Predictors of intracranial cerebral artery stenosis in patients before cardiac surgery and its impact on perioperative and long-term stroke risk

Luchowski, Piotr; Wojczal, Joanna; Buraczynska, Kinga; Kozłowicz, Michał; Stążka, Janusz; Rejdak, Konrad

doi:10.1016/j.pjnns.2015.09.006

Cited by 5 publications

(1 citation statement)

References 33 publications

(36 reference statements)

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“…Cerebrovascular disease (CVD) is an important risk factor for perioperative stroke in patients undergoing coronary artery bypass grafting (CABG) [1] [2].…”

Section: Introductionmentioning

confidence: 99%

Impact of Perioperative Management for Intracranial Arterial Stenosis on Postoperative Stroke Incidence in Coronary Artery Bypass Surgery: A Propensity Matching and Multivariate Analyses

Imura¹,

Maruyama²,

Shirakawa³

et al. 2018

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Background: Intracranial arterial steno-occlusive lesion (IAS) is the most common cause of stroke. We hypothesized that adequate perioperative management for IAS is useful to prevent stroke in coronary artery bypass grafting (CABG). Methods: IAS was evaluated using magnetic resonance imaging/angiography (MRI/A, n = 216) in patients without a history of stroke or carotid stenosis (≥50%) in CABG between May 2005 and June 2018 (n = 424). Off-pump CABG was performed in most patients. Different perioperative managements of systolic arterial pressure (SAP) were applied for patients with and without MRI/A. SAP was strictly maintained at ≥80 mmHg in patients with significant IAS (≥50%, n = 28) and ≥90 mmHg for severe IAS (≥70%, n = 44) while SAP less than 80 mmHg (usually ≥70 mmHg) was allowed for patients without MRI/A. Intra-aortic balloon pumping was used for patients with multiple severe IAS and/or occlusion. Clinical outcomes were compared between patients with and without MRI/A. Propensity matching was performed (n = 181 each). Results: Complete revascularization was achieved in all patients. Nine patients (2.12%) had postoperative strokes; the incidence of stroke was significantly less in patients with preoperative MRI/A

show abstract

“…Cerebrovascular disease (CVD) is an important risk factor for perioperative stroke in patients undergoing coronary artery bypass grafting (CABG) [1] [2].…”

Section: Introductionmentioning

confidence: 99%

Impact of Perioperative Management for Intracranial Arterial Stenosis on Postoperative Stroke Incidence in Coronary Artery Bypass Surgery: A Propensity Matching and Multivariate Analyses

Imura¹,

Maruyama²,

Shirakawa³

et al. 2018

View full text Add to dashboard Cite

show abstract

Association between fasting blood glucose and intracranial cerebral artery stenosis: a secondary analysis based on a retrospective cross-sectional study in Korean adults

Fan

et al. 2021

Acta Diabetol

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The link between impaired oxygen supply and cognitive decline in peripheral artery disease

Burtscher,

Millet,

Fresa

et al. 2024

Progress in Cardiovascular Diseases

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Predictors of intracranial cerebral artery stenosis in patients before cardiac surgery and its impact on perioperative and long-term stroke risk

Abstract: The occurrence of intracranial artery stenosis in CABG patients cannot be predicted by well-known atherosclerotic risk factors and seems not to be associated with perioperative stroke.

Cited by 5 publications

References 33 publications

Impact of Perioperative Management for Intracranial Arterial Stenosis on Postoperative Stroke Incidence in Coronary Artery Bypass Surgery: A Propensity Matching and Multivariate Analyses

Impact of Perioperative Management for Intracranial Arterial Stenosis on Postoperative Stroke Incidence in Coronary Artery Bypass Surgery: A Propensity Matching and Multivariate Analyses

Association between fasting blood glucose and intracranial cerebral artery stenosis: a secondary analysis based on a retrospective cross-sectional study in Korean adults

The link between impaired oxygen supply and cognitive decline in peripheral artery disease

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