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Magnetic Resonance Angiographic Evaluation as a Screening Test for Patients who are Scheduled for Cardiac Surgery / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 718-723, 2008.
Artículo en Coreano | WPRIM | ID: wpr-67921
ABSTRACT

BACKGROUND:

The advances in surgical techniques, anesthesia management, perfusion methodology and postoperative intensive care have markedly decreased the mortality and cardiac morbidity of patients who undergo heart surgery over the past 2 decades. Nevertheless, it is well recognized that cardiac surgery carries a substantial risk for central nervous system complications. This study was conducted to evaluate the prevalence of subclinical cerebrovascular lesions in the head and neck by performing magnetic resonance angiography (MRA), and we investigated the clinical course of patients who had abnormal lesion seen on head and neck MRA. MATERIAL AND

METHOD:

The subjects were 107 patients (71 men and 36 women ranging in age from 21 to 83 years) who were scheduled for cardiac surgery under nonemergency conditions between October 2005 and June 2008. Informed consent was obtained before the MRA. The carotid arteries, intracranial arteries and brain parenchyme were examined for subclinical cerebrovascular lesions by performing MRA. We reviewed the patients' medical records and MR findings to evaluate the prevalence of neurologically high risk patients and their clinical course.

RESULT:

The overall prevalence of neurologically high risk patients was 15.7% (17 patients). Among these patients, 11 patients had ischemic heart disease and 6 patients had valvular heart disease. Only 2 patients had a history of cerebrovascular disease. The clinical courses of 14 patients (13.1%) were changed according to their MRI findings.

CONCLUSION:

The prevalence of subclinical cerebrovascular disease in patients who were scheduled for cardiac surgery was higher than was expected. MR angiography was of value to identify these patients.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Perfusión / Arterias / Cirugía Torácica / Encéfalo / Cuidados Preoperatorios / Imagen por Resonancia Magnética / Angiografía / Espectroscopía de Resonancia Magnética / Arterias Carótidas / Sistema Nervioso Central Tipo de estudio: Estudio diagnóstico / Estudio de prevalencia / Estudio pronóstico / Estudio de tamizaje Límite: Femenino / Humanos / Masculino Idioma: Coreano Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Año: 2008 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Perfusión / Arterias / Cirugía Torácica / Encéfalo / Cuidados Preoperatorios / Imagen por Resonancia Magnética / Angiografía / Espectroscopía de Resonancia Magnética / Arterias Carótidas / Sistema Nervioso Central Tipo de estudio: Estudio diagnóstico / Estudio de prevalencia / Estudio pronóstico / Estudio de tamizaje Límite: Femenino / Humanos / Masculino Idioma: Coreano Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Año: 2008 Tipo del documento: Artículo