Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Predictors of neurological complications in patients with coronary heart diseasecombined with atherosclerotic lesions of brachiocephalic arteries directedto myocardial revascularization surgery

Authors: I.F. Kudashev, I.Yu. Sigaev

Company:
A.N. Bakoulev Scientific Center for Cardiovascular Surgery, Ministry of Health of the Russia, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

UDC: 616.8-06:616.12-005.4:616.132.5]-089

Link: Clinical Physiology of Blood Circulaiton. 2016; 13 (4): 192-196

Quote as: Kudashev I.F., Sigaev I.Yu. Predictors of neurological complications in patients with coronary heart disease combined with atherosclerotic lesions of brachiocephalic arteries directed to myocardial revascularization surgery. Klinicheskaya Fiziologiya Krovoobrashcheniya (Clinical Physiology of Circulation, Russian journal). 2016; 13 (4): 192–6 (in Russ.).

Received / Accepted:  18.10.2016/12.11.2016

Download
Full text:  

Abstract

Coronary artery bypass surgery is one of the leading and most effective methods of surgical treatment of patients with coronary heart disease. However, the performance of coronary artery bypass grafting is associated with the risk of postoperative neurological complications. Against the background of the steady increase in the number of coronary artery bypass operations in developed countries, the problem of prevention of neurological complications has become a major heart surgery problems. Economic losses associated with the treatment and rehabilitation of patients with neurological complications after coronary artery bypass grafting tens and hundreds of thousands of dollars per patient. In addition to the direct costs associated with morbidity and mortality due to neurological complications, there are indirect costs of disability and loss of the patient's disability. Warning neurological complications can reduce the economic costs of treatment and rehabilitation of patients with neurological complications of coronary artery bypass surgery, reduces the tax burden on the working population. The article describes the current understanding of the risk factors of neurological complications in patients allocated to coronary artery bypass grafting. It is shown the clinical and prognostic significance of risk factors for the prevention of neurological complications.

References

  1. Ибрагимов М.С., Мацкеплишвили С.Т. Факторы риска у пациентов кардиохирургического профиля с поражением церебральных артерий. Бюллетень НЦССХ им. А.Н. Бакулева РАМН. 2013; 14 (3): 13–8.
  2. Wolman R.L., Nussmeir N.A., Aggarwal A., Kanchureg M.S., Roach G.W., Newman M.F. et al. Cerebral injury after cardiac surgery: identification of a group at extraordinary risk. Stroke. 1999; 30 (3): 514–22.
  3. Van der Heyder J., Suttorp M.J., Shepens A.M. Revascularization strategy in patients with severe concurrent severe carotid and coronary artery disease: “Failure to move forward is reason to regress”. J. Cardiovasc. Surg. 2009; 50 (5): 55–62.
  4. Шабалова А.В., Джибладзе Д.Н., Казаков Э.Н., Лагода О.В., Бархатов Д.Ю. Неврологические осложнения аортокоронарного шунтирования: виды, патогенез, профилактика. Нервные болезни. 2004; 4: 9–13.
  5. Суханов С.Г., Марченко А.В., Мялюк П.А., Арутюнян В.Б., Чрагян В.А., Демакова Е.В., Вронский А.С. Предикторы цереброваскулярных нарушений у пациентов после операции коронарного шунтирования. Альманах клинической медицины. 2015; 38: 58–63.
  6. Naylor A.R., Cuffe R.L., Rothwell P.M., Bell P.R. A systematic review of outcomes following staged and synchronous carotid endarterectomy and coronary artery bypass. Eur. J. Vasc. Endovasc. Surg. 2003; 25: 380–9.
  7. Gerriets T., Schwarz N., Bachmann G., Kaps M., Kloevekorn W.P., Sammer G. et al. Evaluation of methods to predict early long-term neurobehavioral outcome after coronary artery bypass grafting. Am. J. Cardiol. 2010; 105: 95–101.
  8. Sotaniemi K.A., Mononen H., Hokkanen T.E. Longterm neurologic outcome after cardiac operation. Ann. Thorac. Surg. 1995; 59: 1336–9.
  9. Шрадер Н.И., Шайбакова В.Л., Лихванцев В.В., Левиков Д.И., Левин О.С. Неврологические осложнения аортокоронарного шунтирования. Журнал неврологии и психиатрии им. С.С. Корсакова. 2012; 3: 76–8.
  10. Bonser R.S., Pagano D., Haverich A. (eds). Brain protection in cardiac surgery. London: Springer-Verlag; 2011.
  11. Bruggemans E.F. Cognitive dysfunction after cardiac surgery: Pathophysiological mechanisms and preventive strategies. Neth. Heart J. 2013; 21 (2): 70–3.
  12. Верещагин Н.В., Пирадов М.А., Суслина З.А. Инсульт. Принципы диагностики, лечения, профилактики. М.: Интермедика; 2002.
  13. Klein K.U., Engelhard K. Perioperative neuroprotection. Best Pract. Res. Clin. Anaesthesiol. 2010; 24: 535–49.
  14. Шрадер Н.И., Васенина Е.Е., Шайбакова В.Л., Левин О.С. Предикторы неврологических осложнений у больных, перенесших аортокоронарное шунтирование. Журнал неврологии и психиатрии им. С.С. Кор- сакова. 2013; 7 (2): 90–7.
  15. Shaw P.J. The Neurological sequelae of cardiopulmonary bypass: The Newcastle experience. In: Cardiac surgery and the Brain. London: Edward Arnold; 1993: 24–33.
  16. Sun X., Lindsay J., Monsein L.H., Hill P.C., Corso P.J. Silent brain injury after cardiac surgery: a rewiew: cognitive dysfunction and magnetic resonance imaging diffusion- weighted imaging finding. J. Am. Col. Cardiol. 2012; 60 (9): 791–7.
  17. Rudolph J., Marcantonio E. Postoperative delirium: Acute change with long-term implications. Anesth. Anal. 2011; 112 (5): 1202–11.
  18. Harold L.L. Glycemic control during coronary artery bypass graft surgery. ISRN Cardiol. 2012; 2012: 1–14.
  19. Cao Li, Qin Li, Qin-Jun Yu. Risk factors for recurrent stroke after coronary artery bypass grafting. J. Cardiothorac. Surg. 2011; 6: 157.
  20. Левин О.С. Диагностика и лечение деменции в клинической практике. М.: МЕДпресс-информ; 2010: 66–76.
  21. Silbert B., Evered L., Scott D.A. Cognitive decline in the elderly: is anesthesia implicated? Best Pract. Res. Clin. Anaesthesiol. 2011; 25 (3): 379–93.
  22. Терешина Ю.С. Результаты хирургического лечения и качество жизни больных с сочетанным поражением коронарных и брахиоцефальных артерий. Бюллетень НЦССХ им. А.Н. Бакулева РАМН. 2012; 13 (5): 5–11.

 If you found mistakes, select text and press Alt+A