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Central Nervous System Complications of Coronary Artery Bypass Grafting - Comparison Between Off - Pump CABG and Conventional CABG / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 941-947, 2000.
Artículo en Coreano | WPRIM | ID: wpr-225789
ABSTRACT

BACKGROUND:

Central nervous system complication after coronary artery bypass grafting (CABG) is one of the major prognostic determinants and the use of the cardiopulmonary bypass(CPB) may increase the incidence of this devastating complication. In this study, the outcomes after off-pump CABG were studied and compared with those following the conventional CABG using CPB. MATERIAL AND

METHOD:

Among the consecutive isolated CABG's performed in SNUH during Feb. 1995 and Jun. 1999, 338 coronary artery bypass grafting were divided into two groups. 223 patients underwent CABG using the CPB(Group I), and 115 patients underwent CABG without CPB(OPCAB)(Group II). All patients enrolled in this study received extensive preoperative examinations including thorough neurologic examination before and after surgery, transcranial doppler study, carotid duplex ultrasonography, and magnetic resonance angiography if necessary. Central nervous system(CNS) complications were defined as stroke, seizure, metabolic or hypoxic encephalopathy and transient delirium after surgery.

RESULT:

There were 61 cases(27.3%) who developed postoperative CNS complication in Group I, whereas 8 cases(7.0%) of CNS complications developed postoperatively in group II(p<0.05). Statistically significant predictors of postoperative CNS complications in group I were age and the use of cardiac assist devices perioperatively.

CONCLUSION:

This study suggested that omitting the use of CPB in CABG resulted in significant decrease of the postoperative CNS complications. OPCAB should be more widely applied especially to the elderly who have preexisting cerebrovascular disease.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Complicaciones Posoperatorias / Convulsiones / Puente Cardiopulmonar / Sistema Nervioso Central / Hipoxia Encefálica / Puente de Arteria Coronaria / Incidencia / Ultrasonografía / Angiografía por Resonancia Magnética / Vasos Coronarios Tipo de estudio: Estudio diagnóstico / Estudio de incidencia / Estudio pronóstico Límite: Anciano / Humanos Idioma: Coreano Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Año: 2000 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Complicaciones Posoperatorias / Convulsiones / Puente Cardiopulmonar / Sistema Nervioso Central / Hipoxia Encefálica / Puente de Arteria Coronaria / Incidencia / Ultrasonografía / Angiografía por Resonancia Magnética / Vasos Coronarios Tipo de estudio: Estudio diagnóstico / Estudio de incidencia / Estudio pronóstico Límite: Anciano / Humanos Idioma: Coreano Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Año: 2000 Tipo del documento: Artículo