Central nervous system complications of coronary artery bypass graft surgeryprospective analysis of 421 patients.
作者:
Breuer,
A Furlan,
A Hanson,
M Lederman,
R Loop,
F Cosgrove,
D Greenstreet,
R Estafanous,
期刊:
Stroke
(OVID Available online 1983)
卷期:
Volume 14,
issue 5
页码: 682-687
ISSN:0039-2499
年代: 1983
出版商: OVID
数据来源: OVID
摘要:
A prospective analysis of 421 patients undergoing coronary artery bypass graft (CABG) surgery as the sole cardiac procedure was carried out to assess the frequency of central nervous system (CNS) complications. In all, 451 variables were assessed in each patient. Stroke occurred in 5.2% but was severe in only 2%. Prolonged encephalopathy occurred in 11.6% but usually resolved before discharge. No statistically significant pre- or intraoperative risk variables for CNS complications were found; specifically, age or pump times in excess of two hours were not significant factors. Postoperative use of an intraaortic balloon pump and pressor agents were significantly correlated with prolonged encephalopathy. The frequency of CNS injury in CABG surgery is similar to that in other forms of open heart surgery, and there has been little change in the frequency of CNS complications over the past seven years. Possible mechanisms of CNS damage during CABG surgery are discussed.
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