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Specialty: Anesthesiology
Procedure: Coronary Artery Bypass Graft

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Total 62 results found since Jan 2013.

Preoperative Stroke and Outcomes after Coronary Artery Bypass Graft Surgery
Conclusions: The authors found no evidence that more recent preoperative stroke predisposed patients undergoing CABG surgery to suffer postoperative stroke, death, or prolonged length of stay. The combination of prior stroke and myocardial infarction substantially increased perioperative risk.
Source: Anesthesiology - February 20, 2013 Category: Anesthesiology Tags: Perioperative Medicine 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

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

Intraoperative epiaortic scanning for preventing early stroke after off-pump coronary artery bypass
Conclusions EAS has a significant clinical benefit in reducing the incidence of early stroke in cases of partial aortic clamping in OPCAB. Therefore, EAS should be considered in patients who need partial aortic clamping in OPCAB.
Source: British Journal of Anaesthesia - August 14, 2013 Category: Anesthesiology Authors: Joo, H.- C., Youn, Y.- N., Kwak, Y.- L., Yi, G.- J., Yoo, K.- J. Tags: Cardiovascular Source Type: research

Postoperative rescue closure of patent foramen ovale in the clinical setting of acute hypoxemic respiratory failure and stroke following coronary artery bypass surgery.
We describe a case of intraoperative diagnosis and successful deferred percutaneous closure of a patent foramen ovale (PFO) in the clinical setting of acute refractory hypoxemic respiratory failure and new-onset ischemic stroke in an elderly patient after coronary artery bypass graft. Perioperative morbidity (i.e. severe hypoxemia, worsening right ventricular dysfunction, and embolic stroke) that is potentially related to intraoperatively diagnosed PFO during cardiac surgery can complicate management in the Intensive Care Unit and perhaps affect the patient's outcome. Although the PFO closure can be challenging in the clin...
Source: Annals of Cardiac Anaesthesia - January 1, 2015 Category: Anesthesiology Authors: DIaz-Gómez JL, Rodrigues E, Mordecai M, Moss J, Agnew RC, Oken KR Tags: Ann Card Anaesth 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

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

New-onset Atrial Fibrillation after Cardiac Surgery is a Significant Risk Factor for Long-term Stroke: An 8-Year Prospective Cohort Study
This study sought to determine the incidence and significance of new-onset atrial fibrillation as a risk factor for long-term stroke and mortality after cardiac surgery.Design: A prospective cohort study.Setting: 2 large tertiary public hospitalsParticipants: The study comprised 3008 patients who underwent coronary artery bypass grafting and/or valve surgery from 2008 to 2012.Interventions: None.Measurements and Main Results: new-onset atrial fibrillation was analysed as a risk factor for postoperative stroke using a multivariable logistic regression model following adjustment for potential confounders.
Source: Journal of Cardiothoracic and Vascular Anesthesia - July 8, 2021 Category: Anesthesiology Authors: Kevin K.P. Wang, Weiling Liu, Sophia T.H. Chew, Lian Kah Ti, Liang Shen Source Type: research

Predictors and outcomes of stroke after isolated coronary artery bypass grafting. A single-center experience in 20,582 patients
Stroke remains a devastating complication after cardiac surgical procedures despite advances in perioperative monitoring and management. The purpose of this study was to determine the predictors of stroke in a large, contemporary coronary surgery population.
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 12, 2023 Category: Anesthesiology Authors: Vincent J. Kroeze, Jules R Olsthoorn, Albert H.M. van Straten, Anouk Princee, Mohamed A. Soliman-Hamad Tags: Original Article Source Type: research

Use of Blood Products and Diseased Ascending Aorta Are Determinants of Stroke After Off-Pump Coronary Artery Bypass Grafting
To examine the effect of blood products on the occurrence of stroke after coronary artery surgery.
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 25, 2015 Category: Anesthesiology Authors: Eeva-Maija Kinnunen, Tatu Juvonen, Fausto Biancari Tags: Original Article 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

The validation of cardiac index and stroke volume variation measured by the pulse wave transit time analysis vs. conventional pulse contour analysis after off-pump coronary artery bypass grafting: observational study
To compare the reliability of cardiac index (CI) and stroke volume variation (SVV) measured by pulse wave transit time method using estimated continuous cardiac output (esCCO) technique with conventional pulse contour analysis after off-pump coronary artery bypass grafting (OPCAB).
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 11, 2023 Category: Anesthesiology Authors: Evgeniia V. Fot, Alexey A. Smetkin, Dmitriy A. Volkov, Tatyana N. Semenkova, Konstantin V. Paromov, Vsevolod V. Kuzkov, Mikhail Y. Kirov Tags: Original Article Source Type: research

The Validation of Cardiac Index and Stroke-Volume Variation Measured by the Pulse-Wave Transit Time-Analysis Versus Conventional Pulse-Contour Analysis After Off-Pump Coronary Artery Bypass Grafting: Observational Study
To compare the reliability of cardiac index (CI) and stroke-volume variation (SVV) measured by the pulse-wave transit-time (PWTT) method using estimated continuous cardiac output (esCCO) technique with conventional pulse-contour analysis after off-pump coronary artery bypass grafting (OPCAB).
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 11, 2023 Category: Anesthesiology Authors: Evgeniia V. Fot, Alexey A. Smetkin, Dmitriy A. Volkov, Tatyana N. Semenkova, Konstantin V. Paromov, Vsevolod V. Kuzkov, Mikhail Y. Kirov Tags: Original Article Source Type: research

Evaluation of the risk factors for neurological and neurocognitive impairment after selective cerebral perfusion in thoracic aortic surgery
ConclusionsWe found that prolonged SCP time and coronary artery disease increased the risk of postoperative stroke. Heterogeneous carotid plaque, history of cerebrovascular disease, concomitant CABG and prolonged operation time were further significant predictors of POCD.
Source: Journal of Anesthesia - May 1, 2020 Category: Anesthesiology Source Type: research