当前位置： SCI文献检索 > JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA期刊下所有文献 > Brain Oxygen Supply Parameters in the Risk Assessment of Cerebral Complications During Carotid Endarterectomy.

Brain Oxygen Supply Parameters in the Risk Assessment of Cerebral Complications During Carotid Endarterectomy.

Abstract：

OBJECTIVE:To determine whether preoperative regional cerebral oxygen saturation (rSO2) and the decrease in rSO2 during carotid clamping were predictive of the risk for neurologic complications in carotid endarterectomy and to determine the cutoff values of the studied parameters. DESIGN:Cohort, prospective, nonrandomized trial. SETTING:Research Institute of Circulation Pathology, Novosibirsk, Russia. PARTICIPANTS:The study comprised 466 adults who underwent carotid endarterectomy since 2012. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESULTS:Patient characteristics, postoperative complications, and brain oxygen supply during carotid endarterectomy were analyzed. The primary endpoints were the perioperative and early postoperative neurologic complications. Ischemic stroke was diagnosed in 1.5% of patients, and cognitive disorders were reported in 2.6% of patients. Preoperative rSO2 of 50% was the cutoff value for the prediction of stroke outcome after carotid endarterectomy, with a sensitivity of 90.7% and specificity of 66.7%. A 20% decrease in rSO2 during temporary carotid clamping was the cutoff value for the prediction of stroke, with a sensitivity of 86.0% and specificity of 57.1%, and for the prediction of cognitive disorders, with a sensitivity of 88.1% and specificity of 58.3%. Preoperative rSO2 less than 50% and a decrease in rSO2 of at least 20% during temporary carotid artery clamping caused a significant increase in the hospitalization period. CONCLUSIONS:A 20% or more decrease in rSO2 during temporary internal carotid artery clamping during carotid endarterectomy caused a 10-fold increased risk of ischemic stroke and an 8-fold increased risk of cognitive disorders, whereas preoperative rSO2 less than 50% resulted in a 6-fold increased risk of ischemic stroke in the perioperative and early postoperative periods of carotid endarterectomy.

journal_name

J Cardiothorac Vasc Anesth

journal_title

Journal of cardiothoracic and vascular anesthesia

authors

Kamenskaya OV,Loginova IY,Lomivorotov VV

doi

10.1053/j.jvca.2016.10.017

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

944-949

issue

3

eissn

1053-0770

issn

1532-8422

pii

S1053-0770(16)30507-9

journal_volume

31

pub_type

临床试验,杂志文章

相关文献

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA文献大全
  • Inadvertent Hypothermia After Procedural Sedation and Analgesia in a Cardiac Catheterization Laboratory: A Prospective Observational Study.

    abstract：OBJECTIVES:To identify the prevalence of and risk factors for inadvertent hypothermia after procedures performed with procedural sedation and analgesia in a cardiac catheterization laboratory. DESIGN:A single-center, prospective observational study. SETTING:A tertiary-care private hospital in Australia. PARTICIPANTS...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2015.06.002

    authors： Conway A,Kennedy W,Sutherland J

    更新日期：2015-10-01 00:00:00

  • Reactive oxygen species and mitochondrial adenosine triphosphate-regulated potassium channels mediate helium-induced preconditioning against myocardial infarction in vivo.

    abstract：OBJECTIVES:Helium produces preconditioning by activating prosurvival kinases, but the roles of reactive oxygen species (ROS) or mitochondrial adenosine triphosphate-regulated potassium (K(ATP)) channels in this process are unknown. The authors tested the hypothesis that ROS and mitochondrial K(ATP) channels mediate hel...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2008.04.005

    authors： Pagel PS,Krolikowski JG,Pratt PF Jr,Shim YH,Amour J,Warltier DC,Weihrauch D

    更新日期：2008-08-01 00:00:00

  • Association Between Motor-Evoked Potentials and Spinal Cord Damage Diagnosed With Magnetic Resonance Imaging After Thoracoabdominal and Descending Aortic Aneurysm Repair.

    abstract：OBJECTIVES:The authors investigated the association between intraoperative motor-evoked potential (MEP) changes and the severity of spinal cord infarction diagnosed with magnetic resonance imaging (MRI) to clarify the discrepancy between them, which was observed in patients with postoperative motor deficits after thora...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,多中心研究

    doi：10.1053/j.jvca.2018.12.004

    authors： Hattori K,Yoshitani K,Kato S,Kawaguchi M,Kawamata M,Kakinohana M,Yamada Y,Yamakage M,Nishiwaki K,Izumi S,Yoshikawa Y,Mori Y,Hasegawa K,Onishi Y

    更新日期：2019-07-01 00:00:00

  • Comparison of Two Different Red Blood Cell Transfusion Thresholds on Short-Term Clinical Outcomes of Patients Undergoing Aortic Surgery With Deep Hypothermic Circulatory Arrest.

    abstract：OBJECTIVE:Patients undergoing aortic surgery with deep hypothermic circulatory arrest (DHCA) usually are associated with a high rate of allogeneic blood transfusion, and their red blood cell (RBC) transfusion threshold is unclear and controversial. The purpose of this study was to explore whether a restrictive transfus...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2016.03.128

    authors： Wang Y,Ji H

    更新日期：2016-10-01 00:00:00

  • The level of cardiac output affects the relationship and agreement between pulmonary artery and transpulmonary aortic thermodilution measurements in an animal model.

    abstract：OBJECTIVE:The authors investigated the relationship between pulmonary artery and transpulmonary aortic thermodilution cardiac output measurements under conditions of increasing cardiac output (CO). DESIGN:Animal study with repeated simultaneous measurements comparing 2 cardiac output measurement techniques. SETTING:E...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2007.01.005

    authors： Hüter L,Schwarzkopf KR,Preussler NP,Schubert H,Schreiber T

    更新日期：2007-10-01 00:00:00

  • Resolved: A pulmonary artery catheter should be used in the management of the critically ill patient. Con.

    abstract：:Complications associated with pulmonary artery catheters (PACs) include interpretation errors, insertion problems, sepsis, thrombosis, and dysrhythmias. Alternatives to the use of PACs include the central venous pressure catheter, measurement of cardiac output by thoracic electrical bioimpedance, gastric tonometry and...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 评论,杂志文章,评审

    doi：

    authors： Becker K Jr

    更新日期：1998-04-01 00:00:00

  • Perioperative coagulation management and blood conservation in cardiac surgery: a Canadian Survey.

    abstract：OBJECTIVE:To determine which strategies are currently used for (anti)coagulation management and blood conservation during cardiac surgery in Canada. DESIGN:Institutional survey. SETTING:University hospital. PARTICIPANTS:All sites performing cardiac surgery in Canada. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESUL...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2008.02.005

    authors： Taneja R,Fernandes P,Marwaha G,Cheng D,Bainbridge D

    更新日期：2008-10-01 00:00:00

  • Innovations in Preoperative Planning: Insights into Another Dimension Using 3D Printing for Cardiac Disease.

    abstract：:Two-dimensional visualization of complex congenital heart disease has limitations in that there is variation in the interpretation by different individuals. Three-dimensional printing technology has been in use for decades but is currently becoming more commonly used in the medical field. Congenital heart disease serv...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：10.1053/j.jvca.2017.11.037

    authors： Farooqi KM,Mahmood F

    更新日期：2018-08-01 00:00:00

  • Effect of gender on fast-track recovery after coronary artery bypass graft surgery.

    abstract：OBJECTIVE:To examine the effects of gender on time to extubation after coronary artery bypass graft (CABG) surgery and intensive care unit and hospital length of stay. DESIGN:Retrospective study comparing outcomes as related to gender. SETTING:Tertiary care university teaching hospital. PARTICIPANTS:Consecutive pati...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/jcan.2001.21933

    authors： Capdeville M,Lee JH,Taylor AL

    更新日期：2001-04-01 00:00:00

  • Multiple Electrode Aggregometry After Cardiopulmonary Bypass to Assess Platelet (Dys)-Function and Transfusion Threshold: A Concordance Study.

    abstract：OBJECTIVE:Cardiac surgery patients have a high risk of postoperative bleeding. Historically, the platelet count has been one of the main parameters used to establish the need for platelet transfusions, and the recent introduction of point-of-care tests for platelet function has allowed clinicians to rationalize platele...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2020.06.060

    authors： Auci E,Vetrugno L,Riccardi I,Brussa A,Orso D,Baroselli A,Gigante A,Cecotti R,Bassi F,Livi U,Bove T

    更新日期：2020-12-01 00:00:00

  • Recent advances in chronic thromboembolic pulmonary hypertension.

    abstract：:Surgical excellence in pulmonary thromboendarterectomy (PTE) for chronic thromboembolic pulmonary hypertension (CTEPH) has begun to spread around the world. The perioperative mortality for this procedure is typically under 10%. The maximal benefit from PTE is derived in those patients who have a high proximal clot bur...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：10.1053/j.jvca.2011.03.182

    authors： Stein E,Ramakrishna H,Augoustides JG

    更新日期：2011-08-01 00:00:00

  • Multidisciplinary approach to transvenous lead extraction: a single center's experience.

    abstract：OBJECTIVE:To evaluate the success and complication rates of a single center's multidisciplinary approach to transvenous lead extraction. SETTING:One university hospital. PARTICIPANTS:One hundred ninety-five patients scheduled for transvenous lead extraction. INTERVENTIONS:A multidisciplinary approach to transvenous ...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2014.11.010

    authors： Maus TM,Shurter J,Nguyen L,Birgersdotter-Green U,Pretorius V

    更新日期：2015-04-01 00:00:00

  • Off-Pump Coronary Artery Bypass Grafting: Closing the Communication Gap Across the Ether Screen.

    abstract：:Cardiopulmonary bypass (CPB) has been one of the most important additions to the field of heart surgery in the past century. However, significant morbidity associated with CPB has led to the increasing implementation of off-pump coronary artery bypass (OPCAB). The use of OPCAB has broadened surgical revascularization ...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：10.1053/j.jvca.2019.05.005

    authors： Bianco V,Kilic A,Gelzinis T,Gleason TG,Navid F,Rauso L,Joshi R,Sultan I

    更新日期：2020-01-01 00:00:00

  • Reducing mortality in cardiac surgery with levosimendan: a meta-analysis of randomized controlled trials.

    abstract：OBJECTIVES:The authors performed a meta-analysis to evaluate whether levosimendan is associated with improved survival in patients undergoing cardiac surgery. DESIGN:A meta-analysis. SETTING:Hospitals. PARTICIPANTS:A total of 440 patients from 10 randomized controlled studies were included in the analysis. INTERVEN...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,meta分析,评审

    doi：10.1053/j.jvca.2009.05.031

    authors： Landoni G,Mizzi A,Biondi-Zoccai G,Bruno G,Bignami E,Corno L,Zambon M,Gerli C,Zangrillo A

    更新日期：2010-02-01 00:00:00

  • Forced-air warming is no more effective than conventional methods for raising postoperative core temperature after cardiac surgery.

    abstract：OBJECTIVE:To determine whether postoperative forced-air warming of cardiac bypass patients in the intensive care unit (ICU) results in faster rate of warming and improved outcomes compared with more conventional ICU warming methods. DESIGN:Prospective randomized effectiveness study. SETTING:Three hundred fifty-bed un...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s1053-0770(97)90162-2

    authors： Villamaria FJ,Baisden CE,Hillis A,Rajab MH,Rinaldi PA

    更新日期：1997-10-01 00:00:00

  • Comparative Effect of Levosimendan and Milrinone in Cardiac Surgery Patients With Pulmonary Hypertension and Left Ventricular Dysfunction.

    abstract：OBJECTIVE:To compare the effects of levosimendan with milrinone in cardiac surgical patients with pulmonary hypertension and left ventricular dysfunction. DESIGN:A prospective, randomized study. SETTING:Tertiary care teaching hospital. PARTICIPANTS:The study included patients with valvular heart disease and pulmonar...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1053/j.jvca.2016.01.015

    authors： Mishra A,Kumar B,Dutta V,Arya VK,Mishra AK

    更新日期：2016-06-01 00:00:00

  • Intraoperative Diagnosis of a Stuck Bioprosthetic Valve Leaflet Due to a Loop of Suture After Mitral Valve Replacement.

    abstract：:A stuck mechanical valve leaflet is a well-known cardiovascular complication; however, a stuck bioprosthetic valve is a rare but potentially fatal complication. Herein a case of stuck bioprosthetic mitral valve caused by a loop of suture, which was detected on intraoperative 3-dimensional (3D) transesophageal echocard...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type：

    doi：10.1053/j.jvca.2020.07.007

    authors： Takeshita J,Akiyama K,Anada N,Nakajima Y

    更新日期：2020-07-08 00:00:00

  • Anesthesia for Lung Transplantation in Cystic Fibrosis: Retrospective Review from the Irish National Transplantation Centre.

    abstract：:Cystic fibrosis (CF) is an autosomal recessive disorder affecting approximately 1 in 2,500 live births worldwide, with double this estimated frequency in Ireland. CF is characterized by a genetic defect of the CF transmembrane regulator protein, causing impairment of chloride ion transportation. This has multisystem c...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2017.11.041

    authors： Lenihan M,Mullane D,Buggy D,Flood G,Griffin M

    更新日期：2018-10-01 00:00:00

  • Anesthesia for left ventricular assist device placement.

    abstract：:Appropriate anesthesia for LVAD placement needs to incorporate an understanding of the surgical procedure and LVAD physiology, the altered physiology and pharmacology of the cardiac failure patient, and a knowledge of the interaction of anesthesia with the potent cardiac drugs used in end-stage heart failure therapy. ...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：

    authors： Mets B

    更新日期：2000-06-01 00:00:00

  • Obesity Does Not Affect Propofol Pharmacokinetics During Hypothermic Cardiopulmonary Bypass.

    abstract：OBJECTIVE:Because of the lack of data regarding the impact of obesity on propofol pharmacokinetics in patients undergoing cardiac surgery using hypothermic cardiopulmonary bypass (CPB), the authors sought to explore propofol pharmacokinetics and develop a predictive pharmacokinetic model that characterizes and predicts...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2016.02.003

    authors： El-Baraky IA,Abbassi MM,Marei TA,Sabry NA

    更新日期：2016-08-01 00:00:00

  • Hemodynamic effects of chest closure in adult patients undergoing cardiac surgery.

    abstract：OBJECTIVE:To evaluate hemodynamic effects of sternal retractor removal and sternal closure after cardiopulmonary bypass and to correlate these changes with preoperative and intraoperative variables. DESIGN:Prospective. SETTING:University hospital. PARTICIPANTS:Fifty adults undergoing cardiac surgery. MEASUREMENTS A...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/jcan.2001.26537

    authors： Adsumelli RS,Shapiro JR,Shah PM,Martella AT,Afifi AY,Risher WB,Hicks GL

    更新日期：2001-10-01 00:00:00

  • The operating surgeon is an independent predictor of chest tube drainage following cardiac surgery.

    abstract：OBJECTIVES:Bleeding into the chest is a major cause of blood transfusion and adverse outcomes following cardiac surgery. The authors investigated predictors of bleeding following cardiac surgery to identify potentially correctable factors. DESIGN:Data were retrieved from the medical records of patients undergoing card...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2013.09.010

    authors： Dixon B,Reid D,Collins M,Newcomb AE,Rosalion A,Yap CH,Santamaria JD,Campbell DJ

    更新日期：2014-04-01 00:00:00

  • Cardiorespiratory changes in patients undergoing pulmonary resection using different anesthetic management techniques.

    abstract：OBJECTIVE:Pulmonary resection may be associated with considerable alterations of the cardiorespiratory system. The ideal anesthetic regimen for these patients is not yet definitely determined. DESIGN:Prospective, randomized study. SETTING:Single-institutional, clinical investigation in a thoracic anesthesia departmen...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s1053-0770(96)80045-0

    authors： Boldt J,Müller M,Uphus D,Padberg W,Hempelmann G

    更新日期：1996-12-01 00:00:00

  • Bilateral Erector Spinae Blocks Decrease Perioperative Opioid Use After Pediatric Cardiac Surgery.

    abstract：OBJECTIVE:The present study examined the feasibility and efficacy of continuous bilateral erector spinae blocks for post-sternotomy pain in pediatric cardiac surgery. DESIGN:Prospective cohort study; patients were retrospectively matched 1:2 to control patients. Conditional logistic regression was used to compare dich...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2020.10.009

    authors： Roy N,Brown ML,Parra MF,Sleeper LA,Alrayashi W,Nasr VG,Eklund SE,Cravero JP,Del Nido PJ,Brusseau R

    更新日期：2020-10-12 00:00:00

  • Outcomes of Infant Cardiac Surgery for Congenital Heart Disease Concomitant With Persistent Pneumonia: A Retrospective Cohort Study.

    abstract：OBJECTIVES:There is still controversy about whether an infant should have cardiac surgery concomitant with ongoing persistent pneumonia. This study analyzes the outcome of surgical treatment for infants with left-to-right shunt congenital heart disease accompanied with persistent pneumonia and discusses the perioperati...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2018.05.039

    authors： Luo H,Qin G,Wang L,Ye Z,Pan Y,Huang L,Luo W,Guo Q,Peng Y,Wang E

    更新日期：2019-02-01 00:00:00

  • Initial Postoperative Hemoglobin Values Are Independently Associated With One-Year Mortality in Patients Undergoing Double-Lung Transplantation Requiring Intraoperative Transfusion.

    abstract：OBJECTIVE:To evaluate the association of postoperative hemoglobin values and mortality in patients undergoing double- lung transplantation with intraoperative transfusion. DESIGN:Retrospective cohort study. SETTING:University hospital. PARTICIPANTS:Adult patients who underwent double-lung transplantation at the auth...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2020.12.040

    authors： Menger J,Koch S,Mouhieddine M,Schwarz S,Hoetzenecker K,Jaksch P,Steinlechner B,Dworschak M

    更新日期：2020-12-29 00:00:00

  • High-dose propofol reduces S-100β protein and neuron-specific enolase levels in patients undergoing cardiac surgery.

    abstract：OBJECTIVES:In a variety of experimental models, propofol has been shown to protect the brain. It was hypothesized that a clinically achievable high dose of propofol would induce cerebral protective effects in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). The authors investigated the effects of ...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1053/j.jvca.2012.10.013

    authors： Ma G,Chen J,Meng X,Deng L,Gao Y,Meng J

    更新日期：2013-06-01 00:00:00

  • Effects of a novel benzodiazepine derivative, JM-1232(-), on human gastroepiploic artery in vitro.

    abstract：OBJECTIVE:To investigate the effects of JM-1232(-) on norepinephrine (10(-6) mol/L)- and high K(+) (40 mmol/L)-induced contractions in isolated human gastroepiploic arteries (GEA), and to compare them with the effects of midazolam and propofol. In addition, to investigate whether the benzodiazepine-receptor antagonist,...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2010.03.013

    authors： Moriyama T,Tsuneyoshi I,Kanmura Y

    更新日期：2011-02-01 00:00:00

  • Comparison Between Intraoperative Two-Space Injection Thoracic Paravertebral Block and Wound Infiltration as a Component of Multimodal Analgesia for Postoperative Pain Management After Video-Assisted Thoracoscopic Lobectomy: A Randomized Controlled Trial.

    abstract：OBJECTIVE:To compare paravertebral block under thoracoscopy with wound infiltration at an early stage after video-assisted thoracic lobectomy surgery. DESIGN:A prospective, randomized, triple-blinded, placebo-controlled trial. SETTING:A single-center university hospital. PARTICIPANTS:Patients scheduled for video-ass...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1053/j.jvca.2015.06.013

    authors： Zhang X,Shu L,Lin C,Yang P,Zhou Y,Wang Q,Wu Y,Xu X,Cui X,Lin X,Jin L,Li T

    更新日期：2015-12-01 00:00:00

  • The MIDCAB experience: a current look at evolving surgical and anesthetic approaches.

    abstract：:This article reviews and updates the recent modifications in patient selection and revisions in the anesthetic approach to MIDCAB surgery. It outlines the changing surgical selection criteria, current ways to assess graft patency, and evolving anesthetic management. A promising new advancement in coronary artery bypas...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：10.1016/s1053-0770(97)90019-7

    authors： Gayes JM,Emery RW

    更新日期：1997-08-01 00:00:00