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Ann Thorac Surg 2003;76:435
© 2003 The Society of Thoracic Surgeons

Original article: cardiovascular

Invited commentary

Sotiris Stamou, MD, PhDa

a Department of Cardiac Surgery, Georgetown University Hospital, 3800 Reservoir Road, NW Washington, DC 20007, USA

e-mail: cvsisfun@hotmail.com

The first 20% of the full text of this article appears below.

The incidence of clinically obvious strokes after coronary artery bypass graft operations is reported to be between 0.8% and 5.2%. It is estimated that between 5,000 and 35,000 new strokes develop as a result of this procedure, which possibly makes coronary artery bypass surgery the single largest cause of iatrogenic stroke in the U.S. In this study, Likosky and colleagues present a prediction model for stroke based on intraoperative and postoperative factors. By virtue of the sample size of this multiinstitutional study, they were able to create a powerful model to identify intraoperative and postoperative risk factors that are more likely to be associated with this outcome in patients who had coronary artery bypass with cardiopulmonary bypass (so-called on-pump patients). Their findings are confirmatory of . . . [Full Text of this Article]




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