Risk factor analysis of early and delayed cerebral complications after cardiac surgery

Ridderstolpe, Lisa; Ahlgren, Ewa; Gill, H. S.; Rutberg, Hans

doi:10.1053/jcan.2002.124133

Cited by 17 publications

(9 citation statements)

References 22 publications

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“…The present study found that preoperative prevalence of craniocervical vascular lesions and postoperative AF to be predictors of late stroke. These findings coincide with those reported by Ridderstolpe et al, who described results of risk factor analysis for early and delayed cerebral complications after cardiac surgery, including postoperative supraventricular tachyarrhythmia and previous craniocervical vascular lesions [17].…”

Section: Discussionsupporting

confidence: 92%

Multivariate analysis of predictors of late stroke after total aortic arch repair

Matsuura

Ogino

Matsuda

et al. 2005

European Journal of Cardio-Thoracic Surgery

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Objective: The number of aortic surgeries has recently increased, with improvement of outcome due to the development of various novel operative techniques and adjuncts. Although the postoperative incidence of stroke, the most severe complication of aortic surgery, is still a matter of concern and has been described well previously, late stroke after aortic arch repair has not been described well. We assessed the incidence and predictors of late stroke after total aortic arch repair. Methods: From January 1993 to December 2003, 470 patients underwent total aortic arch repair in our institution. All patients, whether undergoing elective, urgent, or emergent aortic arch repair, were included. Emergent operation was required for 115 patients because of rupture or acute type A dissection. For brain protection, retrograde cerebral perfusion was used in 27% (125) and selective cerebral perfusion in 75% (353) of cases. The follow-up period was 32.5G31.5 months. Late stroke was defined as stroke occurring more than 30 days postoperatively. Results: The incidence of early postoperative stroke was 4.9% (23/470), while that of late postoperative stroke was 6.0% (28/470). On univariate analysis, postoperative atrial fibrillation (PZ0.014), preoperative prevalence of craniocervical lesions (PZ0.0001), and advanced age (PZ0.046) were each significantly related to late stroke. A Cox proportional hazards model detected postoperative atrial fibrillation (PZ0.013, ORZ3.02, 95% CI: 1.26-7.24) and preoperative prevalence of craniocervical lesions (PZ0.0001, ORZ5.37, 95% CI: 2.30-12.52) as predictors of late stroke. Conclusions: Postoperative atrial fibrillation and preoperative prevalence of craniocervical lesions were found to be risk factors for late stroke after total aortic arch repair.

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Section: Discussionsupporting

confidence: 92%

Multivariate analysis of predictors of late stroke after total aortic arch repair

Matsuura

Ogino

Matsuda

et al. 2005

European Journal of Cardio-Thoracic Surgery

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“…Although it was not our primary objective, some postoperative complications showed to be important development interferences. Among them we cite persistent left ventricular dysfunction, characterized by the need for sympathomimetic amines for a period of time ≥ 40 of post-operative phase; acute transoperative myocardial infarction [26][27][28] , and the type 1 or major neurological complications, plegias, stupor and coma [29][30][31][32] ; respiratory failure 33 and the need for prolonged mechanical ventilation (time ≥ 72 hs); acute renal failure [34][35][36][37][38] ; severe infections of the surgical wound, extensive pneumonias and sepsis [39][40][41][42] . The patients who presented one of these complications has an elevation in their mortality rate (p< 0.001).…”

Section: Discussionmentioning

confidence: 99%

Análise prospectiva de risco em pacientes submetidos à cirurgia de revascularização miocárdica

Bianco¹,

Timerman²,

Paes³

et al. 2005

Arq. Bras. Cardiol.

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“…Previous reports have shown that patients receiving aortic valve or aortic aneurysm surgery, and with prolonged cardiopulmonary bypass (CPB) time, carry a higher risk of cerebral complications after cardiac surgery. 1,10,11 Nevertheless, it is not clear whether these factors were also associated with the ROC time among patients undergoing cardiac surgery. Therefore, we conducted this retrospective study to evaluate which factors, including patient characteristics and surgery-related factors, have significant effects on ROC time from general anesthesia among patients undergoing elective cardiac surgery.…”

Section: Introductionmentioning

confidence: 99%

Patients and surgery-related factors that affect time to recovery of consciousness in adult patients undergoing elective cardiac surgery

Tsai

Chen

Chang

2011

Journal of the Chinese Medical Association

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Risk factor analysis of early and delayed cerebral complications after cardiac surgery

Cited by 17 publications

References 22 publications

Multivariate analysis of predictors of late stroke after total aortic arch repair

Multivariate analysis of predictors of late stroke after total aortic arch repair

Análise prospectiva de risco em pacientes submetidos à cirurgia de revascularização miocárdica

Patients and surgery-related factors that affect time to recovery of consciousness in adult patients undergoing elective cardiac surgery

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