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Kazantsev A.N.

St. Petersburg City Alexandrovskaya Hospital

Tarasov R.S.

Research Institute for Complex Issues of Cardiovascular Diseases

Burkov N.N.

Research Institute for Complex Issues of Cardiovascular Diseases

Burkov N.N.

Research Institute for Complex Issues of Cardiovascular Diseases

Anufriyev A.I.

Research Institute for Complex Issues of Cardiovascular Diseases

Anufriyev A.I.

Research Institute for Complex Issues of Cardiovascular Diseases

Lazukina I.A.

Kemerovo Cardiology Hospital

Sargsyan M.T.

Kemerovo State Medical University

Soldatov E.O.

Kemerovo State Medical University

Grachev K.I.

Kemerovo State Medical University

Kutikhin A.G.

Research Institute of Complex Problems of Cardiovascular Diseases

Lider R.Yu.

Kemerovo State Medical University

Progression of precerebral atherosclerosis and predictors of ischemic complications in cardiac patients

Authors:

Kazantsev A.N., Tarasov R.S., Burkov N.N., Burkov N.N., Anufriyev A.I., Anufriyev A.I., Lazukina I.A., Sargsyan M.T., Soldatov E.O., Grachev K.I., Kutikhin A.G., Lider R.Yu.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2020;(7): 31‑38

DOI: 10.17116/hirurgia202007131

Read: 3403 times

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Table of contents

PROGRESSION OF PRECEREBRAL ATHEROSCLEROSIS AND PREDICTORS OF ISCHEMIC COMPLICATIONS IN CARDIAC PATIENTS
PROGRESSION OF PRECEREBRAL ATHEROSCLEROSIS AND PREDICTORS OF ISCHEMIC COMPLICATIONS IN CARDIAC PATIENTS

To cite this article:

Kazantsev AN, Tarasov RS, Burkov NN, et al. Progression of precerebral atherosclerosis and predictors of ischemic complications in cardiac patients. Pirogov Russian Journal of Surgery. 2020;(7):31‑38. (In Russ.)
https://doi.org/10.17116/hirurgia202007131

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To identify predictors of progression of precerebral atherosclerosis in long-term period after coronary artery bypass surgery.

MATERIAL AND METHODS

There were 97 procedures of carotid endarterectomy in patients after previous coronary artery bypass grafting for the period from 2006 to 2017. Inclusion criteria were previous CABG, no significant (over 60%) stenosis of internal carotid arteries at discharge after CABG. The control group included 447 patients without progression of precerebral atherosclerosis in long-term period after CABG.

RESULTS

Careful monitoring of progression of precerebral atherosclerosis and therapeutic prevention of ischemic stroke are required in patients with mild-to-moderate ICA stenosis after CABG. The most significant predictors of progression of precerebral atherosclerosis after CABG were AF (OR=1.97, 95% CI 1.04—3.73), previous occlusion of stent (OR=7.89, 95% CI=2.3—27.0), chronic brain ischemia grade II or III (OR=22.45, 95% CI=11.9—42.3), chronic kidney disease (OR=15.8, 95% CI=5.04—49.5).

CONCLUSION

It was revealed that the majority of predictors of adverse ischemic cerebral and myocardial events are indirectly associated with atrial fibrillation.

Keywords:

precerebral atherosclerosis
precerebral atherosclerosis
coronary artery bypass surgery
coronary artery bypass surgery
progression of carotid artery stenosis
progression of carotid artery stenosis
carotid endarterectomy
carotid endarterectomy

Authors:

Kazantsev A.N.

St. Petersburg City Alexandrovskaya Hospital

Tarasov R.S.

Research Institute for Complex Issues of Cardiovascular Diseases

Burkov N.N.

Research Institute for Complex Issues of Cardiovascular Diseases

Burkov N.N.

Research Institute for Complex Issues of Cardiovascular Diseases

Anufriyev A.I.

Research Institute for Complex Issues of Cardiovascular Diseases

Anufriyev A.I.

Research Institute for Complex Issues of Cardiovascular Diseases

Lazukina I.A.

Kemerovo Cardiology Hospital

Sargsyan M.T.

Kemerovo State Medical University

Soldatov E.O.

Kemerovo State Medical University

Grachev K.I.

Kemerovo State Medical University

Kutikhin A.G.

Research Institute of Complex Problems of Cardiovascular Diseases

Lider R.Yu.

Kemerovo State Medical University

Received:

01.06.2019

Accepted:

12.07.2019

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References:

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