Stroke after cardiac surgery: A risk factor analysis of 16,184 consecutive adult patients

Annals of Thoracic Surgery

Volumn 75, Issue 2, 2003, Pages 472-478

  Bucerius, Jan ^a   Gummert, Jan F ^a   Borger, Michael A ^a   Walther, Thomas ^a   Doll, Nicolas ^a   Onnasch, Jörg F ^a   Metz, Sebastian ^a   Falk, Volkmar ^a   Mohr, Friedrich W ^a  

^a UNIVERSITY OF LEIPZIG   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; AORTA VALVE DISEASE; ARTICLE; BRAIN ISCHEMIA; CARDIOVASCULAR DISEASE; COMPUTER ASSISTED TOMOGRAPHY; CORONARY ARTERY BYPASS GRAFT; DETERIORATION; DIABETES MELLITUS; DISEASE ASSOCIATION; EPIDEMIOLOGICAL DATA; FEMALE; HEART SURGERY; HEART VALVE SURGERY; HEMOFILTRATION; HUMAN; HYPERTENSION; INCIDENCE; INFECTION; MAJOR CLINICAL STUDY; MALE; MITRAL VALVE DISEASE; MULTIVARIATE ANALYSIS; NEUROLOGICAL COMPLICATION; NUCLEAR MAGNETIC RESONANCE IMAGING; OUTCOMES RESEARCH; PATIENT MONITORING; PERIOPERATIVE PERIOD; PERIPHERAL VASCULAR DISEASE; POSTOPERATIVE COMPLICATION; PREDICTION; PRIORITY JOURNAL; RISK FACTOR; STATISTICAL ANALYSIS; STROKE; TRANSIENT ISCHEMIC ATTACK;

ADULT; AGED; AGED, 80 AND OVER; CARDIAC SURGICAL PROCEDURES; CARDIOPULMONARY BYPASS; CEREBROVASCULAR ACCIDENT; CORONARY ARTERY BYPASS; FEMALE; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; RISK FACTORS;

EID: 0037312448     PISSN: 00034975     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0003-4975(02)04370-9     Document Type: Article

References (29)

1. Salazar JD, Wityk RJ, Grega MA, et al. Stroke after cardiac surgery: short- and long-term outcomes. Ann Thorac Surg 2001;72:1195-202.
2. Hogue CW, Murphy SF, Schechtmann KB, Davila-Roman VG. Risk factors for early or delayed stroke after cardiac surgery. Circulation 1999;100:642-7.
3. Roach GW, Kanchuger M, Mora Mangano C, et al. Adverse cerebral outcomes after coronary bypass surgery. Multicenter study of perioperative ischemia research group and the Ischemia Research and Education Foundation investigators. N Engl J Med 1996;335:1857-63.
4. Redmond JM, Greene PS, Goldsborough MA, et al. Neurologic injury in cardiac surgical patients with a history of stroke. Ann Thorac Surg 1996;61:42-7.
5. Gardner TJ, Horneffer PJ, Manolio TA, et al. Stroke following coronary artery bypass grafting: a ten-year study. Ann Thorac Surg 1985;40:574-81.
6. Mahanna EP, Blumenthal JA, White WD, et al. Defining neuropsychological dysfunction after coronary bypass grafting. Ann Thorac Surg 1996;61:1342-7.
7. Zykla-Menhorn V, Clade H. Herzchirurgen stellen Leistungszahlen 1993 vor - Der Anteil älterer Patienten steigt stetig an. Dt Ärztebl 1994;91:23-6.
8. Almassi GH, Sommers T, Moritz TE, et al. Stroke in cardiac surgical patients: determinants and outcome. Ann Thorac Surg 1999;68:391-8.
9. Wolman RL, Nussmeier NA, Aggarwal A, et al. Cerebral injury after cardiac surgery: identification of a group at extraordinary risk. Stroke 1999;30:514-22.
10. Stamou SC, Hill PC, Dangas G, et al. Stroke after coronary artery bypass: incidence, predictors, and clinical outcome. Stroke 2001;32:1508-13.
11. Diegeler A, Hirsch R, Schneider F, et al. Neuromonitoring and neurocognitive outcome in off-pump versus conventional coronary bypass operations. Ann Thorac Surg 2000;69:1162-6.
12. Stump DA, Rorie KD, Jones TJJ. Does off-pump coronary artery bypass surgery reduce the risk of brain injury? Heart Surg Forum 2001;4(Suppl 1):S14-S18.
13. Edmunds LH Jr, Clark RE, Cohn LE, Grunkemeier GL, Miller DC, Weisel RD. Guidelines for reporting morbidity and mortality after cardiac valvular operations. J Thorac Cardiovasc Surg 1996;112:708-11.
14. Gummert JF, Kluge M, Reissmann EM, Bung J, Mohr FW. Einführung eines komplexen medizinischen Dokumentationssystems am Herzzentrum Leipzig. In: Krian A, Scheld HH, eds. Dokumentationsverfahren in der Herzchirurgie III. Darmstadt: Steinkopff, 1998:99-103.
15. Tuman KJ, McCarthy RJ, Najafi H, Ivankovich AD. Differential effects of advanced age on neurologic and cardiac risks of coronary artery operations. J Thorac Cardiovasc Surg 1992; 104:1510-17.
16. Borger MA, Ivanov J, Weisel RD, Rao V, Peniston CM. Stroke during coronary bypass surgery: principal role of cerebral macroemboli. Eur J Cardiothorac Surg 2001;19:627-32.
17. Newman MF, Wolman R, Kanchuger M, et al. Multicenter preoperative stroke risk index for patients undergoing coronary artery bypass graft surgery. Circulation 1996;94(Suppl 2):74-80.
18. Davis BR, Vogt T, Frost PH, et al. Risk factors for stroke and type of stroke in persons with isolated systolic hypertension. Systolic Hypertension in the Elderly Program Cooperative Research Group. Stroke 1998;29:1333-40.
19. Rorich MB, Furlan AJ. Risk at cardiac surgery in patients with prior stroke. Neurology 1990;40:835-7.
20. Shaw PJ, Bates D, Cartlidge NEF, et al. An analysis of factors predisposing to neurological injury in patients undergoing coronary bypass operations. Q J Med 1989;72:633-46.
21. Strandgaard S. Hypertension and stroke. J Hypertens 1996; 14(Suppl):23-27.
22. Bentsen N, Lausen B, Lassen NA. Chronically impaired autoregulation of cerebral blood flow in long-term diabetics. Stroke 1975;6:497-502.
23. Mooe T, Olofsson BO, Stegmayr B, Erikson P. Ischemic stroke: impact of a recent myocardial infarction. Stroke 1999;30:997-1001.
24. Borger MA, Peniston CM, Weisel RD, et al. Decreasing incidence of stroke during valvular surgery. Circulation 1998;98(Suppl 2):137-43.
25. Aberg T, Kihlgren M. Cerebral protection during open-heart surgery. Thorax 1977;32:525-33.
26. Carella F, Travaini G, Contri P, et al. Cerebral complications of coronary bypass surgery. A prospective study. Acta Neurol Scand 1988;77:158-63.
27. Anderson RJ, O'Brian M, MaWhinney S, et al. Renal failure predisposes patients to adverse outcome after coronary bypass surgery. Kidney Int 1999;55:1057-62.
28. Murkin JM, Boyd WD, Ganapathy S, Adams SJ, Peterson RC. Beating heart surgery: why expect less central nervous system morbidity? Ann Thorac Surg 1999;68:1498-501.
29. St. Amand MA, Murkin JM, Menkins AH, Downey DB. Aortic atherosclerotic plaque identified by epiaortic scanning predicts cerebral embolic load in cardiac surgery. Can J Anaesth 1997;44(Suppl):A7.