Document Detail

Brain magnetic resonance imaging in coronary artery bypass grafts: a pre- and postoperative assessment.
MedLine Citation:
PMID:  8469339     Owner:  NLM     Status:  MEDLINE    
We undertook a study to determine (1) the frequency and prognostic significance of preexisting MRI brain abnormalities in patients undergoing coronary artery bypass grafts (CABG) and (2) whether MRI can detect surgery-related brain damage in 31 neurologically asymptomatic CABG patients (mean age, 61.0 +/- 6.6 years). MRIs were performed within 7 days before and 8 to 17 days after surgery. When we compared the preoperative images with those of 31 age- and risk factor-matched neurologically asymptomatic controls free of cardiac disease (mean age, 60.3 +/- 6.1 years), higher rates of thromboembolic infarcts (16% versus 0%), lacunes (58.1% versus 32.3%), and brainstem lesions (22.6% versus 3.8%) were noted. Subjective rating demonstrated significantly larger ventricles in patients than in controls (p = 0.002). CABG candidates also had significantly increased ventricular-to-intracranial cavity ratios (VICR) as determined by semiquantitative volumetric measurements (6.9 +/- 2.5% versus 4.9 +/- 1.6%; p = 0.0004). Eleven patients had postsurgical complications, with eight having symptoms consistent with diffuse encephalopathy. The only MRI finding that separated encephalopathic from complication-free patients was ventricular size (VICR 9.0 +/- 2.5% versus 4.9 +/- 1.6%; p = 0.006). This difference remained statistically significant after adjustment for the effects of age (p = 0.04). Postoperative MRI consistently failed to demonstrate surgery-related brain damage responsible for the encephalopathy.
R Schmidt; F Fazekas; H Offenbacher; H Mächler; W Freidl; F Payer; B Rigler; M I Harrison; H Lechner
Related Documents :
21103749 - Is it time to adopt beating-heart coronary artery bypass grafting? a review of literature.
11153729 - When to stress patients after coronary artery bypass surgery? risk stratification in pa...
15640529 - Impact of continued hospitalization in patients pre-treated with clopidogrel prior to c...
18174619 - Multivessel coronary drug-eluting stenting alone in patients with significant ischemic ...
8297279 - Coronary artery surgery in the elderly: long-term follow-up.
17526979 - Clinical outcome and quality of life of octogenarian patients following percutaneous co...
11176219 - Stroke prophylaxis in nonvalvular atrial fibrillation.
19615769 - Left atrial volume and index by multi-detector computed tomography: comprehensive analy...
17540849 - Effect of the polymer-based, paclitaxel-eluting taxus express stent on vascular tissue ...
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Neurology     Volume:  43     ISSN:  0028-3878     ISO Abbreviation:  Neurology     Publication Date:  1993 Apr 
Date Detail:
Created Date:  1993-05-11     Completed Date:  1993-05-11     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  775-8     Citation Subset:  AIM; IM    
Department of Neurology, Karl-Franzens University Graz, Austria.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Brain Diseases / diagnosis*,  epidemiology,  etiology
Brain Ischemia / diagnosis,  etiology
Coronary Artery Bypass / adverse effects*
Coronary Disease / complications,  surgery
Evaluation Studies as Topic
Magnetic Resonance Imaging*
Middle Aged
Prospective Studies
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  HLA-DPB1 allele associates with early-onset myasthenia gravis in Japan.
Next Document:  Auditory system degeneration in Alzheimer's disease.