Risk factors for early neurological complications after revascularization in adult patients with moyamoya disease
10.3760/cma.j.cn131073.20210629.00805
- VernacularTitle:成人烟雾病患者颅内外血运重建术后早期神经系统并发症的危险因素
- Author:
Jia JIA
1
;
Guoshuang LI
;
Xing SU
;
Beibei ZHANG
;
Bing LI
;
Wei ZHANG
;
Liming ZHAO
;
Ming-Yang SUN
;
Jiaqing ZHANG
Author Information
1. 河南省人民医院麻醉与围术期医学科 450003
- Keywords:
Moyamoya disease;
Surgical procedures, operative;
Brain;
Postoperative complications;
Nervous system;
Risk factors
- From:
Chinese Journal of Anesthesiology
2021;41(8):915-918
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify the risk factors for early neurological complications after revascularization in adult patients with moyamoya disease.Methods:The medical records of patients of both sexes with moyamoya disease, aged 18-65 yr, of American Society of Anesthesiologists physical status Ⅱ or Ⅲ, who underwent revascularization in our hospital from January 2017 to June 2019, were retrospectively collected.According to the occurrence of early postoperative neurological complications, patients were divided into early postoperative neurological complication group and non-early postoperative neurological complication group.The factors such as patient′s age, gender, preoperative clinical symptoms, previous history of hypertension, history of diabetes, history of coronary heart disease, American Society of Anesthesiologists physical status, methods of anesthesia, type of operation, anesthesia time, time for start of operation, operation time, intraoperative urine volume, times of intraoperative vasoactive drugs used, and time of the post-anaesthesia observation room (PACU) stay were collected.Logistic regression analysis was used to identify the risk factors for postoperative early neurological complications.Results:A total of 510 adult patients with moyamoya disease underwent revascularization were enrolled in this study, and the incidence of early postoperative neurological complications was 9.0%.The results of logistic regression analysis showed that preoperative ischemia, intraoperative use of vasoactive drugs more than 3 times and PACU stay time>90 min were risk factors for postoperative neurological complications ( P<0.05). Conclusion:Preoperative ischemia, intraoperative use of vasoactive drugs >3 times and PACU stay time>90 min are risk factors for early neurological complications after revascularization in the patients with moyamoya disease.
