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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1988-7-29
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pubmed:abstractText |
In 99 of 2250 consecutive C.B.P. cases, signs of cerebro-vascular disease (C.V.D.) were recorded in 87 (3.9%) on admission and in 12 post-operatively. The detection of C.V.D. by auscultation alone is very incomplete. There were 17 post-C.B.P. neurologic deficits (P.O.N.D.) (0.75%): 15 strokes (0.67%) and 2 T.I.A.'s. 26 patients (out of 87 detected on admission) were treated by carotid endarterectomy (C.E.) either pre-by-pass or simultaneously. There were no complications. The remaining 61 patients, who were not treated, had 4 strokes and 1 T.I.A. after their C.B.P. The most probable cause of these deficits was pre-existing C.V.D. Could more extensive pre-operative investigation, and treating the serious lesions by C.E., improve the P.O.N.D. incidence? The published series on simultaneous C.E. + C.B.P. are not yet conclusive. We favour C.E. done before the C.P.B. procedure except in very serious coronary disease when simultaneous operation is preferred.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0001-5458
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
88
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
97-103
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:3260434-Aged,
pubmed-meshheading:3260434-Carotid Artery Diseases,
pubmed-meshheading:3260434-Cerebrovascular Disorders,
pubmed-meshheading:3260434-Coronary Artery Bypass,
pubmed-meshheading:3260434-Endarterectomy,
pubmed-meshheading:3260434-Female,
pubmed-meshheading:3260434-Humans,
pubmed-meshheading:3260434-Male,
pubmed-meshheading:3260434-Middle Aged,
pubmed-meshheading:3260434-Postoperative Complications,
pubmed-meshheading:3260434-Retrospective Studies,
pubmed-meshheading:3260434-Risk Factors
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pubmed:articleTitle |
The cerebro-vascular problem in coronary by-pass surgery.
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pubmed:affiliation |
Afdeling Cardio-vasculaire en Thoracale Heelkunde en Anesthesie-Reanimatie, Algemeen Ziekenhuis Middelheim, O.C.M.W., Antwerpen.
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pubmed:publicationType |
Journal Article
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