Evaluation of brain injury after coronary artery bypass grafting. A prospective study using neuropsychological assessment and diffusion-weighted magnetic resonance imaging☆
Author(s) -
Stephan Knipp,
Nadine Matatko,
Hans Wilhelm,
Marc Schlamann,
Parwis Massoudy,
Michael Forsting,
H.C. Diener,
Heinz Jakob
Publication year - 2004
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1016/j.ejcts.2004.02.012
Subject(s) - medicine , neuropsychology , magnetic resonance imaging , neurocognitive , neuropsychological test , complication , radiology , prospective cohort study , cardiology , surgery , cognition , psychiatry
Neurocognitive dysfunction is a common complication after cardiac surgery with cardiopulmonary bypass (CPB). Studies using magnetic resonance imaging (MRI) have demonstrated that new focal brain lesions can occur after coronary artery bypass grafting (CABG), even in patients without apparent neurological deficits. Diffusion-weighted MRI is superior to conventional MRI and allows for sensitive and early detection of ischemic brain lesions. We prospectively investigated cerebral injury early and 3 months after CABG using diffusion-weighted MRI and related the findings to clinical data and neurocognitive functions.
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