Radiographic and Clinical Brain Infarcts in Cardiac and Diagnostic Procedures: A Systematic Review and Meta-Analysis.

2.50
Hdl Handle:
http://hdl.handle.net/10757/622327
Title:
Radiographic and Clinical Brain Infarcts in Cardiac and Diagnostic Procedures: A Systematic Review and Meta-Analysis.
Authors:
Cho, Sung-Min; Deshpande, Abhishek; Pasupuleti, Vinay; Hernandez, Adrian V. ( 0000-0002-9999-4003 ) ; Uchino, Ken
Citation:
Radiographic and Clinical Brain Infarcts in Cardiac and Diagnostic Procedures: A Systematic Review and Meta-Analysis. 2017, 48 (10):2753-2759 Stroke
Publisher:
American Heart Association
Journal:
Stroke
Issue Date:
Oct-2017
URI:
http://hdl.handle.net/10757/622327
DOI:
10.1161/STROKEAHA.117.017541
PubMed ID:
28916673
Additional Links:
https://www.ncbi.nlm.nih.gov/pubmed/?term=28916673%5Buid%5D
Abstract:
BACKGROUND AND PURPOSE: The incidence of periprocedural brain infarcts varies among cardiovascular procedures. In a systematic review, we compared the ratio of radiographic brain infarcts (RBI) to strokes and transient ischemic attacks across cardiac and vascular procedures. METHODS: We searched MEDLINE and 5 other databases for brain infarcts in aortic valve replacement, coronary artery bypass grafting, cardiac catheterization, and cerebral angiogram through September 2015. We followed the PRISMA (preferred reporting items for systematic reviews and meta-analyses) recommendations. We defined symptomatic rate ratio (RR) as ratio of stroke plus transient ischemic attack rate to RBI rate. RESULTS: Twenty-nine studies involving 2124 subjects met the inclusion criteria. In meta-analysis of aortic valve replacements with 494 people, 69.4% (95% confidence interval (CI), 57.6%-81.4%) had RBIs, whereas 3.6% (95% CI, 2.0%-5.2%) had clinical events (RR, 0.08; 95% CI, 0.05-0.12). Coronary artery bypass grafting among 204 patients had 27.4% (95% CI, 6.0%-48.8%) RBIs and 2.4% (95% CI, 0.3%-4.5%) clinical events (RR, 0.11; 95% CI, 0.05-0.26). Cardiac catheterization among 833 people had 8.0% (95% CI, 4.1%-12.0%) RBIs, and 0.6% (95% CI, 0.1%-1.1%) had clinical events (RR, 0.16; 95% CI, 0.08-0.31). Cerebral angiogram among 593 people had 12.8% (95% CI, 6.6-19.0) RBIs and 0.6% (95% CI, 0%-13%) clinical events (RR, 0.10; 95% CI, 0.04-0.27). The RR of all procedures was 0.10 (95% CI, 0.07-0.13) without differences in the RRs across procedures (P=0.29). CONCLUSIONS: One of 10 people with periprocedural RBIs during cardiac surgeries and invasive vascular diagnostic procedures resulted in strokes or transient ischemic attacks, which may serve as a potential surrogate marker of procedural proficiency and perhaps as a predictor of risk for periprocedural strokes.
Type:
info:eu-repo/semantics/article
Rights:
info:eu-repo/semantics/restrictedAccess
Language:
eng
Description:
El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.
Keywords:
Aortic valve replacement; Brain; Cardiac catheterization; Coronary artery bypass; Stroke
MeSH:
Brain; Cardiovascular Surgical Procedures; Cerebral Angiography; Cerebral Infarction; Cohort Studies; Humans
ISSN:
1524-4628

Full metadata record

DC FieldValue Language
dc.contributor.authorCho, Sung-Mines
dc.contributor.authorDeshpande, Abhishekes
dc.contributor.authorPasupuleti, Vinayes
dc.contributor.authorHernandez, Adrian V.es
dc.contributor.authorUchino, Kenes
dc.date.accessioned2017-10-27T20:19:57Z-
dc.date.available2017-10-27T20:19:57Z-
dc.date.issued2017-10-
dc.identifier.citationRadiographic and Clinical Brain Infarcts in Cardiac and Diagnostic Procedures: A Systematic Review and Meta-Analysis. 2017, 48 (10):2753-2759 Strokees
dc.identifier.issn1524-4628-
dc.identifier.pmid28916673-
dc.identifier.doi10.1161/STROKEAHA.117.017541-
dc.identifier.urihttp://hdl.handle.net/10757/622327-
dc.descriptionEl texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.es
dc.description.abstractBACKGROUND AND PURPOSE: The incidence of periprocedural brain infarcts varies among cardiovascular procedures. In a systematic review, we compared the ratio of radiographic brain infarcts (RBI) to strokes and transient ischemic attacks across cardiac and vascular procedures. METHODS: We searched MEDLINE and 5 other databases for brain infarcts in aortic valve replacement, coronary artery bypass grafting, cardiac catheterization, and cerebral angiogram through September 2015. We followed the PRISMA (preferred reporting items for systematic reviews and meta-analyses) recommendations. We defined symptomatic rate ratio (RR) as ratio of stroke plus transient ischemic attack rate to RBI rate. RESULTS: Twenty-nine studies involving 2124 subjects met the inclusion criteria. In meta-analysis of aortic valve replacements with 494 people, 69.4% (95% confidence interval (CI), 57.6%-81.4%) had RBIs, whereas 3.6% (95% CI, 2.0%-5.2%) had clinical events (RR, 0.08; 95% CI, 0.05-0.12). Coronary artery bypass grafting among 204 patients had 27.4% (95% CI, 6.0%-48.8%) RBIs and 2.4% (95% CI, 0.3%-4.5%) clinical events (RR, 0.11; 95% CI, 0.05-0.26). Cardiac catheterization among 833 people had 8.0% (95% CI, 4.1%-12.0%) RBIs, and 0.6% (95% CI, 0.1%-1.1%) had clinical events (RR, 0.16; 95% CI, 0.08-0.31). Cerebral angiogram among 593 people had 12.8% (95% CI, 6.6-19.0) RBIs and 0.6% (95% CI, 0%-13%) clinical events (RR, 0.10; 95% CI, 0.04-0.27). The RR of all procedures was 0.10 (95% CI, 0.07-0.13) without differences in the RRs across procedures (P=0.29). CONCLUSIONS: One of 10 people with periprocedural RBIs during cardiac surgeries and invasive vascular diagnostic procedures resulted in strokes or transient ischemic attacks, which may serve as a potential surrogate marker of procedural proficiency and perhaps as a predictor of risk for periprocedural strokes.es
dc.formatapplication/pdfes
dc.language.isoenges
dc.publisherAmerican Heart Associationes
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pubmed/?term=28916673%5Buid%5Des
dc.rightsinfo:eu-repo/semantics/restrictedAccesses
dc.subjectAortic valve replacementes
dc.subjectBraines
dc.subjectCardiac catheterizationes
dc.subjectCoronary artery bypasses
dc.subjectStrokees
dc.subject.meshBrain-
dc.subject.meshCardiovascular Surgical Procedures-
dc.subject.meshCerebral Angiography-
dc.subject.meshCerebral Infarction-
dc.subject.meshCohort Studies-
dc.subject.meshHumans-
dc.titleRadiographic and Clinical Brain Infarcts in Cardiac and Diagnostic Procedures: A Systematic Review and Meta-Analysis.es
dc.typeinfo:eu-repo/semantics/articlees
dc.identifier.journalStrokees
dc.description.peerreviewRevisión por pareses_PE

Related articles on PubMed

All Items in UPC are protected by copyright, with all rights reserved, unless otherwise indicated.