Linked Life Data

16921686

Source:http://linkedlifedata.com/resource/pubmed/id/16921686

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2006-8-22
pubmed:abstractText
The objective of this study was to evaluate a protocol involving cerebrovascular accident (CVA) risk evaluation and choose adequate hemodynamic support that prevents major CVA. For evaluation of CVA risk, we undertook head computed tomography (CT), magnetic resonance imaging (MRI), magnetic resonance angiography (MRA), chest CT, carotid artery Doppler echo, carotid artery MRA, and echo scanning of ascending aorta during surgery. Cerebrovascular specialists did the physical examinations and reading of images. Hemodynamic support (chemical arrest on pump, on-pump beating, or off pump) was chosen according to the result of risk evaluation. We retrospectively studied 92 cases before (group A; 1997 October to 1998 November) and 91 after (group B; 1998 November to 2001 January) starting protocol. We also studied urgent cases (group C; 9 cases; 1997 October to 2001 January) in which we did not use the protocol. When adequate hemodynamic support was chosen, major CVA (modified Rankin scale grades 3, 4, and 5) incidence decreased from 6.6% (six case; group A) to 0% (p < .05; group B). There were three major CVA cases in group C (p < .05 vs. group B), in which the ascending aorta was clamped. Our protocol eliminated major CVA associated with elective coronary surgery. We need simpler evaluation, however, when we undertake urgent surgery.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
T
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0022-1058
pubmed:author
pubmed:issnType
Print
pubmed:volume
38
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
134-8
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed:year
2006
pubmed:articleTitle
Choice of hemodynamic support during coronary artery bypass surgery for prevention of stroke.
pubmed:affiliation
Department of Cardiovascular Surgery, Yuri-Kumiai General Hospital, Akita, Japan. Yasuyuki.Shimada@ma8.seikyou.ne.jp
pubmed:publicationType
Journal Article