scholarly journals Open heart surgery under extracorporeal circulation in the cases with carotid artery stenosis and evaluation for carotid artery stenting

2014 ◽  
Vol 8 (2) ◽  
pp. 75-82
Author(s):  
Hiroshi KAGAMI ◽  
Naoko OGURA ◽  
Michiyuki MARUYAMA ◽  
Yousuke KASAI ◽  
Masatsugu NAKANO ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Extracorporeal Circulation ◽  
Carotid Artery Stenosis ◽  
Carotid Artery Stenting ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Artery Stenosis ◽  
Open Heart

Association Between SYNTAX Score and Carotid Artery Stenosis in Patients Undergoing Coronary Artery Bypass Graft (CABG)

2020 ◽  
Vol 22 (7) ◽  
Author(s):  
Ahmad Amouzeshi ◽  
Seyyed Ali Moezi Bady ◽  
Vahid Nabati Bonyabadi
Keyword(s):  
Carotid Artery ◽  
Carotid Stenosis ◽  
Significant Relationship ◽  
Carotid Artery Stenosis ◽  
Heart Surgery ◽  
Bypass Graft ◽  
Open Heart Surgery ◽  
Artery Stenosis ◽  
Syntax Score ◽  
Open Heart

Background: Stroke as a complication of open-heart surgery can be a cause of death and widespread disability. Objectives: This study aimed to determine the relationship between the SYNTAX Score and carotid artery stenosis and evaluate patients undergoing open-heart surgery in terms of postoperative complications and mortality in a six-month to two-year follow-up period. Methods: A cross-sectional study was conducted on 113 patients with CAD who underwent open-heart surgery at our hospital from 2016 to 2017. After collecting demographic data, the SYNTAX score, and color Doppler sonography report, the data were recorded and analyzed by SPSS22. Results: In our study, most patients were male and aged between 50 and 70 years. The mean SYNTAX score was 32.667 + 13.668 in the group with significant carotid stenosis, 33.926 + 9.387 in the group with no significant carotid stenosis, and 30.868 + 9.963 in the group without carotid stenosis. The results showed no significant relationship between carotid artery stenosis and the SYNTAX score (P = 0.512) and no significant relationship between the SYNTAX score and surgical complications (P = 0.666). Conclusions: According to the results, there is no significant relationship between the SYNTAX score and various indices related to heart disease, carotid artery stenosis, and postoperative morbidity and mortality. Thus, this index cannot be used to check and follow patients. However, further studies are needed to reach a definitive conclusion.

scholarly journals Doppler Ultrasound Screening For Significant Carotid Artery Stenosis In Cardiac Surgery Patients, Presenting To Hayatabad Medical Complex, Peshawar, Pakistan.

2020 ◽  
Author(s):  
Muhammad Aasim ◽  
Haroon Mustafa ◽  
Raheela Aziz ◽  
Shahzada Hussain ◽  
Muhammad Salman Khan
Keyword(s):  
Carotid Artery ◽  
Doppler Ultrasound ◽  
Carotid Artery Stenosis ◽  
Carotid Arteries ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Artery Stenosis ◽  
Ultrasound Screening ◽  
Open Heart ◽  
Ultrasound Study

Abstract Background: This study aimed to determine the frequency of significant carotid artery stenosis by Doppler Ultrasound screening in patients undergoing open heart surgery.Method: From January 2019 to April 2019, 125 consecutive patients who were booked for open heart surgery, in Hayatabad Medical Complex Peshawar Pakistan, were included in this study. Adult patients aging more than 18years were studied irrespective of the planned cardiac surgical procedure, while pediatric and adolescent patients below the age of 18years were excluded.Using Mindray® DC 70 Color Doppler Ultrasound Scanner, significant carotid artery stenosis was determined by a Radiologist as stenosis of more than 50 % luminal diameter of the carotid artery under study.Results: We studied 250 carotid arteries of 125 patients (87 males and 38 females with age range 19 to 80 years (mean 57.47 years). Significant stenosis was found in 13 patients (10.40 %) with slight male preponderance (7:6).Conclusion: Doppler ultrasound study is a good modality, free of radiation hazards for screening carotid arteries in patients undergoing open Heart surgery. Patients with significant carotid artery stenosis on Doppler ultrasound study may be objectively confirmed by subsequent CT carotid angiography. However, further studies are required to assess the efficiency of Doppler ultrasound study in carotid artery stenosis in comparison to CT carotid angiography.Routine Doppler ultrasound screening in adult cardiac surgical patients can identify significant carotid artery stenosis and can help in subsequently reducing the risk of operative stroke in patients undergoing open heart surgery.

scholarly journals Synchronous carotid artery stenting and open heart surgery

2011 ◽  
Vol 53 (5) ◽  
pp. 1237-1241 ◽  
Author(s):  
Ioannis Velissaris ◽  
Dimitrios Kiskinis ◽  
Kyriakos Anastasiadis
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Stenting ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart

scholarly journals THE SAFETY OF CAROTID ARTERY STENTING BEFORE OPEN HEART SURGERY

Heart ◽  
2012 ◽  
Vol 98 (Suppl 2) ◽  
pp. E268.1-E268
Author(s):  
Jiang Xiongjing
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Stenting ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart

The interval between carotid artery stenting and open heart surgery is related to perioperative complications

2016 ◽  
Vol 87 (S1) ◽  
pp. 564-569 ◽  
Author(s):  
Hui Dong ◽  
Xiongjing Jiang ◽  
Meng Peng ◽  
Yubao Zou ◽  
Wuqiang Che ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Stenting ◽  
Heart Surgery ◽  
Perioperative Complications ◽  
Open Heart Surgery ◽  
Open Heart

scholarly journals Carotid artery stenting followed by open heart surgery in 323 patients: One-year results and influencing factors

2018 ◽  
Vol 91 (S1) ◽  
pp. 632-638 ◽  
Author(s):  
Hui Dong ◽  
Wuqiang Che ◽  
Xiongjing Jiang ◽  
Meng Peng ◽  
Yubao Zou ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Influencing Factors ◽  
Carotid Artery Stenting ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
One Year

The Hemostatic Mechanism after Open-Heart Surgery

1978 ◽  
Vol 39 (02) ◽  
pp. 474-487 ◽  
Author(s):  
E R Cole ◽  
F Bachmann ◽  
C A Curry ◽  
D Roby
Keyword(s):  
Extracorporeal Circulation ◽  
Heart Surgery ◽  
Polyacrylamide Gel Electrophoresis ◽  
Open Heart Surgery ◽  
Coagulation System ◽  
Open Heart ◽  
Time Activity ◽  
Post Surgery ◽  
Plasma Fractions ◽  
The Mean

SummaryA prospective study in 13 patients undergoing open-heart surgery with extracorporeal circulation revealed a marked decrease of the mean one-stage prothrombin time activity from 88% to 54% (p <0.005) but lesser decreases of factors I, II, V, VII and X. This apparent discrepancy was due to the appearance of an inhibitor of the extrinsic coagulation system, termed PEC (Protein after Extracorporeal Circulation). The mean plasma PEC level rose from 0.05 U/ml pre-surgery to 0.65 U/ml post-surgery (p <0.0005), and was accompanied by the appearance of additional proteins as evidenced by disc polyacrylamide gel electrophoresis of plasma fractions (p <0.0005). The observed increases of PEC, appearance of abnormal protein bands and concomitant increases of LDH and SGOT suggest that the release of an inhibitor of the coagulation system (similar or identical to PIVKA) may be due to hypoxic liver damage during extracorporeal circulation.

Blood Coagulation Studies and Extracorporeal Circulation in Man

1967 ◽  
Vol 18 (03/04) ◽  
pp. 634-646 ◽  
Author(s):  
N Thurnherr
Keyword(s):  
Blood Coagulation ◽  
Extracorporeal Circulation ◽  
Blood Clotting ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Fibrinolytic System ◽  
Open Heart ◽  
Clotting Factors ◽  
Blood Clotting Factors

SummaryBlood clotting investigations have been executed in 25 patients who have undergone open heart surgery with extracorporeal circulation. A description of alterations in the activity of blood clotting factors, the fibrinolytic system, prothrombin consumption and platelets during several phases of the operation is given.

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