Investigation of the Relationship between Cerebral Near-Infrared Spectroscopy Measurements and Cerebrovascular Event in Coronary Artery Bypass Grafting Operation in Patients without Carotid Stenosis and Patients with Carotid Stenosis below Surgical Margins
Autor: | Ilker Mataraci, Ceyhun Coskun, Ferhat Borulu, Muhammed Onur Hanedan, İzzet Emir |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Male
medicine.medical_specialty RD1-811 Cerebral oxygen saturation law.invention law Internal medicine Cardiopulmonary bypass Humans Medicine Diseases of the circulatory (Cardiovascular) system Carotid Stenosis Arterial Pressure Anesthesia Oximetry cardiovascular diseases Cerebral perfusion pressure Coronary Artery Bypass Stroke Aged Spectroscopy Near-Infrared Cardiopulmonary Bypass business.industry Margins of Excision General Medicine Middle Aged medicine.disease Intensive care unit Patient Discharge Oxygen Stenosis Blood pressure medicine.anatomical_structure RC666-701 Cerebrovascular Circulation Cardiology Female Original Article Surgery Cardiology and Cardiovascular Medicine business Artery |
Zdroj: | Brazilian Journal of Cardiovascular Surgery v.35 n.4 2020 Brazilian Journal of Cardiovascular Surgery Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV |
Popis: | Objectives: Stroke is an important cause of mortality and morbidity in surgery. In the present study, we examined the cerebral oximetry values of patients with carotid artery stenosis who did not present surgical indications and those who did not present carotid artery stenosis in coronary artery bypass grafting (CABG) surgery by comparing their cerebral oximetry values with cerebrovascular disease (CVD). Methods: Between January and May 2014, 40 patients who underwent isolated CABG were included in the study. Cerebral oximetry probes were placed prior to induction of anesthesia. Cerebral oximetry values were recorded before induction, in the pump (cardiopulmonary bypass) inlet period, in the post-clamp period, in the pump outlet period, and in the intensive care unit and neurological complications. Results: There was no difference between the groups in terms of demographic data and routine follow-up parameters. Intraoperative surgical data and early postoperative results were similar in both groups. When comparing the groups, there were no statistically significant results in cerebral oximetry values and CVD development. Only one patient in group 2 had postoperative CVD and this patient was discharged from the hospital with right hemiplegia. Mean arterial pressure (MAP)levels were significantly higher in Group 2 (P |
Databáze: | OpenAIRE |
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