Intraoperative and postoperative variables associated with strokes following cardiac surgery.
作者： Donald S. Likosky , Louis R. Caplan , Ronald M. Weintraub , Gregg S. Hartman , David J. Malenka
关键词: Medicine 、 Prospective cohort study 、 Artery 、 Odds ratio 、 Cardiology 、 Perfusion 、 Stroke 、 Complication 、 Surgery 、 Cardiac surgery 、 Atrial fibrillation 、 Internal medicine
摘要: Background: Strokes are a devastating complication of coronary artery bypass grafting (CABG) surgery. Previous work from 1992 to 2000 determined the principal mechanism strokes occurring secondary CABG. In present study, we quantified association between intraoperative and postoperative variables stroke mechanisms while adjusting for patient disease characteristics. Methods: We conducted prospective study 13,897 patients who underwent isolated CABG in northern New England 2000. Data were collected on characteristics, care, outcomes. classified as embolic, hypoperfusion, mixed (hemorrhage, lacunar, thrombotic, other, multiple, unclassified). treatment course Patients without served reference group determination odds ratios (OR). Results: Variables associated with embolic included cardiopulmonary time greater than 2 hours versus less 1 hour (OR, 1.5; ptrend .03) atrial fibrillation 2.4; P
metapress.com参考文章(19)
William R. Brown, Dixon M. Moody, Venkata R. Challa, David A. Stump, John W. Hammon, Longer Duration of Cardiopulmonary Bypass Is Associated With Greater Numbers of Cerebral Microemboli Stroke. ,vol. 31, pp. 707- 713 ,(2000) , 10.1161/01.STR.31.3.707
Donald S Likosky, Bruce J Leavitt, Charles AS Marrin, David J Malenka, Alexander G Reeves, Ronald M Weintraub, Louis R Caplan, Yvon R Baribeau, David C Charlesworth, Cathy S Ross, John H Braxton, Felix Hernandez Jr, Gerald T O’Connor, Northern New England Cardiovascular Disease Study Group, Intra- and postoperative predictors of stroke after coronary artery bypass grafting. The Annals of Thoracic Surgery. ,vol. 76, pp. 428- 434 ,(2003) , 10.1016/S0003-4975(03)00490-9
Lawrence L. Creswell, Richard B. Schuessler, Michael Rosenbloom, James L. Cox, Hazards of postoperative atrial arrhythmias The Annals of Thoracic Surgery. ,vol. 56, pp. 539- 549 ,(1993) , 10.1016/0003-4975(93)90894-N
Christopher R Cartwright, Christina Mora Mangano, Con: During cardiopulmonary bypass for elective coronary artery bypass grafting, perfusion pressure should not routinely be greater than 70 mmHg Journal of Cardiothoracic and Vascular Anesthesia. ,vol. 12, pp. 361- 364 ,(1998) , 10.1016/S1053-0770(98)90023-4
John J. Ricotta, Gian Luca Faggioli, Alice Castilone, James M. Hassett, Risk factors for stroke after cardiac surgery: Buffalo Cardiac-Cerebral Study Group Journal of Vascular Surgery. ,vol. 21, pp. 359- 364 ,(1995) , 10.1016/S0741-5214(95)70276-8
Stephen D. Surgenor, Gerald T. O’Connor, Stephen J. Lahey, Reed Quinn, David C. Charlesworth, Lawrence J. Dacey, Robert A. Clough, Bruce J. Leavitt, Gordon R. Defoe, Mary Fillinger, William C. Nugent, Predicting the risk of death from heart failure after coronary artery bypass graft surgery. Anesthesia & Analgesia. ,vol. 92, pp. 596- 601 ,(2001) , 10.1097/00000539-200103000-00008
Timothy J. Gardner, Peter J. Horneffer, Teri A. Manolio, Thomas A. Pearson, Vincent L. Gott, William A. Baumgartner, A. Michael Borkon, Levi Watkins, Bruce A. Reitz, Stroke following coronary artery bypass grafting: a ten-year study. The Annals of Thoracic Surgery. ,vol. 40, pp. 574- 581 ,(1985) , 10.1016/S0003-4975(10)60352-9
F. Gonzalez-Scarano, H. I. Hurtig, Neurologic complications of coronary artery bypass grafting: Case-control study Neurology. ,vol. 31, pp. 1032- 1032 ,(1981) , 10.1212/WNL.31.8.1032
G T O'Connor, S K Plume, E M Olmstead, L H Coffin, J R Morton, C T Maloney, E R Nowicki, D G Levy, J F Tryzelaar, F Hernandez, Multivariate prediction of in-hospital mortality associated with coronary artery bypass graft surgery. Northern New England Cardiovascular Disease Study Group. Circulation. ,vol. 85, pp. 2110- 2118 ,(1992) , 10.1161/01.CIR.85.6.2110
Denise Barbut, Yi-Wen Lo, Gregg S. Hartman, Fun-Sun F. Yao, Rosario R. Trifiletti, David N. Hager, Robert B. Hinton, Jeffrey P. Gold, O. Wayne Isom, Aortic atheroma is related to outcome but not numbers of emboli during coronary bypass The Annals of Thoracic Surgery. ,vol. 64, pp. 454- 459 ,(1997) , 10.1016/S0003-4975(97)00523-7