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2003, Number 3

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Cir Cir 2003; 71 (3)

Surgery induced neurologic damage of myocardial revascularization with extracorporeal circulation

Alfaro-Gómez F , Argüero-Sánchez R , Careaga-Reyna G

Language: Spanish
References: 45
Page: 173-178
PDF size: 62.69 Kb.


ABSTRACT

Objective: Our objective was to describe incidence of neurologic damage in patients who experienced coronary revascularization with cardiopulmonary bypass during cardiothoracic surgery. Material and methods: Clinical charts of patients who experienced coronary revascularization were chosen retrospectively. Some patients were excluded because their charts were incomplete. We searched for clinical evidence of neurologic damage after the surgical procedure; this was based on Glasgow scale, complementary tests, and some risk factors. Statistical results analysis were presented in frequencies, tendency of central measurements and standard deviation. Results: We carried out 384 myocardial revascularizations in 1 year; 44 were excluded. We analyzed 340 charts with incidence of neurologic complications of 2.6% (9 cases of 340), and two cases (0.5%) with severe damage; one of patient died. Incidence and type of complications that we found agree with the literature. Limitations exist because it was a retrospective study and evaluation was done only clinically considering only major neurologic damage and no neuropsychologic damage.


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