Cerebral complications of coronary artery bypass graft surgery
Voznyuk I.A., Arsenova N.A., Hubulava G.G.
Medical Military Academy, Department of Neurology
Brief summary
The performed work demonstrates the significance of pre-operation conditions of the patients, in the first place - the level of cerebrovascular insufficiency and associated cardiac pathology. In this connection it is evident that there is a necessity to apply organizational and medicamentous preventive measures at all medical treatment stages. The comparative analysis of the results of the preventive measures joint application provides strong evidence (p<0,05) of the reduction in frequency of cerebral complications, while neurological and neuropsychological examination and ultrasound diagnostic of brachiocephal and cerebral arteries can be efficient tools to control the dynamic conditions of the brain.
Key words
cerebrovascular insufficiency, cerebral complications, ultrasound diagnostic of brachiocephal and cerebral arteries.
12. Aaslid R., Markwalker T.M., Nornes H. Noninvasive transcranial Doppler ultrasound recording of velocity in basal cerebral arteries. Neurosurg. 1982; 57: 769-774.
13. Benedict R.H. Cognitive function after open-heart surgery: are postoperative neuropsychological deficits caused by cardiopulmonary bypass? Neuropsychol. Rev 1994; 4:223-255.
14. Blauth C.I. Macroemboli and microemboli during cardiopulmonary bypass. Ann. Thorac. Surg. 1995; 59: 1300-1303.
15. Breuer A.C., Furlan A.J., Hanson M.R. et al. Central nervous system complications of coronary artery bypass graft surgery: prospective analyse of 421 patients. Stroke. 1983; 14: 682- 687.
16. Deverall P.B., Padayachee T.S., Parsons S. et al. Ultrasound detections of microemboli in the middle cerebral artery during cardiopulmonary bypass surgery. Eur. J. Cardiothorac. Surg. 1988; 2: 256-260.
17. Furlan A.J., Breuer A.C. Central nervous system complications of open- heart surgery. Stroke 1984; 15: 912-915.
18. Furlan A.J., Sila C.A., Jones S.C. et al. Neurological complications related to cardiac surgery. Neurol. Clin. 1992; 10: 145-166.
19. Jacobs A., Neveling M. et al. Alterations of neuropsychological function and cerebral glucose metabolism after cardiac surgery are not related only to intraoperative microembolic events. Stroke 1998; 29: 660-667.
20. Mills S.A. Risk factors for cerebral injury and cardiac surgery. Ann. Thorac. Surg. 1995; 59: 1296-1299.
21. Shaw P.J. The neurological sequelae of cardiopulmonary bypass: the Newcastle experience. Cardiac surgery and the brain. London etc., 1993: 24-33.
23. Sotaniemi K.A. Prevalence and causes of cerebral complications in cardiac surgery. Cerebral damage before and after cardiac surgery. Dordrecht: Klumer Academic Publishers, 1993.
24. ACS/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction. Circulation 2004; 110: 82–292.