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Bruce A. Perler, MD, MBA

Arch Surg. 2009;144(11):998-999.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Archives of Neurology

Strokes After Cardiac Surgery and Relationship to Carotid Stenosis

Yuebing Li, MD, PhD; Debra Walicki; Claranne Mathiesen, RN; Donna Jenny, RN; Qiang Li, MD; Yevgeniy Isayev, MD; James F. Reed III, PhD; John E. Castaldo, MD

Objective:  To critically examine the role of significant carotid stenosis in the pathogenesis of postoperative stroke following cardiac operations.

Design:  Retrospective cohort study.

Setting:  Single tertiary care hospital.

Participants:  A total of 4335 patients undergoing coronary artery bypass grafting, aortic valve replacement, or both.

Main Outcome Measures:  Incidence, subtype, and arterial distribution of stroke.

Results:  Clinically definite stroke was detected in 1.8% of patients undergoing cardiac operations during the same admission. Only 5.3% of these strokes were of the large-vessel type, and most strokes (76.3%) occurred without significant carotid stenosis. In 60.0% of cases, strokes identified via computed tomographic head scans were not confined to a . . . [Full Text of this Article]

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