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21st World Congress of the World Society of Cardio-Thoracic Surgeons


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ReferenceStroke

Year

No. of Patients

Stroke (%)

TIA/RIND (%)

Overall Mort. (%)

Stroke Mort. (%)

Preoperative Risk Factors

RF

CVD

MI

PVD

DM

AGE

Ao

EF

HTN

CP

Jones

1984

5676

0.9

 

 

 

 

 

 

 

 

X

X

 

 

 

Gardner

1985

3279

1.7

 

3.7

23

 

X

 

 

 

X

X

 

 

 

Hise

1991

2029

1.5

 

 

17

 

 

 

 

 

 

 

 

 

 

Frye

1992

10098

1.9

 

 

 

 

 

 

 

 

X

 

 

 

 

Rizzo et al

1992

3012

1.4

0.4

4.0

 

 

 

 

 

 

 

 

 

 

 

Lynn

1992

1000

2.7

1.6

 

 

 

 

 

 

X

 

X

 

 

 

Rao

1995

3910

1.4

 

1.9

22

 

X

 

X

X

X

 

 

 

 

Roach

1996

2108

3.0

0.1

2.0

21

 

X

 

 

 

X

X

 

 

 

D'Agostino

1996

1835

2.5

 

2.2

13

 

X

 

X

 

 

X

X

 

X

Mickleborough

1996

1631

1.2

0.6

1.2

26

 

X

X

X

 

X

X

X

 

 

McKhann

1997

1776

3.9

 

3.2

19

 

X

 

 

X

X

 

 

X

 

Dashe

1997

1022

2.2

 

 

 

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mean

 

3114

2.0

0.7

2.6

20

 

 

 

 

 

 

 

 

 

 

Range

 

1000-10098

0.9-3.9

0.4-1.6

1.2-4.0

13-26

 

 

 

 

 

 

 

 

 

 

Present series

1998

4518

2.0

.7

2.6

22

X

X

X

X

X

X

 

 

 

X

Table 3.

Postoperative TIA/Stroke Studies following > 1000 Patients: Perioperative Events following CABG.

Abbreviations: Ao: Ascending aortic disease; CP: Chest pain/anginal symptoms; CVD: cerebral vascular disease (defined as any patient with previous CVA, TIA, or carotid stenosis); DM: diabetes mellitus; EF: Low ejection fraction; HTN: hypertension; Low cardiac output: use of an intra-aortic balloon pump or inotropes to keep CI> 2.0 L/min/m2; MI: myocardial infarction; PVD: (peripheral vascular disease): defined by history of claudication or prior peripheral bypass for occlusive arterial disease; RF: Renal failure; TIA/RIND: transient ischemic attacks and reversible ischemic neurologic deficits

Note: For complete citations of the aboved mentioned articles see the references section of the manuscript.

 


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