Progress in stroke after coronary artery bypass grafting and its association with carotid-cerebral artery disease
- VernacularTitle:冠状动脉旁路移植术后卒中及其与颈-颅动脉病变相关性的研究进展
- Author:
Yi LIU
1
;
Yunpeng ZHU
1
;
Qiang ZHAO
1
Author Information
1. Department of Cardiovascular Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, P. R. China
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass grafting;
stroke;
carotid artery disease;
intracranial artery disease;
carotid artery revascularization;
review
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2024;31(10):1538-1546
- CountryChina
- Language:Chinese
-
Abstract:
Coronary artery bypass grafting (CABG) is the "gold standard" for revascularization of left main diseased and/or complex multi-vessel diseased coronary artery disease. Post-CABG stroke is a relatively rare but catastrophic complication with a serious health and economic burden. In recent years, the further understanding of the concept of "panvascular disease", the implementation of the philosophy of "cardio-cerebral integrated treatment", and the improvement of related diagnostic and therapeutic techniques have provided new options for the recognition, prevention and cure of post-CABG stroke. Focusing on the key factor of carotid-cerebral artery disease, this review systematically scrutinizes the incidence, epidemiology, risk factors, mechanisms and prevention and treatment of post-CABG stroke. This review analyzes the association between post-CABG stroke and carotid-cerebral artery disease, summarizes the status of evidence-based prophylactic carotid-cerebral artery revascularization strategy, and prospects for future research directions.
