Comparison of Regional Cerebral Oxygen Saturation Values by Using Near-Infrared Spectroscopy in Patients Who Underwent Coronary Artery Bypass Graft with and Without Internal Carotid Artery Stenosis
Yıl: 2020 Cilt: 26 Sayı: 2 Sayfa Aralığı: 85 - 94 Metin Dili: İngilizce DOI: 10.5222/GKDAD.2020.94824 İndeks Tarihi: 27-11-2020
Comparison of Regional Cerebral Oxygen Saturation Values by Using Near-Infrared Spectroscopy in Patients Who Underwent Coronary Artery Bypass Graft with and Without Internal Carotid Artery Stenosis
Öz: Objective: In the study, the regional cerebral oxygen saturation (rSO2) of patients with and without carotidartery stenosis was monitored to see whether or not NIRS can be used routinely in CABG operations.Methods: Eighty patients undergoing CABG were divided into two groups. Following the preoperative colourDoppler ultrasonography, the patients with internal carotid artery stenosis or with stable plaque were includedin Group I (n=40), while the patients having no internal carotid artery stenosis were included in Group II (n=40).Pulse rates, systolic and diastolic blood pressures, mean arterial blood pressures, nasopharyngeal temperatures,haematocrit, PaO2, PaCO2, SpO2, BIS, right, and left rSO2 values, and relative changes in rSO2 from baseline ofthe two groups were compared.Results: The male/female ratios in both groups were 27/13. The mean age was 60.82±9.63 (39-79) years inGroup I and 59.95±9.54 (41–80) years in Group II. No differences were observed in terms of demographic data,preoperative laboratory and bispectral index (BIS) values, and time of operation and CPB. In addition, nodifferences were observed between the arterial blood gas values or the right and left rSO2 values of the groupsat all measurement time points (p=0.309 and p=0.114, respectively). In both groups, the decrease in rSO2 valueswas not higher than 20% at all measurement time points. However, the relative changes in rSO2 from baselinein Group I were statistically different compared to those in Group II (right p=0.031, left p<0.001). No strokeoccurred in the groups postoperatively.Conclusion: In patients undergoing CABG, brain perfusion reduces when a CPB pump is put into operation, andthe monitoring of intraoperative cerebral perfusion with NIRS is crucial. In patients with carotid artery stenosis,relative changes in rSO2 from baseline are higher.
Anahtar Kelime: Objective: In the study, the regional cerebral oxygen saturation (rSO2 ) of patients with and without carotid artery stenosis was monitored to see whether or not NIRS can be used routinely in CABG operations. Methods: Eighty patients undergoing CABG
Öz: Amaç: Çalışmada, karotis arter darlığı olan ve olmayan hastaların serebral oksijen satürasyonu (rSO2 ) takip ederek NIRS’ın KABG ameliyatlarında rutin olarak kullanılabilirliliği araştırıldı. Yöntem: KABG uygulanacak olan 80 hasta iki gruba ayrıldı. Preoperatif yapılan renkli doppler ultrasonografi ile internal karotis arterlerinde darlık ya da stabil plağı olan hastalar Grup I (n=40), internal karotis arterde darlık tespit edilmeyen hastalar Grup II’yi (n=40) oluşturdu. Her iki grupta; nabız, sistolik ve diyastolik kan basıncı, ortalama arteriyel kan basıncı, nazofarengeal ısı, hematokrit, PaO2 , PaCO2 , SPO2 , BİS, sağ ve sol rSO2değerleri ve rSO2yüzde değişim oranları karşılaştırıldı. Bulgular: Her iki grupta da erkek/kadın oranı 27/13 şeklindeydi. Hastaların ortalama yaşı grup I’de 60.82±9.63 (39-79) yıl, grup II’de 59.95±9.54 (41-80) yıl idi. Gruplar arasında demografik veriler, preoperatif labaratuar ve BİS değerleri, ameliyat ve pompa süresi açısından bir fark izlenmedi. Arteriyal kan gazı değerleri, sağ ve sol rSO2 değerlerinde tüm ölçüm zamanlarında gruplar arasında fark bulunmadı (sırasıyla p=0,309, p=0,114). Her iki grupta tüm ölçüm zamanlarında rSO2değerlerinde %20’ten fazla azalma izlenmedi. Ancak grup I’de rSO2yüzde değişim oranları grup II’ye göre istatistiksel olarak anlamlı bulundu (sağ p=0,031, sol p<0,001). Postoperatif dönemde her iki grupta da inme izlenmedi. Sonuç: KABG uygulanan hastalarda kalp akciğer pompasına geçildiğinde beyin perfüzyonunda düşme olmakta- dır ve NIRS ile peroperatif serebral perfüzyonun takibi önemlidir. rSO2 ’deki yüzde değişim oranları karotis arterde darlık olan hastalarda daha fazla olmaktadır
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Kefeli Çelik H, DOĞANAY Z (2020). Comparison of Regional Cerebral Oxygen Saturation Values by Using Near-Infrared Spectroscopy in Patients Who Underwent Coronary Artery Bypass Graft with and Without Internal Carotid Artery Stenosis. , 85 - 94. 10.5222/GKDAD.2020.94824 |
| Chicago | Kefeli Çelik Hale,DOĞANAY ZAHİDE Comparison of Regional Cerebral Oxygen Saturation Values by Using Near-Infrared Spectroscopy in Patients Who Underwent Coronary Artery Bypass Graft with and Without Internal Carotid Artery Stenosis. (2020): 85 - 94. 10.5222/GKDAD.2020.94824 |
| MLA | Kefeli Çelik Hale,DOĞANAY ZAHİDE Comparison of Regional Cerebral Oxygen Saturation Values by Using Near-Infrared Spectroscopy in Patients Who Underwent Coronary Artery Bypass Graft with and Without Internal Carotid Artery Stenosis. , 2020, ss.85 - 94. 10.5222/GKDAD.2020.94824 |
| AMA | Kefeli Çelik H,DOĞANAY Z Comparison of Regional Cerebral Oxygen Saturation Values by Using Near-Infrared Spectroscopy in Patients Who Underwent Coronary Artery Bypass Graft with and Without Internal Carotid Artery Stenosis. . 2020; 85 - 94. 10.5222/GKDAD.2020.94824 |
| Vancouver | Kefeli Çelik H,DOĞANAY Z Comparison of Regional Cerebral Oxygen Saturation Values by Using Near-Infrared Spectroscopy in Patients Who Underwent Coronary Artery Bypass Graft with and Without Internal Carotid Artery Stenosis. . 2020; 85 - 94. 10.5222/GKDAD.2020.94824 |
| IEEE | Kefeli Çelik H,DOĞANAY Z "Comparison of Regional Cerebral Oxygen Saturation Values by Using Near-Infrared Spectroscopy in Patients Who Underwent Coronary Artery Bypass Graft with and Without Internal Carotid Artery Stenosis." , ss.85 - 94, 2020. 10.5222/GKDAD.2020.94824 |
| ISNAD | Kefeli Çelik, Hale - DOĞANAY, ZAHİDE. "Comparison of Regional Cerebral Oxygen Saturation Values by Using Near-Infrared Spectroscopy in Patients Who Underwent Coronary Artery Bypass Graft with and Without Internal Carotid Artery Stenosis". (2020), 85-94. https://doi.org/10.5222/GKDAD.2020.94824 |
| APA | Kefeli Çelik H, DOĞANAY Z (2020). Comparison of Regional Cerebral Oxygen Saturation Values by Using Near-Infrared Spectroscopy in Patients Who Underwent Coronary Artery Bypass Graft with and Without Internal Carotid Artery Stenosis. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, 26(2), 85 - 94. 10.5222/GKDAD.2020.94824 |
| Chicago | Kefeli Çelik Hale,DOĞANAY ZAHİDE Comparison of Regional Cerebral Oxygen Saturation Values by Using Near-Infrared Spectroscopy in Patients Who Underwent Coronary Artery Bypass Graft with and Without Internal Carotid Artery Stenosis. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi 26, no.2 (2020): 85 - 94. 10.5222/GKDAD.2020.94824 |
| MLA | Kefeli Çelik Hale,DOĞANAY ZAHİDE Comparison of Regional Cerebral Oxygen Saturation Values by Using Near-Infrared Spectroscopy in Patients Who Underwent Coronary Artery Bypass Graft with and Without Internal Carotid Artery Stenosis. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, vol.26, no.2, 2020, ss.85 - 94. 10.5222/GKDAD.2020.94824 |
| AMA | Kefeli Çelik H,DOĞANAY Z Comparison of Regional Cerebral Oxygen Saturation Values by Using Near-Infrared Spectroscopy in Patients Who Underwent Coronary Artery Bypass Graft with and Without Internal Carotid Artery Stenosis. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi. 2020; 26(2): 85 - 94. 10.5222/GKDAD.2020.94824 |
| Vancouver | Kefeli Çelik H,DOĞANAY Z Comparison of Regional Cerebral Oxygen Saturation Values by Using Near-Infrared Spectroscopy in Patients Who Underwent Coronary Artery Bypass Graft with and Without Internal Carotid Artery Stenosis. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi. 2020; 26(2): 85 - 94. 10.5222/GKDAD.2020.94824 |
| IEEE | Kefeli Çelik H,DOĞANAY Z "Comparison of Regional Cerebral Oxygen Saturation Values by Using Near-Infrared Spectroscopy in Patients Who Underwent Coronary Artery Bypass Graft with and Without Internal Carotid Artery Stenosis." Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, 26, ss.85 - 94, 2020. 10.5222/GKDAD.2020.94824 |
| ISNAD | Kefeli Çelik, Hale - DOĞANAY, ZAHİDE. "Comparison of Regional Cerebral Oxygen Saturation Values by Using Near-Infrared Spectroscopy in Patients Who Underwent Coronary Artery Bypass Graft with and Without Internal Carotid Artery Stenosis". Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi 26/2 (2020), 85-94. https://doi.org/10.5222/GKDAD.2020.94824 |
