201739报告PPT.pptx

TCD对心脏手术患者的超声探测的学习报告;;;TCD的优缺点;颅内血管的解剖;;Cerebral microemboli are frequently observed during coronary angiography (CA) and percutaneous coronary intervention (PCI), and their numbers have been related to the vascular access site used. Although cerebral microemboli can cause silent cerebral lesions, their clinical impact is debated. To study this, 93 patients referred for CA or PCI underwent serial cognitive testing using the Montreal Cognitive Assessment (MoCA) test to detect postprocedural cognitive impairment. Patients were randomized to radial or femoral access. In a subgroup of 35 patients, the number of cerebral microemboli was monitored with transcranial?Doppler?technique. We found the median precatheterization result of the MoCA test to be 27, and it did not change significantly 4 and 31 days, respectively, after the procedure. There was no significant correlation between the number of cerebral microemboli and the difference between preprocedural and postprocedural MoCA tests. The test results did not differ between vascular access sites. One-third of the patients had a pre-catheterization median MoCA test result 26 corresponding to mild cognitive impairment. In conclusion, using the MoCA test, we could not detect any cognitive impairment after CA or PCI, and no significant correlations were found between the results of the MoCA test and cerebral microemboli or vascular access site, respectively. In patients with suspected coronary?heart?disease, mild cognitive impairment was common. (C) 2016 Elsevier Inc. All rights reserved. Jurga, J,Does Coronary Angiography and Percutaneous Coronary Intervention Affect Cognitive Function? ,AMERICAN JOURNAL OF CARDIOLOGY,NOV 15 2016卷: 118 期: 10 页: 1437-1441,impact3.1;