Фактори ризику розвитку оклюзій артерій сітківки після кардіохірургічних втручань при клапанних вадах серця. (Ukrainian)
In: Archive of Ukrainian Ophthalmology / Arhìv Oftal'mologìï Ukraïni, Jg. 11 (2023-09-01), Heft 3, S. 31-35
academicJournal
Zugriff:
Background. There are reports on the development of central retinal artery occlusion (CRAO) after invasive cardiovascular procedures. Surgery, open heart surgery, and postoperative bleeding increased the risk of CRAO. Cardiac surgery identifies certain risk factors for CRAO such as giant cell arteritis, carotid stenosis, stroke, hypercoagulable state, diabetes with ophthalmic complications, acute coronary syndrome, atrial fibrillation, congestive heart failure, and smoking. Materials and methods. Three hundred and eighty patients (760 eyes) with valvular heart disease after cardiosurgical interventions were under observation. A study on the nature, frequency and features of the occurrence and clinical course of retinal artery occlusions was conducted. To identify risk factors for the development of retinal artery occlusions in patients with valvular heart disease after cardiac surgery, the dependence of their frequency on gender, age, type of operation, type of heart valve prosthesis and surgical access was studied. Results. The frequency of retinal arterial occlusions after cardiosurgical interventions during 1 year of observation averaged 11.12 % (χ² = 173.645; p < 0.001). When analyzing the types of arterial occlusions, the development of all types of occlusions was recorded on the 3 rd day. On the 10 th day and after 3 months, there was only CRAO, 0.66 and 0.41 %, respectively. After 1 year, only occlusion of the central retinal artery branch was diagnosed (0.32 %). The frequency of arterial occlusions is 3 times higher in patients aged 51 to 70 years and 2 times higher in those older than 71 years than in participants aged under 50 years (p = 0.042). After valve replacement, the frequency of occlusions is 2 times higher (p = 0.034) than after valvuloplasty. When using mechanical implants, the frequency of retinal artery occlusions increases by 62 % (p = 0.010) compared to biological implants. If classical access is used during surgery, the frequency of retinal artery occlusions is statistically significantly higher, by 35 % compared to mini access and by 11 times compared to femoral artery access (p < 0.001). [ABSTRACT FROM AUTHOR]
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Titel: |
Фактори ризику розвитку оклюзій артерій сітківки після кардіохірургічних втручань при клапанних вадах серця. (Ukrainian)
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Autor/in / Beteiligte Person: | Ю. О., Панченко ; Н. Я., Ковальчук |
Zeitschrift: | Archive of Ukrainian Ophthalmology / Arhìv Oftal'mologìï Ukraïni, Jg. 11 (2023-09-01), Heft 3, S. 31-35 |
Veröffentlichung: | 2023 |
Medientyp: | academicJournal |
ISSN: | 2309-8147 (print) |
DOI: | 10.22141/2309-8147.11.3.2023.340 |
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