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Updated: Apr 22, 2026
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Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
Published on: March 27, 2018
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Stroke after coronary artery surgery: a single center report
Nizar R AlWaqfi1, Khalid S Ibrahim1
1Department of General Surgery, Princess Muna Heart Center, Jordan University of Science and Technology, and King Abdullah University Hospital, Irbid, Jordan.
Summary
Stroke, or cerebrovascular accident (CVA), is a serious complication after coronary artery bypass grafting (CABG). Key predictors include advanced age, prior CVA, and chronic kidney issues, highlighting the need for improved prevention strategies.
Area of Science:
- Cardiovascular Surgery
- Neurology
- Nephrology
Background:
- Stroke (cerebrovascular accident, CVA) is a significant complication following coronary artery bypass grafting (CABG).
- Understanding the incidence and predictors of CVA post-CABG is crucial for patient outcomes.
Purpose of the Study:
- To evaluate the incidence and correlates of CVA in patients undergoing isolated CABG surgery.
- To identify risk factors associated with postoperative CVA.
Main Methods:
- Retrospective data collection from 855 patients who underwent isolated CABG between 2006 and 2009.
- Definition of CVA as new neurological deficit >24 hours.
- Univariate and multivariate analyses to identify predictors.
Main Results:
- The incidence of CVA was 1.4% (12 patients).
- Multivariate analysis identified age, previous CVA, and chronic renal impairment as significant predictors.
- CVA patients experienced longer hospital stays (20.9 days vs. 9.2 days) and higher mortality (33.3% vs. 3.2%) compared to non-CVA patients.
Conclusions:
- Postoperative CVA is a major contributor to mortality and prolonged hospitalization after CABG.
- Age, prior stroke history, and chronic kidney disease are key risk factors.
- Further research is needed to develop strategies for minimizing CVA occurrence in CABG patients.
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