Asymptomatic carotid artery stenosis and stroke in patients undergoing cardiopulmonary bypass

Abstract

It is concluded that carotid atherosclerosis is a risk factor for hemispheric stroke in patients undergoing CPB.

The factors of unfavorable prognosis of various surgical strategies in patients with combined coronary and brachiocephalic lesion in remote postoperative period

“…According to world literature critical carotid stenosis is not only cause but the risk factor for stroke/TIA [13][14][15][16]. Moreover, important factors are cerebral hyperperfusion syndrome immediately after CEE, supraventricular rhythm disturbances, low ejection fraction, postoperative hypercoagulability and cerebral embolization by atherothrombotic substances as a result of aortic manipulation [17][18][19].…”

“…По данным мировой литературы [13][14][15][16], критиче-ские стенозы БЦА скорее являются не единственной при-чиной, а фактором риска развития ОНМК/ТИА. Наряду с этим важными факторами являются такие, как синдром гиперперфузии головного мозга непосредственно после выполнения КЭЭ, суправентрикулярное нарушение рит-ма, низкая фракция выброса (ФВ), послеоперационная гиперкоагуляция, а также эмболизация церебральных ар-терий атеротромботическими субстанциями в результате манипуляций на аорте [17][18][19].…”

Procedimento combinado entre operação de revascularização do miocárdio e endarterectomia de carótida: análise dos resultados

“…Therefore, screening programs in CABG candidates may identify from 2.8% to 8.7% of the patients with signifi cant carotid lesion (≥ 75%) [28][29][30][31][32][33] .…”

“…The literature has shown that a carotid disease greatly increases the likelihood of stroke following CABG 28,47,48 . Therefore, CE should precede CABG in both the combined and the staged approach, depending on patient condition, availability of surgical teams, and local surgical experience.…”

<b>Simultaneous Carotid Endarterectomy and Coronary Revascularization is Safe Using Either On-Pump or Off-Pump Technique</b>

“…The incidence of having significant carotid disease in patients undergoing coronary artery bypass grafting (CABG) has been reported as 22%. 1) In addition, significant carotid artery stenosis has been shown to be the most powerful predictor of perioperative stroke in patients undergoing cardiac surgery.…”