在接受冠状动脉旁路移植的患者中,表脉超声波利用的影响
Sarah Yousef1, Ibrahim Sultan2, Floyd Thoma3
1Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pa.
The Journal of thoracic and cardiovascular surgery
|November 4, 2024
概括
在冠状动脉旁路移植 (CABG) 后,大心膜超声波并没有显著降低中风率. 虽然使用中风的发病率较低 (0.8%对1.4%),但在本研究中,这种差异在统计学上并不显著.
科学领域:
- 心血管外科心血管外科
- 神经学 神经学
- 医疗成像医学成像
背景情况:
- 冠状动脉旁路移植 (CABG) 携带术后中风的风险.
- 大动脉化是CABG期间中风的已知危险因素.
- 耳道外超声波用于在手术内评估大动脉化.
研究的目的:
- 为了确定是否对大动脉化有影响术后中风发病率,在接受隔离CABG的患者中进行大动脉膜超声波评估.
主要方法:
- 从2010年到2023年,对10,049名接受隔离CABG的患者进行了回顾性分析.
- 患者被分为两组:接受上脉超声波的人和没有接受上脉超声波的人.
- 多变量逻辑回归和考克斯回归被用于分别分析中风和死亡率.
主要成果:
- 手术后的中风发生在0.8%的患有脑膜超声波的患者中,而1.4%的没有 (P=0.08).
- 耳超声波的使用没有独立地与手术后中风的几率降低相关 (OR,0.62;P=0.12).
- 没有发现脑膜超声波使用与死亡率 (HR,1.14;P=0.12) 之间有显著的关联.
结论:
- 这项研究没有发现在CABG后使用上脉超声波和减少术后中风之间存在统计学上显著的独立关联.
- 术后中风与死亡风险增加有显著的关联.
- 可能需要进一步的研究来澄清上心脏超声波在缓解中风风险中的作用.
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