Neurological complications are avoidable during CABG.

Zulfiqar Haider; Anjum Jalal; Asif Rashid Alamgir; Irfan Rasheed

Author(s)

Zulfiqar Haider Department of Cardiac Surgery, Faisalabad Institute of Cardiology, Faisalabad, Pakistan.

Anjum Jalal Department of Cardiac Surgery, Faisalabad Institute of Cardiology, Faisalabad, Pakistan.

Asif Rashid Alamgir Department of Anesthesia, Faisalabad Institute of Cardiology, Faisalabad, Pakistan.

Irfan Rasheed Department of Cardiac Surgery, Faisalabad Institute of Cardiology, Faisalabad, Pakistan.

Abstract

Objective: To review the incidence of stroke in patients undergoing CABG and the impact of a preventive strategy adopted at tertiary care unit of cardiac surgery. Methods: The data of all patients who underwent isolated CABG (N= 722) from July 2016 to August 2017 at Faisalabad Institute of Cardiology was retrieved for this retrospective study. All operations were done on cardiopulmonary bypass and cold blood cardioplegia. Numeric data was summarized as Mean ± Standard Deviation while categoric variables were summarized into frequency and percentage. Results: Mean age of patients was 53.83±8.8 years. Mean Parsonnet and Logistic EuroScore were 4.3±3.2 and 3.3±0.9 respectively. Forty nine patients (6.78%) had significant carotid artery disease. Mean number of grafts was 2.8±0.82. Diabetes was present in 27.8% patients. Neurological complications were noticed in 14 patients (1.94%) who included 12 permanent paralyses. Further subgroup analysis revealed that 67 patients who were operated by single clamp technique remained free of neurological complications. This is clinically remarkable finding but due to small population size it is statistically non- significant. Conclusion: The incidence of neurological complications can be reduced significantly by adopting the appropriate preventing measures. Use of Single Clamp technique may be the reasons of such a low incidence of stroke in this study.

Publication Details

Page(s) 5-9

DOI DOI not available

Published Journal: Pakistan Journal of Medical Sciences, Volume: 34, Issue: 1, Year: 2018

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Keywords

Off-pump, Atheroembolism