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Stroke Rates Following Surgical Versus Percutaneous Revascularization for Ischemic Heart Disease

  • Ischemic Heart Disease (D Mukherjee, Section Editor)
  • Published:
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Abstract

Purpose of Review

Coronary revascularization is a commonly performed major procedure in the hospitals. Stroke is one of the dreaded complications after coronary revascularization procedures. The focus of this review is to understand the stroke risk in percutaneous cutaneous intervention (PCI) and coronary artery bypass grafting (CABG) procedures.

Recent Findings

Available data show that PCI offers less procedural stroke risk compared to CABG although the survival benefits of CABG are better in certain scenarios. Innovative advancements in techniques, pre-procedural optimum medical therapy (OMT), intraoperative neuro-monitoring, and multidisciplinary post procedural care are the few strategies in early detection and reduce stroke risk.

Summary

Despite several innovations and strategies, it is evident that there is not enough data available to make concrete conclusions related to stroke risk after coronary revascularization, which warrants further investigation.

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Authors and Affiliations

  1. Department of Neurology, Texas Tech University Health Sciences Center El Paso, Paul L. Foster School of Medicine, El Paso, TX, 79905, USA

    Jithendhar Kandimalla, Zain Hussain, Paisith Piriyawat, Gustavo Rodriguez, Alberto Maud, Rakesh Khatri, Salvador Cruz-Flores & Anantha R. Vellipuram

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  1. Jithendhar Kandimalla
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  2. Zain Hussain
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Correspondence to Anantha R. Vellipuram.

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Salvador Cruz-Flores reports personal fees from Novo Nordisk, Galapagos, and Sunovion. The other authors declare that they have no conflict of interest.

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Kandimalla, J., Hussain, Z., Piriyawat, P. et al. Stroke Rates Following Surgical Versus Percutaneous Revascularization for Ischemic Heart Disease. Curr Cardiol Rep 23, 45 (2021). https://doi.org/10.1007/s11886-021-01471-w

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