Cardiovascular complications in patients with acute ischemia of the limbs in the early period of ischemic stroke
DOI:
https://doi.org/10.15587/2519-4798.2020.199859Keywords:
sharp ischemia of lower limbs, sharp violation of cerebral circulation of blood, thrombectomy, amputationAbstract
Aim. To define risks and complications for patients with the sharp ischemia of lower extremities in the sharp period of stroke after reconstructive surgical treatment for the decline of amount of amputations and sharp violations of cerebral circulation of blood postoperative period.
Materials and methods. In the period 2015–2019 based on the Department of Acute Diseases of Vessels of the State Institution «ICUS by. VT Zaitsev NAMNU »we operated 31 patients for acute ischemia of the lower extremities during the period of acute ischemic stroke (namely, within 3–4 weeks after the neurological manifestations). The mean age of the patients was 72.9±1.65 years. Among them are 17 women and 14 men. The diagnosis of acute ischemia of the lower extremities was established in 19 patients, the upper – in 12 patients.
Results. All patients (31) were operated; the main blood flow was restored. In 28 cases of patients were performed embolectomy, in 3 cases – bypass surgery.
Conclusions. Ultrasound examination of the lower extremities should be performed for patients with acute stroke ischemia with paresis to verify acute lower limb ischemia, which allows timely diagnosis of ischemia and reduce the number of amputations in patients with acute lower limb ischemia I-II degree to 0 %, and the risk of stroke to 3.2 %References
- Pulyk, O. R., Hyriavets, M. V. (2016). Analiz zakhvoriuvanosti, smertnosti ta invalidnisti pislia perenesenoho mozkovoho insultu. Zdorovia natsii, 1-2 (37-38), 161–166.
- Damulin, I. V., Parfenov, V. A., Skoromets, A. A. et. al.; Iakhno, N. N. (Red.) (2015). Narusheniia krovoobrashcheniia v golovnom i spinnom mozge. Bolezni nervnoi sistemy. Moscow: Meditsina, 1, 232–303.
- Westendorp, W. F., Nederkoorn, P. J., Vermeij, J.-D., Dijkgraaf, M. G., de Beek, D. van. (2011). Post-stroke infection: A systematic review and meta-analysis. BMC Neurology, 11 (1). doi: http://doi.org/10.1186/1471-2377-11-110
- Vermeij, F., Nederkoorn, P. J., Den Hertog, H. M., van de Beek, D., Dippel, D. W. (2010). Antibiotic therapy for preventing infections in patients with acute stroke. Cochrane Database of Systematic Reviews. doi: http://doi.org/10.1002/14651858.cd008530
- Westendorp, W. F., Vermeij, J.-D., Brouwer, M. C., Roos, Y. B. W. E. M., Nederkoorn, P. J., van de Beek, D. (2016). Pre-Stroke Use of Beta-Blockers Does Not Lower Post-Stroke Infection Rate: An Exploratory Analysis of the Preventive Antibiotics in Stroke Study. Cerebrovascular Diseases, 42 (5-6), 506–511. doi: http://doi.org/10.1159/000450926
- Zonneveld, T. P., Nederkoorn, P. J., Westendorp, W. F., Brouwer, M. C., van de Beek, D., Kruyt, N. D. (2017). Hyperglycemia predicts poststroke infections in acute ischemic stroke. Neurology, 88 (15), 1415–1421. doi: http://doi.org/10.1212/wnl.0000000000003811
- Groot, A. E., Vermeij, J.-D. M., Westendorp, W. F., Nederkoorn, P. J., van de Beek, D., Coutinho, J. M. (2018). Continuation or Discontinuation of Anticoagulation in the Early Phase After Acute Ischemic Stroke. Stroke, 49 (7), 1762–1765. doi: http://doi.org/10.1161/strokeaha.118.021514
- Van Dijk, T., Vermeij, J.-D., van Koningsbruggen, S., Lakeman, P., Baas, F., Poll-The, B. T. (2018). A SEPSECS mutation in a 23-year-old woman with microcephaly and progressive cerebellar ataxia. Journal of Inherited Metabolic Disease, 41(5), 897–898. doi: http://doi.org/10.1007/s10545-018-0151-x
- Westendorp, W. F., Vermeij, J.-D., Hilkens, N. A., Brouwer, M. C., Algra, A., van der Worp, H. B. et. al. (2018). Development and internal validation of a prediction rule for post-stroke infection and post-stroke pneumonia in acute stroke patients. European Stroke Journal, 3 (2), 136–144. doi: http://doi.org/10.1177/2396987318764519
- Westendorp, W. F., Zock, E., Vermeij, J.-D., Kerkhoff, H., Nederkoorn, P. J. et. al. (2018). Preventive Antibiotics in Stroke Study (PASS). Neurology, 90 (18), e1553–e1560. doi: http://doi.org/10.1212/wnl.0000000000005412
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Copyright (c) 2020 Inna Pulyaeva, Vitaliy Prasol, Kyrylo Miasoiedov, Yuliya Ivanova
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