Strategies for preventing stroke after coronary artery bypass grafting
| Autor: | Ikuo Fukuda, Hideya Unno, Yuichiro Kaminishi |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Carotid endarterectomy Axillary artery Monitoring Intraoperative medicine.artery Internal medicine Ascending aorta medicine Humans cardiovascular diseases Coronary Artery Bypass Stroke Aorta Ultrasonography Interventional Aged Retrospective Studies Aged 80 and over business.industry Middle Aged medicine.disease Surgery Cardiac surgery Cerebrovascular Disorders Stenosis Embolism Cardiothoracic surgery Heart Arrest Induced cardiovascular system Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Japanese Journal of Thoracic and Cardiovascular Surgery. 46:38-45 |
| ISSN: | 1863-2092 1344-4964 |
| Popis: | To evaluate the usefulness of our strategy for preventing stroke after CABG, 343 consecutive patients were investigated retrospectively. Patient ages ranged from 32 to 31 years (mean; 63 ± 9 years). There were 254 males and 59 females. Number of grafts per patient was 1 to 5 (mean 2.4 ± 0.9 grafts). In 193 patients, internal carotid arteries (ICAs) were preoperatively evaluated by duplex scanning or cerebral angiogram. The degree of atherosclerosis in the ascending aorta was preoperatively examined by plain computed tomography in 181 patients, during surgery by ultrasonography in 75 patients and palpation in all patients. Results: 1. On preoperative examination, there were 26 patients (15.1%) with ICA stenosis greater than 50% and 15 patients (7.8%) with stenosis greater than 75%. Six patients had bilateral ICA stenosis or occlusion greater than 75%. In 26 patients with ICA stenosis greater than 50%, history of stroke was significantly more prevalent than that in 167 patients without ICA stenosis (12 patients: 46.2% vs 22 patients: 13.1%, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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