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31.
American College of Cardiology Foundation/American Heart Association Task Force;American Stroke Association;American Association of Neuroscience Nurses;American Association of Neurological Surgeons;American College of Radiology;American Society of Neuroradiology;Congress of Neurological Surgeons;Society of Atherosclerosis Imaging Prevention;Society for Cardiovascular Angiography Interventions;Society of Interventional Radiology;Society of NeuroInterventional Surgery;Society for Vascular 《Journal of neurointerventional surgery》2011,3(2):100-130
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高旭光 《中国实用内科杂志》2011,(5)
急性心肌梗死行PCI治疗期间或之后发生缺血性脑卒中是非常少见的事件,但却是灾难性并发症。由于这种事件的发生几率较少,很难拿出标准的治疗方法。文章介绍一些关于PCI围手术期或之后发生缺血性脑卒中的预防及治疗策略,供同道参考。 相似文献
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Brain Trauma Foundation;American Association of Neurological Surgeons;Congress of Neurological Surgeons;Joint Section on Neurotrauma Critical Care AANS/CNS Bratton SL Chestnut RM Ghajar J McConnell Hammond FF Harris OA Hartl R Manley GT Nemecek A Newell DW Rosenthal G Schouten J Shutter L Timmons SD Ullman JS Videtta W Wilberger JE Wright DW 《Journal of neurotrauma》2007,24(Z1):S71-S76
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Brain Trauma Foundation;American Association of Neurological Surgeons;Congress of Neurological Surgeons;Joint Section on Neurotrauma Critical Care AANS/CNS Bratton SL Chestnut RM Ghajar J McConnell Hammond FF Harris OA Hartl R Manley GT Nemecek A Newell DW Rosenthal G Schouten J Shutter L Timmons SD Ullman JS Videtta W Wilberger JE Wright DW 《Journal of neurotrauma》2007,24(Z1):S59-S64
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Scarborough JE White W Derilus FE Mathew JP Newman MF Landolfo KP;Neurological Outcome Research Group 《The Journal of thoracic and cardiovascular surgery》2003,126(5):1561-1567
OBJECTIVE: Intraoperative cerebral microemboli are associated with the development of postoperative stroke and neurocognitive decline in patients undergoing coronary artery bypass grafting. Although cardiopulmonary bypass is responsible for the generation of a significant number of such emboli, the elimination of cardiopulmonary bypass alone has not been conclusively shown to improve neurocognitive outcome. The current study was performed to determine the effects of combined off-pump coronary artery bypass grafting and sutureless proximal aortic anastomotic techniques on the generation of intraoperative cerebral microemboli compared with standard coronary artery bypass grafting techniques of cardiopulmonary bypass and hand-sewn proximal anastomoses. METHODS: Fifty-three patients underwent off-pump coronary artery bypass grafting by using the sutureless Symmetry aortic connector device (St Jude Medical, St Paul, Minn) for all proximal anastomoses. Eighteen of these patients received intraoperative transcranial Doppler ultrasonography to determine right- and left-sided cerebral microembolic counts. These results were compared with those obtained from a similar group of 17 patients undergoing standard coronary artery bypass grafting, in whom cardiopulmonary bypass and hand-sewn proximal anastomoses were used. RESULTS: Our use of the proximal anastomotic device in patients undergoing coronary artery bypass grafting was safe, with no aortic complications, postoperative strokes, or in-hospital deaths. Microembolic counts to both the right and left cerebral circulation were significantly reduced in the patients undergoing off-pump coronary artery bypass grafting (right = 21.9 +/- 20.7 emboli, left = 24.9 +/- 19.2 emboli) compared with those in patients undergoing standard coronary artery bypass grafting (right = 181.6 +/- 85.3, left = 189.9 +/- 60.401, P <.0001). CONCLUSIONS: Our use of a sutureless proximal anastomotic device during off-pump coronary artery bypass grafting is safe and significantly decreases cerebral microembolism when compared with standard coronary artery bypass grafting with cardiopulmonary bypass and hand-sewn anastomoses. Long-term follow-up is needed to determine the effects of this technical strategy on neurocognitive outcome. 相似文献