study (P6.046)
Conclusion: Peri-procedural and peri-operative strokes are common in patients on Hemodialysis and highest risk is in the period soon after the procedure. Further studies should be directed towards better surgical risk stratification and stroke prevention pre-operatively in these patients.Disclosure: Dr. Sunbulli has nothing to disclose. Dr. Sachar has nothing to disclose. Dr. Rajamani has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Sunbulli, M., Sachar, P., Rajamani, K. Tags: In-Hospital Stroke and Stroke Complications 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

Determinants and clinical outcomes of stroke following revascularization among patients with reduced ejection fraction
ConclusionsFurther research appears warranted to minimize the complication of stroke and improve long-term outcomes among patients with reduced EF who underwent such high risk revascularization procedural.
Source: Brain and Behavior - March 2, 2023 Category: Neurology Authors: Shaoping Wang, Yuhua Ran, Shujuan Cheng, Yi Lyu, Jinghua Liu Tags: ORIGINAL ARTICLE Source Type: research

Risk of Stroke in Imaging-proven Subclavian Steal Syndrome (P1.067)
Conclusion: The risk of stroke, especially of the posterior circulation, is high in patients with imaging-proven SSS. Male gender and presenting with symptoms were predictive risk factors for stroke.Disclosure: Dr. Bai has nothing to disclose. Dr. Wang has nothing to disclose. Dr. Zou has nothing to disclose. Dr. Zhao has nothing to disclose. Dr. Zhou has nothing to disclose. Dr. Xiao has nothing to disclose. Dr. Shu has nothing to disclose. Dr. Chou has nothing to disclose. Dr. Bo has nothing to disclose. Dr. Kasner has nothing to disclose. Dr. Tan has nothing to disclose. Dr. Li has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Bai, H., Wang, Z., Zou, Y., Zhao, X., Zhou, L., Xiao, Y., Shu, Y., Chou, D., Bo, X., Kasner, S., Tan, L., Li, Y. Tags: Cerebrovascular Disease and Interventional Neurology: Epidemiology Source Type: research

Cardio Notes: Stroke Treatment Payments in Question
(MedPage Today) -- Insurance coverage for mechanical devices in stroke is often denied. Also, the novel Combo stent, best practices in DVT, and stroke in CABG/PCI.
Source: MedPage Today Neurology - April 22, 2013 Category: Neurology Source Type: news

Predictors associated with stroke after coronary artery bypass grafting: A systematic review
Stroke is a major cause of morbidity and mortality after coronary artery bypass grafting (CABG). The purpose of this systematic review was to evaluate the predictors of perioperative stroke after CABG.
Source: Journal of the Neurological Sciences - July 4, 2015 Category: Neurology Authors: Zhifeng Mao, Xiaonan Zhong, Junjie Yin, Zhihua Zhao, Xueqiang Hu, Maree L. Hackett Tags: Review Article Source Type: research

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