Progress in stroke after coronary artery bypass grafting and its association with carotid-cerebral artery disease
Coronary artery bypass grafting(CABG)is the"gold standard"for revascularization of left main diseased and/or complex multi-vessel diseased coronary artery disease.Post-CABG stroke is a relatively rare but catastrophic complication with a serious health and economic burden.In recent years,the further understanding of the concept of"panvascular disease",the implementation of the philosophy of"cardio-cerebral integrated treatment",and the improvement of related diagnostic and therapeutic techniques have provided new options for the recognition,prevention and cure of post-CABG stroke.Focusing on the key factor of carotid-cerebral artery disease,this review systematically scrutinizes the incidence,epidemiology,risk factors,mechanisms and prevention and treatment of post-CABG stroke.This review analyzes the association between post-CABG stroke and carotid-cerebral artery disease,summarizes the status of evidence-based prophylactic carotid-cerebral artery revascularization strategy,and prospects for future research directions.
万方数据
维普
