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

Slides:



Advertisements
Similar presentations
Results of Initial Operations in Non–Small Cell Lung Cancer Patients With Single-Level N2 Disease  Yasuhiko Ohta, MD, Yosuke Shimizu, MD, Hiroshi Minato,
Advertisements

Safety and efficacy of intraarterial thrombolysis for perioperative stroke after cardiac operation  Nader Moazami, MD, Nicholas G Smedira, MD, Patrick.
Non–Small Cell Lung Cancer at the Extremes of Age: Impact on Diagnosis and Treatment  William C Nugent, MD, Mark T Edney, BA, Paul G Hammerness, BA, Bradley.
Treating Constrictive Pericarditis in a Chinese Single-Center Study: A Five-Year Experience  Yiyun Lin, MD, Mi Zhou, MMS, Jian Xiao, MD, Bin Wang, MD,
Improved clinical outcomes in patients undergoing coronary artery bypass grafting with coronary endarterectomy  Oz M Shapira, MD, Gabriel Akopian, Ali.
Leena Khaitan, MD, Francis P Sutter, Scott M Goldman, MD 
Stroke after coronary artery operation: incidence, correlates, outcome, and cost  John D Puskas, MD, A.Daniel Winston, MD, Carolyn E Wright, MS, John Parker.
Michael Kalina, DO, Frederick Giberson, MD 
Long-Term Outcomes After Isolated Aortic Valve Replacement in Octogenarians: A Modern Perspective  Vinod H. Thourani, MD, Richard Myung, MD, Patrick Kilgo,
Atheroembolism in cardiac surgery
Jason N. MacTaggart, MD, Iraklis I. Pipinos, MD, Jason M
Immunology and failure of valved allografts in children
Hancock II Bioprosthesis for Aortic Valve Replacement: The Gold Standard of Bioprosthetic Valves Durability?  Tirone E. David, MD, Susan Armstrong, MS,
Lisa M. Brown, MD, MAS, David T. Cooke, MD, Elizabeth A. David, MD 
Assessing the impact of cerebral injury after cardiac surgery: will determining the mechanism reduce this injury?  William A Baumgartner, MD, Peter L.
Smoking cessation is associated with decreased mortality and improved amputation- free survival among patients with symptomatic peripheral artery disease 
Supra-aortic vessels aneurysms: Diagnosis and prompt intervention
Heart Transplantation for the Failing Fontan
Salvage Lung Resection After Definitive Radiation (>59 Gy) for Non-Small Cell Lung Cancer: Surgical and Oncologic Outcomes  Julie E. Bauman, MD, Michael.
Surgery for coarctation of the aorta in infants weighing less than 2 kg  Emile A Bacha, MD, Melvin Almodovar, MD, David L Wessel, MD, David Zurakowski,
Michael E. Halkos, MD, Patrick Kilgo, MS, Omar M
Frequency of cancer in patients operated on for acute peripheral arterial thrombosis and the impact on prognosis  Chalotte Winther Nicolajsen, MD, Maja.
Eight-year institutional review of carotid artery stenting
Biventricular Conversion After Single Ventricle Palliation in Patients With Small Left Heart Structures: Short-Term Outcomes  Brian T. Kalish, MD, Puja.
The Impact of Peripheral Vascular Disease on Long-Term Survival After Coronary Artery Bypass Graft Surgery  Danny Chu, MD, Faisal G. Bakaeen, MD, Xing.
Cerebral Air Embolism as a Result of Inducing Pneumoperitoneum After Bilobectomy  Hak Young Rhee, MD, Dae Hyun Kim, MD, Young Tae Kwak, MD, Jae Woo Lee,
Intraoperative Hemoglobin Levels and Transfusion Independently Predict Stroke After Cardiac Operations  Zainab S. Bahrainwala, BS, Maura A. Grega, RN,
Robert C. Neely, MD, John G. Byrne, MD, Igor Gosev, MD, Lawrence H
Lymph Node Evaluation Achieved by Open Lobectomy Compared With Thoracoscopic Lobectomy for N0 Lung Cancer  Robert E. Merritt, MD, Chuong D. Hoang, MD,
Operative Results and Outcomes in Children With Shone's Anomaly
Surgical Ventricular Restoration for Advanced Congestive Heart Failure: Should Pulmonary Hypertension Be a Contraindication?  Nishant D. Patel, BA, Jason.
Jennifer K. Peterson, MS, Lazaros K. Kochilas, MD, MSCR, Kirsti G
Impact of Extracardiac Vascular Disease on Vein Graft Failure and Outcomes After Coronary Artery Bypass Surgery  Ralf E. Harskamp, MD, John H. Alexander,
Sex-associated differences in survival of patients undergoing resection for lung cancer  Mark K Ferguson, MD, Jun Wang, MD, Philip C Hoffman, MD, Daniel.
Jason N. MacTaggart, MD, Iraklis I. Pipinos, MD, Jason M
Surgical Resection of a Giant Coronary Aneurysm
Ola A. Selnes, PhD, Maura A. Grega, MSN, Maryanne M
Established Preoperative Risk Factors Do Not Predict Long-Term Survival in Isolated Coronary Artery Bypass Grafting Patients  Giovanni Filardo, PhD, MPH,
Silent embolic infarcts on computed tomography brain scans and risk of ipsilateral hemispheric events in patients with asymptomatic internal carotid artery.
Impact of Blood Product Transfusion on Short and Long-Term Survival After Cardiac Surgery: More Evidence  Balu Bhaskar, MD, FCICM, Joel Dulhunty, PhD,
Non–Small Cell Lung Cancer at the Extremes of Age: Impact on Diagnosis and Treatment  William C Nugent, MD, Mark T Edney, BA, Paul G Hammerness, BA, Bradley.
Patrick J. Smith, PhD, MPH, Jeffrey N. Browndyke, PhD, Zachary A
Bypass for chronic ischemia of the upper extremity: Results in 20 patients  Kakra Hughes, MD, Allen Hamdan, MD, Marc Schermerhorn, MD, Anthony Giordano,
The detrimental impact of silent cerebral infarcts on asymptomatic carotid endarterectomy outcome  Rodolfo Pini, MD, Gianluca Faggioli, MD, Matteo Longhi,
Mohammad A. Zafar, MBBS, Emily A
Straight Deep Hypothermic Arrest: Experience in 394 Patients Supports Its Effectiveness as a Sole Means of Brain Preservation  Arjet Gega, MD, John A.
Safety and efficacy of intraarterial thrombolysis for perioperative stroke after cardiac operation  Nader Moazami, MD, Nicholas G Smedira, MD, Patrick.
Survival After Isolated Coronary Artery Bypass Grafting in Patients With Severe Left Ventricular Dysfunction  Waleed A. Ahmed, MD, Phillip J. Tully, BHSc(Hons),
Cardiac Surgery in Select Nonagenarians: Should We or Shouldn’t We?
The Removal of Chest Tubes Despite an Air Leak or a Pneumothorax
Vijay S Patel, MD, Scott M Palmer, MD, Robert H Messier, MD, R
Trends in Patient Characteristics and Outcomes of Coronary Artery Bypass Grafting in the 2000 to 2012 Medicare Population  Christian McNeely, MD, Stephen.
Prolonged Intensive Care Unit Stay in Cardiac Surgery: Risk Factors and Long-Term- Survival  Ortrud Vargas Hein, MD, Jürgen Birnbaum, MD, Klaus Wernecke,
Total Arterial Off-Pump Coronary Surgery: Time to Change Our Habits?
Endovascular stent graft exclusion of a thoracic arteriovenous malformation in a patient with Cobb syndrome  Cindy Huynh, MD, Vivian Gahtan, MD, Robert.
Pulmonary Embolectomy for Acute Massive Pulmonary Embolism
Neal S Goldstein, MD  The Annals of Thoracic Surgery 
Steve K. Singh, MD, Gilbert H. L. Tang, MD, Manjula D
Postoperative cardiac tamponade in the modern surgical era
Results of Initial Operations in Non–Small Cell Lung Cancer Patients With Single-Level N2 Disease  Yasuhiko Ohta, MD, Yosuke Shimizu, MD, Hiroshi Minato,
Cognitive changes with coronary artery disease: a prospective study of coronary artery bypass graft patients and nonsurgical controls  Ola A Selnes, PhD,
Perioperative Stroke in Infants Undergoing Open Heart Operations for Congenital Heart Disease  Jodi Chen, MD, Robert A. Zimmerman, MD, Gail P. Jarvik,
Reoperation for Coronary Artery Bypass Grafting Surgery: Outcomes and Considerations for Expanding Interventional Procedures  Simon Maltais, MD, PhD,
Are There Enough Jobs in Cardiothoracic Surgery
Increased Rehospitalization Rate After Coronary Bypass Operation for Acute Coronary Syndrome: A Prospective Study in 200 Patients  Staffan Bjessmo, MD,
Xiaoying Lou, MD, Edward P. Chen, MD, Yazan M. Duwayri, MD, Ravi K
Yangfeng Tang, MD, Zilin Liao, MD, Lin Han, MD, Zhiyun Xu, MD 
Long-term outcome after coronary artery bypass grafting in patients with severe left ventricular dysfunction  John Alfred Carr, MD, Benjamin E Haithcock,
Coronary malperfusion due to type a aortic dissection: mechanism and surgical management  Koji Kawahito, MD, Hideo Adachi, MD, Sei-ichiro Murata, MD,
Revascularization in severe ventricular dysfunction (15% ≤ LVEF ≤ 30%): a comparison of bypass grafting and percutaneous intervention  Koichi Toda, MD,
Presentation transcript:

Stroke after cardiac surgery: short- and long-term outcomes Jorge D Salazar, MD, Robert J Wityk, MD, Maura A Grega, MSN, Louis M Borowicz, MS, John R Doty, MD, Jason A Petrofski, MD, William A Baumgartner, MD  The Annals of Thoracic Surgery  Volume 72, Issue 4, Pages 1195-1201 (October 2001) DOI: 10.1016/S0003-4975(01)02929-0

Fig 1 Example of embolic (large artery) cerebral infarction. Computer tomography (CT) in a patient with complete right middle cerebral artery territory infarction (within arrows). Embolic infarctions involve a well-defined vascular territory and characteristically have a triangular appearance on CT. The Annals of Thoracic Surgery 2001 72, 1195-1201DOI: (10.1016/S0003-4975(01)02929-0)

Fig 2 Examples of watershed (border-zone) cerebral infarction. Computed tomography in a patient with multiple watershed (border-zone) infarctions (A and B). (A) The arrow indicates a frontal lobe, middle cerebral artery-anterior cerebral artery (MCA-ACA) border-zone infarction. (B) The arrow indicates a parietal/occipital, middle cerebral artery-anterior cerebral artery, posterior cerebral artery (MCA-ACA-PCA) border-zone infarction. Watershed infarction is defined as an infarct between vascular territories. The term “watershed” infarct refers to the neuroimaging characteristics of the infarct and does not necessarily imply mechanism of stroke. The Annals of Thoracic Surgery 2001 72, 1195-1201DOI: (10.1016/S0003-4975(01)02929-0)

Fig 3 Kaplan-Meier survival curve for all stroke patients. Dashed lines indicate the upper and lower limits for the 95% confidence interval. The Annals of Thoracic Surgery 2001 72, 1195-1201DOI: (10.1016/S0003-4975(01)02929-0)