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Las secuelas neuroconductuales de la derivación cardiopulmonar
O A Selnes1, M A Goldsborough, L M Borowicz
1Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Lancet (London, England)
|May 20, 1999
Resumen
El injerto de derivación de la arteria coronaria (CABG) puede conducir a resultados neurocognitivos adversos, incluidos déficits persistentes. La identificación de pacientes en riesgo es crucial para mejorar los resultados quirúrgicos y la atención al paciente.
Área de la Ciencia:
- Cirugía cardiovascular La cirugía cardiovascular es una cirugía cardiovascular.
- La neurociencia es la neurociencia.
- Psicología Cognitiva Psicología cognitiva.
Sus antecedentes:
- El injerto de derivación de la arteria coronaria (CABG) ha avanzado significativamente, mejorando el manejo de la angina.
- Los resultados neuroconductuales adversos, incluidos los accidentes cerebrovasculares y los déficits cognitivos, siguen siendo una preocupación después del CABG.
- Se han identificado factores de riesgo preoperatorios para el accidente cerebrovascular después de la CABG.
Objetivo del estudio:
- Revisar los resultados neurocognitivos después del CABG.
- Para identificar los factores de riesgo asociados con el deterioro cognitivo después de CABG.
- Discutir estrategias para proteger a los pacientes de los resultados neurocognitivos adversos.
Principales métodos:
- Revisión de la literatura de estudios sobre los resultados neurocognitivos después del CABG.
- Análisis de los factores de riesgo demográfico y médico.
- Examen de los déficits cognitivos a corto y largo plazo.
- La consideración de la depresión preoperatoria como un factor.
Principales resultados:
- Los déficits cognitivos a corto plazo son comunes después de la BACA, pero pueden no ser específicos del procedimiento.
- Los déficits de construcción visual pueden persistir a largo plazo, potencialmente debido a una lesión cerebral.
- La depresión preoperatoria a menudo persiste después de la cirugía, pero no explica por completo el deterioro cognitivo.
- Los factores de riesgo para el deterioro cognitivo pueden diferir entre los estudios a corto y largo plazo.
Conclusiones:
- A pesar de los avances en CABG, las complicaciones neurocognitivas persisten.
- Es esencial identificar a los pacientes en riesgo de resultados neurocognitivos adversos.
- Se necesitan modificaciones en los procedimientos quirúrgicos y terapias médicas efectivas para proteger a los pacientes en riesgo.
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