Relationship of blood pressure control with postoperative adverse events in patients with carotid stenoses undergoing carotid endarterectomy
BAI Peng
LI Han-yang
LI Zheng-qian
WANG Tao
GUO Xiang-yang
Abstract：Objective To analyze the relationship between blood pressure management and postoperative adverse events in the patients with carotid stenoses undergoing carotid endarterectomy (CEA).Methods The clinical data of 254 patients with carotid stenoses,who underwent CEA from June,2014 to June,2016 were analyzed retrospectively.According to the systolic pressure change rate during the temporary occlusion of the carotid arteries [(blood pressure after the occlusion-preoperative blood pressure)/preoperative blood pressure×l00％],the patients were divided into groups A (n=110,0～20％) and B (n=144,＞20％).The postoperative adverse events including cerebral infarction,cerebral hemorrhage,myocardial infarction and new-onset arrhythmia were recorded.Results There were no significant differences in age,sex ratio,preoperative history of hypertension,diabetes and heart disease,preoperative neurological symptoms,degree of cerebral vascular stenosis,and time of occlusion of carotid artery between both the groups (P＞0.05).There were no significant differences in the postoperative incidence of cerebral infarction,cerebral hemorrhage,myocardial infarction and new-onset arrhythmia between both the groups (P＞0.05).Multivariate Logistic regression analysis showed that the systolic pressure change rate during the temporary occlusion of the carotid arteries was not the independent risk factors of above mentioned postoperative adverse events.Nevertheless,age (OR=1.271,95％ CI 1.038～1.555;P＜0.05) was the independent risk factors of new-onset arrhythmia after CEA.Conclusions The blood pressure control during the temporary occlusion carotid arteries in CEA may not be related to cerebral infarction,cerebral hemorrhage,myocardial infarction and new-onset arrhythmia.But itis necessary to study further the optimal blood pressure control during temporary occlusion of the carotid artery in CEA.
Keywords：Carotid stenosiscarotid endarterectomyBlood pressure managementAdverse eventsRelationship
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 139-141 )