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  • Title: [Cerebral vascular accidents after cardiac catheterization in patients with anamnesis of stroke].
    Author: Zhang H, Zhang Z.
    Journal: Zhonghua Yi Xue Za Zhi; 2007 Oct 09; 87(37):2613-7. PubMed ID: 18162148.
    Abstract:
    OBJECTIVE: To investigate the risk factors of relapse of cerebral vascular accident (CVA) after cardiac catheterization (CC) in patients with anamnesis stroke. METHODS: The clinical data of 892 patients with anamnesis stroke who received cardiac catheterization (CC) from Jan. 2002 to Oct. 2006, 555 males and 337 females, aged 61 +/- 10, were analyzed retrospectively. RESULTS: 101 of the 892 patients (11.32%) suffered from CVA during the procedure of CC or within 24 hours after the operation, including 33 cases of transient ischemic attack (TIA), 64 cases of cerebral infarction (CI) and 4 cases of cerebral hemorrhage (CH). Logistic regression analysis showed that the risk factors of relapse of CVA after CC included male gender (OR = 0.308, 95% CI = 0.141 - 0.674), alcohol consumption (OR = 0.319, 95% CI = 0.128 - 0.797), hyperlipidemia (OR = 3.676, 95% CI = 1.94 - 6.950), peripheral vascular diseases (OR = 7.419, 95% CI = 2.477 - 22.219), and number of cardiac vascular diseases (OR = 1.809, 95% CI = 1.284 - 2.548). The patients undergoing percutaneous transluminal coronary angioplasty (PTCA) and stenting were much more liable to CVA compared with the other patients. CONCLUSION: The risk factors of relapse of CVA after CC include male gender, alcohol consumption, hyperlipidemia, peripheral vascular diseases, number of cardiac vascular diseases, and the procedures of PTCA and stenting.
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