The Correlation Between Carotid Stenosis and Perioperative Stroke During Heart Surgery: Is There Real Evidence?Essay from the year 2009 in the subject Medicine - Surgery, Sports Medicine, grade: Excellent, Maastricht University, language: English, abstract: The goal of this systematic review was to find evidence for a correlation between carotid artery stenosis and perioperative stroke in patients undergoing cardiac surgery. Articles were searched in NCBI Pubmed, and appraised based on several criteria, to explore the evidence for a correlation between carotid stenosis and perioperative stroke. A total of 96 articles were found with the search strategy. Also references as well as related articles were screened. A total of six articles matched the criteria and results were accurately analysed. Concluding, the incidence of carotid stenosis is signifiantly higher in stroke patients, comparted to patients without stroke. However, carotid stenosis is the aetiological factor of stroke in just a little number of patients, who suffer from stroke and is more likely an additional co-morbidity, without an independent correlation. |
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achieved Aetiology of disease al.11 Bilfinger al.6 Hogue al.7 Tunio al.8 Schoof al.9 Ricotta analysis aorta aortic bilateral Bilfinger et al.8 bypass CABG carotid artery carotid stenosis CEA/CABG cerebrovascular reserve capacity combined compared Completeness conclusion considered correlation D´Agostino et al.6 emboli Evaluation exclusion criteria exhausted External factors for stroke gender grade of stenosis high-grade stenosis higher Hogue et al.7 hypertension important incidence of stroke included increase Independent risk factors Internal validity leading literature major measured mentioned Mesh method moderate multiple occlusion operation origin of stroke patient characteristics performed peri perioperative stroke peripheral vascular disease point was given population possible postoperative stroke preoperative present previous stroke reduced Ricotta et al.11 sample Schoof et al.10 screening selection severe significant stenosis Statistical analysis stenosis 80 stenosis and incidence stroke patients stroke rate suffering Table tested Total Tunio et al.9 undergoing underwent