临床荟萃 ›› 2021, Vol. 36 ›› Issue (8): 757-760.doi: 10.3969/j.issn.1004-583X.2021.08.017
收稿日期:
2021-02-02
出版日期:
2021-08-20
发布日期:
2021-08-30
通讯作者:
李坤正
E-mail:likunzheng6810@163.com
Received:
2021-02-02
Online:
2021-08-20
Published:
2021-08-30
摘要:
冠状动脉旁路移植术(coronary artery bypass grafting, CABG)在缺血性心脏病血管重建的治疗中起着重要作用。缺血性卒中是CABG术后的严重并发症之一,也是CABG术后死亡的主要原因之一。准确的术前评估和仔细选择血管重建策略是使缺血性卒中风险最小化的关键因素。本文通过对CABG术后缺血性卒中的发病机制、评估CABG术后缺血性卒中发生风险、牛津郡社区卒中项目(Oxfordshire Community Stroke Project, OCSP)不同亚型生存质量、防治原则的研究进展作一综述。
中图分类号:
张凯博, 张驰, 肖宗宇, 李坤正. 冠状动脉旁路移植术后缺血性卒中的研究进展[J]. 临床荟萃, 2021, 36(8): 757-760.
[1] | Virani SS, Alonso A, Benjamin EJ, et al. Heart disease and stroke statistics-2020 update: A report from the American Heart Association[J]. Circulation, 2020, 141:e139-e596. |
[2] |
Hillis LD, Smith PK, Anderson JL, et al. 2011 ACCF/AHA guideline for coronary artery bypass graft surgery: Executive summary: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines[J]. J Thorac Cardiovasc Surg, 2012, 143(1):4-34.
doi: 10.1016/j.jtcvs.2011.10.015 pmid: 22172748 |
[3] |
Gottesman RF, Wityk RJ. Brain injury from cardiac bypass procedures[J]. Semin Neurol, 2006, 26(4):432-439.
pmid: 16969744 |
[4] | Aldag M, Kocaaslan C, Bademci MS, et al. Consequence of ischemic stroke after coronary surgery with cardiopulmonary bypass according to stroke subtypes[J]. Braz J Cardiovasc Surg, 2018, 33(5):462-468. |
[5] |
Mao Z, Zhong X, Yin J, et al. Predictors associated with stroke after coronary artery bypass grafting: A systematic review[J]. J Neurol Sci, 2015, 357(1-2):1-7.
doi: 10.1016/j.jns.2015.07.006 URL |
[6] |
Oi K, Arai H. Stroke associated with coronary artery bypass grafting[J]. Gen Thorac Cardiovasc Surg, 2015, 63(9):487-495.
doi: 10.1007/s11748-015-0572-5 URL |
[7] |
Tarakji KG, Sabik JF 3rd, Bhudia SK, et al. Temporal onset, risk factors, and outcomes associated with stroke after coronary artery bypass grafting[J]. JAMA, 2011, 305(4):381-390.
doi: 10.1001/jama.2011.37 URL |
[8] |
Brown PP, Kugelmass AD, Cohen DJ, et al. The frequency and cost of complications associated with coronary artery bypass grafting surgery: Results from the United States Medicare program[J]. Ann Thorac Surg, 2008, 85(6):1980-1986.
doi: 10.1016/j.athoracsur.2008.01.053 URL |
[9] |
Baufreton C. Role of surgical factors in strokes after cardiac surgery[J]. Arch Cardiovasc Dis, 2010, 103(5):326-332.
doi: 10.1016/j.acvd.2009.12.007 URL |
[10] |
Palmerini T, Savini C, Di Eusanio M. Risks of stroke after coronary artery bypass graft - recent insights and perspectives[J]. Interv Cardiol, 2014, 9(2):77-83.
doi: 10.15420/icr.2011.9.2.77 URL |
[11] | Hogue CW, Gottesman RF, Stearns J. Mechanisms of cerebral injury from cardiac surgery[J]. Crit Care Clin, 2008, 24(1): 83-98, viii-ix. |
[12] |
Nagre AS. Perioperative stroke - prediction, prevention, and protection[J]. Indian J Anaesth, 2018, 62(10):738-742.
doi: 10.4103/ija.IJA_292_18 URL |
[13] | Coskun C, Borulu F, Emir I, et al. Investigation of the relationship between cerebral near-infrared spectroscopy measurements and cerebrovascular event in coronary artery bypass grafting operation in patients without carotid stenosis and patients with carotid stenosis below surgical margins[J]. Braz J Cardiovasc Surg, 2020, 35(4):465-470. |
[14] | Gaudino M, Rahouma M, Di Mauro M, et al. Early versus delayed stroke after cardiac surgery: A systematic review and meta-analysis[J]. J Am Heart Assoc, 2019, 8(13):e012447. |
[15] |
Hedberg M, Engström KG. Stroke after cardiac surgery--hemispheric distribution and survival[J]. Scand Cardiovasc J, 2013, 47(3):136-144.
doi: 10.3109/14017431.2012.737016 pmid: 23035646 |
[16] |
Filsoufi F, Rahmanian PB, Castillo JG, et al. Incidence, topography, predictors and long-term survival after stroke in patients undergoing coronary artery bypass grafting[J]. Ann Thorac Surg, 2008, 85(3):862-870.
doi: 10.1016/j.athoracsur.2007.10.060 pmid: 18291158 |
[17] |
Engelman DT, Cohn LH, Rizzo RJ. Incidence and predictors of tias and strokes following coronary artery bypass grafting: Report and collective review[J]. Heart Surg Forum, 1999, 2(3):242-245.
pmid: 11276484 |
[18] | Polineni S, Parker DM, Alam SS, et al. Predictive ability of novel cardiac biomarkers ST2, galectin-3, and NT-ProBNP before cardiac surgery[J]. J Am Heart Assoc, 2018, 7(14):e008371. |
[19] |
Hornero F, Martín E, Rodríguez R, et al. Off-pump surgery in preventing perioperative stroke after coronary artery bypass grafting: A retrospective multicentre study[J]. Eur J Cardiothorac Surg, 2013, 44(4):725-731.
doi: 10.1093/ejcts/ezt067 URL |
[20] | Hornero F, Martín E, Rodríguez R, et al. A multicentre Spanish study for multivariate prediction of perioperative in-hospital cerebrovascular accident after coronary bypass surgery: The PACK2 score[J]. Interact Cardiovasc Thorac Surg, 2013, 17(2): 353-358; discussion 358. |
[21] |
Ramadan BA, Zaki MA, Etman WGED, et al. Impact of preoperative SYNTAX Scores on short-term outcome following coronary artery bypass grafting surgery in the patients with multi-vessels coronary artery disease[J]. Egypt Heart J, 2020, 72(1):36.
doi: 10.1186/s43044-020-00071-3 pmid: 32613331 |
[22] |
Takahashi K, Serruys PW, Fuster V, et al. Redevelopment and validation of the SYNTAX score II to individualise decision making between percutaneous and surgical revascularisation in patients with complex coronary artery disease: Secondary analysis of the multicentre randomised controlled SYNTAXES trial with external cohort validation[J]. Lancet, 2020, 396(10260):1399-1412.
doi: 10.1016/S0140-6736(20)32114-0 pmid: 33038944 |
[23] |
Tian Y, Yang C, Liu H. CHA2DS2-VASc score as predictor of ischemic stroke in patients undergoing coronary artery bypass grafting and percutaneous coronary intervention[J]. Sci Rep, 2017, 7(1):11404.
doi: 10.1038/s41598-017-11923-5 URL |
[24] |
Hu WS, Lin CL. Postoperative ischemic stroke and death prediction with CHA2DS2-VASc score in patients having coronary artery bypass grafting surgery: A nationwide cohort study[J]. Int J Cardiol, 2017, 241:120-123.
doi: 10.1016/j.ijcard.2017.02.025 URL |
[25] | Paci M, Nannetti L, D'Ippolito P, et al. Outcomes from ischemic stroke subtypes classified by the Oxfordshire Community Stroke Project: A systematic review[J]. Eur J Phys Rehabil Med, 2011, 47(1):19-23. |
[26] | Slark J, Sharma P. Risk awareness in secondary stroke prevention: A review of the literature[J]. JRSM Cardiovasc Dis, 2014, 3:2048004013514737. |
[27] |
Macellari F, Paciaroni M, Agnelli G, et al. Perioperative stroke risk in nonvascular surgery[J]. Cerebrovasc Dis, 2012, 34(3):175-181.
doi: 10.1159/000339982 pmid: 22922182 |
[28] |
Ricotta JJ, Aburahma A, Ascher E, et al. Updated society for vascular surgery guidelines for management of extracranial carotid disease[J]. J Vasc Surg, 2011, 54(3):e1-e31.
doi: 10.1016/j.jvs.2011.07.031 URL |
[29] |
Sanders RD, Jørgensen ME, Mashour GA. Perioperative stroke: A question of timing?[J]. Br J Anaesth, 2015, 115(1):11-13.
doi: 10.1093/bja/aev031 pmid: 25690836 |
[30] |
Hajibandeh S, Hajibandeh S, Antoniou S A, et al. Effect of beta-blockers on perioperative outcomes in vascular and endovascular surgery: A systematic review and meta-analysis[J]. Br J Anaesth, 2017, 118(1):11-21.
doi: 10.1093/bja/aew380 pmid: 28039238 |
[31] |
Voelkel N, Hubert ND, Backhaus R, et al. Thrombolysis in postoperative stroke[J]. Stroke, 2017, 48(11):3034-3039.
doi: 10.1161/STROKEAHA.117.017957 URL |
[32] |
Ko SB. Perioperative stroke: Pathophysiology and management[J]. Korean J Anesthesiol, 2018, 71(1):3-11.
doi: 10.4097/kjae.2018.71.1.3 URL |
[33] |
Hong KS, Ko SB, Lee JS, et al. Endovascular recanalization therapy in acute ischemic stroke: Updated meta-analysis of randomized controlled trials[J]. J Stroke, 2015, 17(3):268-281.
doi: 10.5853/jos.2015.17.3.268 URL |
[34] |
Ng JL, Chan MT, Gelb AW. Perioperative stroke in noncardiac, nonneurosurgical surgery[J]. Anesthesiology, 2011, 115(4):879-890.
doi: 10.1097/ALN.0b013e31822e9499 URL |
[1] | 许慧峰, 晋艳勇, 苟若澜, 胡明哲. 脑出血患儿并发脑积水的危险因素及预测模型[J]. 临床荟萃, 2025, 40(4): 325-328. |
[2] | 卜志平, 赵宇, 刘洪峰, 刘光亮, 韩文芹. 家庭成员对急性缺血性脑卒中患者进行康复训练的效果[J]. 临床荟萃, 2025, 40(3): 222-226. |
[3] | 童明霞, 陈柯, 向小聪, 周丽峰. 中青年体检人群瘦型代谢相关脂肪性肝病及其危险因素分析[J]. 临床荟萃, 2025, 40(2): 128-132. |
[4] | 钱晨莹, 闫文君, 黄燕, 赵志. 肝硬化失代偿期患者合并多重耐药菌感染的危险因素分析[J]. 临床荟萃, 2025, 40(2): 143-146. |
[5] | 刘金华, 王春梅, 王莹, 陈凯. 老年营养风险指数对老年急性脑梗死患者静脉溶栓短期转归的预测价值[J]. 临床荟萃, 2025, 40(1): 21-28. |
[6] | 蒲茜, 成刚, 道杰草, 齐梓兆, 窦乐乐, 赵军芳, 张文君, 郭彩霞, 王莹莹. 甘肃地区单中心慢性肾脏病患者便秘患病率及危险因素分析[J]. 临床荟萃, 2025, 40(1): 44-53. |
[7] | 赵一品, 崔清洋. 超早产儿/超低出生体重儿支气管肺发育不良危险因素分析[J]. 临床荟萃, 2025, 40(1): 60-64. |
[8] | 韩铠阳, 冯铜铜, 包瑛. 儿童狼疮性肾炎合并神经精神狼疮的临床特征和危险因素[J]. 临床荟萃, 2024, 39(9): 812-815. |
[9] | 高胜男, 张冉冉, 张羽曦, 高宁, 冯冰, 刘国强. 我国糖尿病神经病理性疼痛疾病负担及药物治疗进展[J]. 临床荟萃, 2024, 39(9): 842-846. |
[10] | 焦菲, 姚治平, 王兰桂. 中枢神经系统棘球幼病(包虫病)癫痫发作的危险因素[J]. 临床荟萃, 2024, 39(8): 712-715. |
[11] | 徐玉萍, 沈滔. 乳脂球表皮生长因子8对缺血性脑卒中后认知功能障碍的预测价值[J]. 临床荟萃, 2024, 39(6): 524-530. |
[12] | 刘秀颖, 崔凯歌, 刘丽莹, 吴艳凯, 于佳琪, 杨冀萍. 基于静息态功能磁共振成像探讨卒中后疲劳的中枢机制[J]. 临床荟萃, 2024, 39(5): 401-407. |
[13] | 陈诗雨, 罗专波. 肿瘤相关静脉血栓栓塞症研究进展[J]. 临床荟萃, 2024, 39(4): 363-369. |
[14] | 宋梦姣, 王睿琪, 曹灿, 程光森, 刘羽, 李忠亮, 杨建豪. 血尿酸与首次急性缺血性脑卒中患者TOAST分型及预后的相关性[J]. 临床荟萃, 2024, 39(3): 216-221. |
[15] | 李倩, 钟平. 帕金森病伴脑白质病变患者临床特征及危险因素分析[J]. 临床荟萃, 2024, 39(3): 222-226. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||