[Cerebral vascular accidents after cardiac catheterization in patients with anamnesis of stroke].
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.


CONCLUSIONS
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.
Zhang
Hua
H
Department of Neurology, Anzhen Hospital of Capital University of Medical Sciences, Beijing 100029, China.
Zhang
Zhuo
Z
D000328:Adult; D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000379:methods; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000379:methods; D002543:Cerebral Hemorrhage / Q000209:etiology; D005260:Female; D006801:Humans; D007297:Inpatients; D007431:Intraoperative Complications; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D020521:Stroke / Q000209:etiology* / Q000628:therapy