Stroke after cardiac surgery: short- and long-term outcomes

Timing of Stroke After Cardiopulmonary Bypass Determines Mortality

“…Our single-center, retrospective review of cardiac operations during a 10-year period found that stroke complications were infrequent. The overall stroke rate of 2.8% is similar to that reported in other studies [3][4][5][6][7][8][9][10]19].…”

Predictors of early and late stroke following cardiac surgery

“…We compared the prevalence of plausible risk factors for stroke 17,18 (a) among patients with and without a history of atrial fibrillation and (b) among patients with new-onset postoperative atrial fibrillation and those without new-onset postoperative atrial fibrillation and no history of the condition. Risk factors that were plausible and available for analysis included age, sex, diabetes mellitus, congestive heart failure, left ventricular systolic function, cerebrovascular disease, valve surgery, CABG surgery, creatinine level, dialysis, hypertension, prior transient ischemic attack or stroke, hyperlipidemia, peripheral vascular disease, reoperation, history of myocardial infarction, left main coronary artery disease, history of atrial fibrillation and new-onset postoperative atrial fibrillation.…”

Sonolysis in prevention of brain infarction during cardiac surgery (Sonorescue): a randomized, controlled trial

“…[9][10][11][12][13][14][15][16][17][18][19][20] DW-MRI is sufficiently sensitive for detection of small ischemic lesions in the brain after CABG or valve surgery. [24][25][26] Conversely, relatively few TIAs or strokes are expected after these types of cardiac surgery (%3%) [1][2][3] , similar to the levels seen in patients undergoing carotid endarterectomy or stenting. 31,32 Thus, DW-MRI is being used increasingly as a surrogate marker for stroke.…”

“…[1][2][3][4][5][6][7] Studies have shown that the risk of stroke after cardiac surgery is 1.3% to 3.6%. [1][2][3] Microemboli can cause small silent or even clinically manifest brain ischemic lesions with a high risk of cognitive impairment after cardiac surgery that can be detected in 88% of patients. [4][5][6][7] Slight brain ischemic lesion can be detected using diffusion-weighted-magnetic resonance imaging (DW-MRI) in 61% of patients after coronary artery bypass grafting (CABG) or valve surgery.…”