循環制御
Print ISSN : 0389-1844
症例
心臓血管手術後の脳梗塞発症の予測因子に関する検討
當別當 庸子神山 有史中井 香箕田 直治若松 成知山中 明美酒井 陽子加藤 道久郷 律子
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2010 年 30 巻 3 号 p. 175-178

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We retrospectively investigated the incidence and risk factors of stroke after cardiovascular surgery. 137 patients(81 male, 56 female; aged 20 to 84 years old) underwent cardiovascular surgery from January to July 2007 in the Tokushima Red Cross Hospital. Stroke occurred in 6 patients(4.4%; 1 male, 5 female), 3 was after off-pump coronary artery bypass grafting, and the other 3 was after great vascular surgery. Univariate analysis revealed great vascular surgery(Odds ratio, 12.1; p=0.010) and preoperative severe head and neck arterial stenosis(Odds ratio, 10.07; p=0.024) were significant factors of stroke after surgery. There were not significant factors of high age(≧70), preoperative stroke, hypertension, diabetes mellitus and cardiopulmonary bypass. This study suggested that preoperative severe arterial stenosis may predict stroke after cardiovascular surgery.

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© 2010 日本循環制御医学会
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