*Импакт фактор за 2018 г. по данным РИНЦ
Журнал входит в Перечень рецензируемых научных изданий ВАК.
Читайте в новом номере
Инсульт – одно из наиболее опасных осложнений хирургических вмешательств. Чтобы научиться предотвращать, а при необходимости – правильно лечить интраоперационные и послеоперационные инсульты, врачи должны иметь четкое представление о факторах риска их возникновения. В статье приведены современные данные о патофизиологии инсультов, развивающихся в интраоперационном и послеоперационном периодах, а также рекомендации, касающиеся стратификации риска таких инсультов и коррекции факторов риска.
Литература
1. Bucerius J, Gummert JF, Borger MA, et al. Stroke after cardiac surgery: a risk factor analysis of 16,184 consecutive adult patients. Ann Thorac Surg 2003;75:472–478. [Free Full Text]
2. Kam PC, Calcroft RM. Peri–operative stroke in general surgical patients. Anaesthesia 1997;52:879–883. [CrossRef][ISI][Medline]
3. Gutierrez IZ, Barone DL, Makula PA, Currier C. The risk of perioperative stroke in patients with asymptomatic carotid bruits undergoing peripheral vascular surgery. Am Surg 1987;53:487–489. [ISI][Medline]
4. Nosan DK, Gomez CR, Maves MD. Perioperative stroke in patients undergoing head and neck surgery. Ann Otol Rhinol Laryngol 1993;102:717–723. [ISI][Medline]
5. Bond R, Rerkasem K, Shearman CP, Rothwell PM. Time trends in the published risks of stroke and death due to endarterectomy for symptomatic carotid stenosis. Cerebrovasc Dis 2004;18:37–46. [ISI][Medline]
6. Naylor AR, Mehta Z, Rothwell PM, Bell PR. Carotid artery disease and stroke during coronary artery bypass: a critical review of the literature. Eur J Vasc Endovasc Surg 2002;23:283–294. [CrossRef][ISI][Medline]
7. McKhann GM, Grega MA, Borowicz LM Jr, Baumgartner WA, Selnes OA. Stroke and encephalopathy after cardiac surgery: an update. Stroke 2006;37:562–571. [Free Full Text]
8. Limburg M, Wijdicks EF, Li H. Ischemic stroke after surgical procedures: clinical features, neuroimaging, and risk factors. Neurology 1998;50:895–901. [Abstract]
9. Restrepo L, Wityk RJ, Grega MA, et al. Diffusion– and perfusion–weighted magnetic resonance imaging of the brain before and after coronary artery bypass grafting surgery. Stroke 2002;33:2909–2915. [Free Full Text]
10. Brooker RF, Brown WR, Moody DM, et al. Cardiotomy suction: a major source of brain lipid emboli during cardiopulmonary bypass. Ann Thorac Surg 1998;65:1651–1655. [Free Full Text]
11. Likosky DS, Marrin CA, Caplan LR, et al. Determination of etiologic mechanisms of strokes secondary to coronary artery bypass graft surgery. Stroke 2003;34:2830–2834. [Free Full Text]
12. Likosky DS, Caplan LR, Weintraub RM, et al. Intraoperative and postoperative variables associated with strokes following cardiac surgery. Heart Surg Forum 2004;7:E271–E276. [CrossRef][ISI][Medline]
13. Hogue CW Jr, Murphy SF, Schechtman KB, Davila–Roman VG. Risk factors for early or delayed stroke after cardiac surgery. Circulation 1999;100:642–647. [Medline]
14. Dixon B, Santamaria J, Campbell D. Coagulation activation and organ dysfunction following cardiac surgery. Chest 2005;128:229–236. [CrossRef][ISI][Medline]
15. Paramo JA, Rifon J, Llorens R, Casares J, Paloma MJ, Rocha E. Intra– and postoperative fibrinolysis in patients undergoing cardiopulmonary bypass surgery. Haemostasis 1991;21:58–64. [ISI][Medline]
16. Hinterhuber G, Bohler K, Kittler H, Quehenberger P. Extended monitoring of hemostatic activation after varicose vein surgery under general anesthesia. Dermatol Surg 2006;32:632–639. [CrossRef][ISI][Medline]
17. van Wermeskerken GK, Lardenoye JW, Hill SE, et al. Intraoperative physiologic variables and outcome in cardiac surgery: Part II. Neurologic outcome. Ann Thorac Surg 2000;69:1077–1083. [Free Full Text]
18. Charlesworth DC, Likosky DS, Marrin CA, et al. Development and validation of a prediction model for strokes after coronary artery bypass grafting. Ann Thorac Surg 2003;76:436–443. [Free Full Text]
19. Gerraty RP, Gates PC, Doyle JC. Carotid stenosis and perioperative stroke risk in symptomatic and asymptomatic patients undergoing vascular or coronary surgery. Stroke 1993;24:1115–1118. [Abstract]
20. Chaturvedi S, Bruno A, Feasby T, et al. Carotid endarterectomy –– an evidence–based review: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 2005;65:794–801. [Free Full Text]
21. Das SK, Brow TD, Pepper J. Continuing controversy in the management of concomitant coronary and carotid disease: an overview. Int J Cardiol 2000;74:47–65. [CrossRef][ISI][Medline]
22. Yadav JS, Wholey MH, Kuntz RE, et al. Protected carotid–artery stenting versus endarterectomy in high–risk patients. N Engl J Med 2004;351:1493–1501. [Free Full Text]
23. Mackey AE, Abrahamowicz M, Langlois Y, et al. Outcome of asymptomatic patients with carotid disease. Neurology 1997;48:896–903. [Abstract]
24. Birincioglu CL, Bayazit M, Ulus AT, Bardakci H, Kucuker SA, Tasdemir O. Carotid disease is a risk factor for stroke in coronary bypass operations. J Card Surg 1999;14:417–423. [ISI][Medline]
25. Molloy J, Markus HS. Asymptomatic embolization predicts stroke and TIA risk in patients with carotid artery stenosis. Stroke 1999;30:1440–1443. [Free Full Text]
26. Soinne L, Helenius J, Tatlisumak T, et al. Cerebral hemodynamics in asymptomatic and symptomatic patients with high–grade carotid stenosis undergoing carotid endarterectomy. Stroke 2003;34:1655–1661. [Free Full Text]
27. Gold JP, Torres KE, Maldarelli W, Zhuravlev I, Condit D, Wasnick J. Improving outcomes in coronary surgery: the impact of echo–directed aortic cannulation and perioperative hemodynamic management in 500 patients. Ann Thorac Surg 2004;78:1579–1585. [Free Full Text]
28. Wimmer–Greinecker G. Reduction of neurologic complications by intra–aortic filtration in patients undergoing combined intracardiac and CABG procedures. Eur J Cardiothorac Surg 2003;23:159–164. [Free Full Text]
29. Lahtinen J, Biancari F, Salmela E, et al. Postoperative atrial fibrillation is a major cause of stroke after on–pump coronary artery bypass surgery. Ann Thorac Surg 2004;77:1241–1244. [Free Full Text]
30. Crystal E, Garfinkle MS, Connolly SS, Ginger TT, Sleik K, Yusuf SS. Interventions for preventing post–operative atrial fibrillation in patients undergoing heart surgery. Cochrane Database Syst Rev 2004;4:CD003611–CD003611. [Medline]
31. Epstein AE, Alexander JC, Gutterman DD, Maisel W, Wharton JM. Anticoagulation: American College of Chest Physicians guidelines for the prevention and management of postoperative atrial fibrillation after cardiac surgery. Chest 2005;128:Suppl 2:24S–27S. [CrossRef][ISI][Medline]
32. Maulaz AB, Bezerra DC, Michel P, Bogousslavsky J. Effect of discontinuing aspirin therapy on the risk of brain ischemic stroke. Arch Neurol 2005;62:1217–1220. [Free Full Text]
33. Genewein U, Haeberli A, Straub PW, Beer JH. Rebound after cessation of oral anticoagulant therapy: the biochemical evidence. Br J Haematol 1996;92:479–485. [CrossRef][ISI][Medline]
34. Dunn AS, Turpie AG. Perioperative management of patients receiving oral anticoagulants: a systematic review. Arch Intern Med 2003;163:901–908. [Free Full Text]
35. Larson BJ, Zumberg MS, Kitchens CS. A feasibility study of continuing dose–reduced warfarin for invasive procedures in patients with high thromboembolic risk. Chest 2005;127:922–927. [CrossRef][ISI][Medline]
36. Dunn AS, Wisnivesky J, Ho W, Moore C, McGinn T, Sacks HS. Perioperative management of patients on oral anticoagulants: a decision analysis. Med Decis Making 2005;25:387–397. [Free Full Text]
37. O’Keefe JH Jr, Allan JJ, McCallister BD, et al. Angioplasty versus bypass surgery for multivessel coronary artery disease with left ventricular ejection fraction