CHRASTINA, Jan, Zdeněk NOVÁK, Jaroslav BRICHTA, Petr PAVLÍK, Ivo ŘÍHA and Petr NĚMEC. Neurosurgical Treatment of Cerebrovascular Complications of Heart Surgeries and Interventions. TURKISH NEUROSURGERY. BAHCELIEVLER: TURKISH NEUROSURGICAL SOC, 2014, vol. 24, No 6, p. 897-905. ISSN 1019-5149. doi:10.5137/1019-5149.JTN.10240-13.0.
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Basic information
Original name Neurosurgical Treatment of Cerebrovascular Complications of Heart Surgeries and Interventions
Authors CHRASTINA, Jan (203 Czech Republic, guarantor, belonging to the institution), Zdeněk NOVÁK (203 Czech Republic, belonging to the institution), Jaroslav BRICHTA (203 Czech Republic), Petr PAVLÍK (203 Czech Republic), Ivo ŘÍHA (203 Czech Republic, belonging to the institution) and Petr NĚMEC (203 Czech Republic, belonging to the institution).
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30000 3. Medical and Health Sciences
Country of publisher Turkey
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 0.576
RIV identification code RIV/00216224:14110/14:00079022
Organization unit Faculty of Medicine
UT WoS 000347270100016
Keywords in English Brain ischaemia; Cardiovascular surgery; Decompressive craniectomy; Intracerebral haematoma; Stereotaxy
Tags EL OK, podil
Tags International impact, Reviewed
Changed by Changed by: Ing. Mgr. Věra Pospíšilíková, učo 9005. Changed: 10. 2. 2015 16:27.
AIM: Intracerebral haematoma and brain ischaemia are rare life-threatening complications of cardiovascular surgery.The aim of this study is to present the experience with the neurosurgical treatment of patients with cerebrovascular complications of heart surgery. MATERIAL and METHODS: Patients with brain ischaemia or intracerebral haematoma in the acute phase after heart surgery or invasive intervention operated on between 2002 and 2011 were reviewed. There were 3 patients with middle cerebral artery infarction requiring decompressive craniectomy (2 males, 1 female; mean age 54.3 years) and 5 patients with intracerebral haematoma (3 males, 2 females; mean age 55 years).The type of surgery for intracerebral haematoma was selected individually preferring minimally invasive techniques: stereotactic aspiration (2 patients), neuroendoscopy (1 patient), stereotactic craniotomy (1 patient) or classical craniotomy (1 patient). RESULTS:The results of decompressive craniectomy were unsatisfactory: GOS 1,3 and 4 in 1 patient each.The results of surgery for intracerebral haematoma were GOS 5 in 1 patient, GOS 4 in 2 patients, and lethal in 2 patients. CONCLUSION: Minimally invasive neurosurgery techniques appear to be beneficial for selected patients with intracerebral haematoma after heart surgeries even when considering the limited number of patients. Decompressive craniectomy should be considered strictly individually.
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