INFLUENCE OF PERIOPERATIVE FACTORS OF CORONARY SHUNTING ON THE RISK OF ISCHEMIC INJURY DEVELOPMENT
Keywords:
coronary bypass; perioperative ischemic stroke; artificial blood circulation; hemodynamic instability; hypoperfusion; transfusion load; hypoxia; hyperglycemia; inflammatory response; cerebrovascular complicationsAbstract
The article presents the results of an analysis on the impact of perioperative coronary bypass factors on the risk of ischemic stroke development in the early postoperative period. The study included patients after coronary bypass grafting, divided into two groups: the main group consisted of 50 patients with perioperative ischemic stroke, and the comparison group consisted of 75 patients without this complication. The duration of the surgery, artificial blood circulation time, aortic compression time, blood loss volume, transfusion load, oxygen status indicators, glycemia level, C-reactive protein and leukocytes, as well as the presence of hemodynamic instability and the need for vasopressor/inotropic support, were assessed.
References
Khaydarova Dildora Kadirovna, Khodjyeva Dilbar Tadjiyevna, Bobokulov Gulmurod Dilmurodovich. Optimization Of Neuroprotective Therapy Of Ischemic Stroke In The Acute Period. European Journal of Molecular & Clinical Medicine. Volume 07, Issue 03, 2020. Р. 3720-3723
Gaudino M., Rahouma M., Di Mauro M. [et al.] Considerations for reduction of risk of perioperative stroke in adult patients undergoing cardiac and thoracic aortic operations: A scientific statement from the American Heart Association // Circulation. – 2020. – Vol. 142. – P. e193–e209. – DOI: 10.1161/CIR.0000000000000885.
DT Hodzhieva, SS Pulatov, DK Hajdarova Vse o gemorragicheskom insul'te lic pozhilogo i starcheskogo vozrasta (sobstvennye nabljudenija) [All of hemorrhagic stroke in elderly persons (own observations)]. Nauka molodyh (Eruditio Juvenium) [Science of the young (Eruditio Juvenium)]. 2015. 87-96
Asenbaum U., Nolz R., Puchner S. B. [et al.] Coronary artery bypass grafting and perioperative stroke: Imaging of atherosclerotic plaques in the ascending aorta with ungated high-pitch CT-angiography // Scientific Reports. – 2020. – Vol. 10. – Article 13909. – DOI: 10.1038/s41598-020-70939-0.
Khaydarova Dildora Kadirovna, Xaydarov Nodirjon Kadirovich, Khodjyeva Dilbar Tadjiyevna. Clinical basis for the development of neuroprotective therapy in acute ischemic stroke. International Journal of Health Sciences, 4177-4183. 2022
Greason K. L., Suri R. M., Nkomo V. T. [et al.] Risk factors and impact of postoperative hyperglycemia in nondiabetic patients after cardiac surgery // Journal of Cardiothoracic and Vascular Anesthesia. – 2019. – Vol. 33, No. 10. – P. 1–7. – DOI: 10.1053/j.jvca.2019.05.009.
Bonnesen K., Hermansen M. L., Hagen C. M. [et al.] Perioperative stroke and survival in coronary artery bypass grafting patients: A nationwide study // European Journal of Cardio-Thoracic Surgery. – 2022. – Vol. 62, No. 4. – Article ezac025. – DOI: 10.1093/ejcts/ezac025.
Mohamed W., Hirji S., Mohamed M. [et al.] Incidence and predictors of postoperative ischemic stroke after coronary artery bypass grafting in the United States // International Journal of Clinical Practice. – 2021. – Vol. 75, No. 5. – Article e14067. – DOI: 10.1111/ijcp.14067.
