Frequency of Stroke After Percutaneous Coronary Intervention or Coronary Artery Bypass Grafting (from an Eleven-Year Statewide Analysis)

We compared stroke rates associated with coronary artery bypass grafting (CABG), both on-pump and off-pump, and percutaneous coronary intervention (PCI) with both drug-eluting stent (DES) and bare-metal stent (BMS) and the impact on 30-day and 1-year all-cause mortality. The Myocardial Infarction Da...

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Bibliographic Details
Published in:The American journal of cardiology 2017-01, Vol.119 (2), p.197-202
Main Authors: Moreyra, Abel E., MD, Maniatis, Gregory A., MD, Gu, Hui, MS, MS, Swerdel, Joel N., MS, MPH, McKinney, James S., MD, Cosgrove, Nora M., RN, Kostis, William J., PhD, MD, Kostis, John B., MD
Format: Article
Language:English
Subjects:
Aged
Anemia
Angioplasty
Bypasses
Cardiovascular
Cardiovascular disease
Cerebral infarction
Chronic obstructive pulmonary disease
Codes
Coronary artery
Coronary Artery Bypass - adverse effects
Coronary vessels
Data acquisition
Data base management systems
Data processing
Demographics
Demography
Drug delivery
Female
Grafting
Health risks
Heart attacks
Heart failure
Heart surgery
Humans
Implants
Kidney diseases
Logistic Models
Male
Middle Aged
Morbidity
Mortality
Myocardial infarction
Myocardial Infarction - complications
Myocardial Infarction - mortality
Myocardial Infarction - surgery
Patients
Percutaneous Coronary Intervention - adverse effects
Postoperative Complications - epidemiology
Proportional Hazards Models
Retrospective Studies
Risk
Software
Stents
Stents - adverse effects
Stroke
Stroke - epidemiology
Surgical implants
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Summary:We compared stroke rates associated with coronary artery bypass grafting (CABG), both on-pump and off-pump, and percutaneous coronary intervention (PCI) with both drug-eluting stent (DES) and bare-metal stent (BMS) and the impact on 30-day and 1-year all-cause mortality. The Myocardial Infarction Data Acquisition System database was used to study patients who had on-pump CABG (n = 47,254), off-pump CABG (n = 19,118), and PCI with BMS (n = 46,641), and DES (n = 115,942) in New Jersey from 2002 to 2012. Multiple logistic and Cox proportional hazard models were used to compare the risk of stroke and mortality. Adjustments were made for demographics, year of hospitalization, and co-morbidities. The rate of postprocedural stroke was lowest with DES (0.5%), followed by BMS (0.6%), off-pump CABG (1.3%), and on-pump CABG (1.8%). After adjustment, on-pump CABG had a higher risk of stroke compared with off-pump (odds ratio 1.36, 95% CI 1.18 to 1.56, p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2016.09.046