The relationship of carotid artery stenosis and early postoperative cerebrovascular accident in patients undergoing coronary artery bypass grafting
10.3760/cma.j.issn.1673-4904.2014.32.007
- VernacularTitle:颈动脉狭窄患者冠状动脉旁路移植术后早期脑血管意外的对比分析
- Author:
Huajing XU
;
Hairui ZHANG
;
Junqing FENG
;
Hongxing NIU
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass,off-pump;
Carotid stenosis;
Stroke
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(32):18-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relationship of carotid artery stenosis and early postoperative cerebrovascular accident in patients undergoing off-pump coronary artery bypass grafting.Methods One hundred patients with carotid artery stenosis were divided into two groups by random digits table method:off and on-pump coronary artery bypass grafting group.The incidence of early cerebral vascular accident after operation in two groups (48 h after operation) was compared and analyzed.Results The rate of early postoperative cerebral vascular accident in on-pump coronary artery bypass grafting group was 18.2％ (8/44),1 patient occurred cerebral infarction,7 patients occurred transient ischemic attack,none occurred cerebral hemorrhage.The rate of early postoperative cerebral vascular accident in off-pump coronary artery bypass grafting group was 5.4％(3/56).The rate of early postoperative cerebral vascular accident between two groups had significant difference (x2 =4.141,P =0.042).Conclusion The patients with carotid artery stenosis with off-pump coronary artery bypass grafting can reduce early postoperative cerebral vascular accident.
