Operative Factors Associated with Severe Hypotension in the Postoperative Setting in Patients with Carotid Artery Endarterectomy
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Le résumé fourni par la source
Background: Carotid endarterectomy is a recognized method for preventing stroke for both symptomatic and asymptomatic hemodynamically carotid artery stenosis. Hemodynamic depression is more frequently associated with carotid artery stenting, while postoperative hypertension and cerebral hyperperfusion syndrome are known frequent complications after carotid endarterectomy. Severe hypotension after carotid revascularization is associated with a higher risk of perioperative stroke, myocardial infarction, and death, with limited data existing regarding risk factors. This study aims to investigate intraoperative risk factors for severe hypotension after carotid endarterectomy. Methods: A total of 160 patients who underwent carotid endarterectomy were included in this study. Patients with other cardiac conditions that required concomitant cardiac surgery, patients with incomplete medical records, and patients considered high risk for surgery were excluded. Results: The incidence of severe hypotension was 30.6%. Patients with severe hypotension after carotid endarterectomy had a higher incidence of diabetes, moderate mitral valve regurgitation, a history of percutaneous coronary intervention, and higher operative times. Using logistic regression, temporary shunt insertion was independently associated with severe postoperative hypotension (OR = 2.26, 95% CI = 1.09–4.71, p = 0.029). Conclusions: This result favors the selective shunting strategy when performing carotid endarterectomies, especially for those patients with comorbidities predisposing to postoperative complications.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Operative Factors Associated with Severe Hypotension in the Postoperative Setting in Patients with Carotid Artery Endarterectomy
- Date Crossref
- 06/11/2024
- Éditeur
- MDPI AG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Carol Davila University of Medicine and Pharmacy pays non établi dans la noticeUniversité ou école supérieure
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Institutul de Urgenţă pentru Boli Cardiovasculare "Prof.Dr. C.C. Iliescu" pays non établi dans la noticeÉtablissement de santé
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Clinical Emergency Hospital Bucharest pays non établi dans la noticeÉtablissement de santé
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Titu Maiorescu University pays non établi dans la noticeUniversité ou école supérieure
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Academia Oamenilor de Știință din România pays non établi dans la noticeStructure de recherche
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Faculty of Medicine pays non établi dans la noticeUniversité ou école supérieure
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Prof. Dr. C.C. Iliescu Emergency Institute for Cardiovascular Diseases pays non établi dans la noticeStructure de recherche
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Emergency Clinical Hospital Bucharest Department of Cardiovascular Surgery pays non établi dans la noticeÉtablissement de santé
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Academy of Romanian Scientists pays non établi dans la noticeInstitution
Carol Davila University of Medicine and Pharmacy, Institutul de Urgenţă pentru Boli Cardiovasculare "Prof.Dr. C.C. Iliescu" et Clinical Emergency Hospital Bucharest, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.