title: The Incidence and the Risk Factors of Silent Embolic Cerebral Infarction After Coronary Angiography and Percutaneous Coronary Interventions.
abstract: Silent embolic cerebral infarction (SECI) is a major complication of coronary angiography (CAG) and percutaneous coronary intervention (PCI). Patients with stable coronary artery disease (CAD) who underwent CAG with or without PCI were recruited. Cerebral diffusion-weighted magnetic resonance imaging was performed for SECI within 24 hours. Clinical and angiographic characteristics were compared between patients with and without SECI. Silent embolic cerebral infarction occurred in 12 (12%) of the 101 patients. Age, total cholesterol, SYNTAX score (SS), and coronary artery bypass history were greater in the SECI(+) group (65 ± 10 vs 58 ± 11 years,P= .037; 223 ± 85 vs 173 ± 80 mg/dL,P= .048; 30.1 ± 2 vs 15 ± 3,P< .001; 4 [33.3%] vs 3 [3.3%],P= .005). The SECI was more common in the PCI group (8/24 vs 4/77,P= .01). On subanalysis, the SS was significantly higher in the SECI(+) patients in both the CAG and the PCI groups (29.3 ± 1.9 vs 15 ± 3,P< .01; 30.5 ± 1.9 vs 15.1 ± 3.2,P< .001, respectively). The risk of SECI after CAG and PCI increases with the complexity of CAD (represented by the SS). The SS is a predictor of the risk of SECI, a complication that should be considered more often after CAG.
authors.affiliation: Faculty of Medicine, Department of Cardiology, Cukurova University, Balcali Hospital, Adana, Turkey onurdeveci@yahoo.co.uk.
authors.forename: Onur Sinan
authors.initials: OS
authors.lastname: Deveci
authors.affiliation: Faculty of Medicine, Department of Cardiology, Cukurova University, Balcali Hospital, Adana, Turkey.
authors.forename: Aziz Inan
authors.initials: AI
authors.lastname: Celik
authors.affiliation: Faculty of Medicine, Department of Cardiology, Cukurova University, Balcali Hospital, Adana, Turkey.
authors.forename: Firat
authors.initials: F
authors.lastname: Ikikardes
authors.affiliation: Faculty of Medicine, Department of Cardiology, Cukurova University, Balcali Hospital, Adana, Turkey.
authors.forename: Caglar
authors.initials: C
authors.lastname: Ozmen
authors.affiliation: Faculty of Medicine, Department of Cardiology, Cukurova University, Balcali Hospital, Adana, Turkey.
authors.forename: Caglar Emre
authors.initials: CE
authors.lastname: Caglıyan
authors.affiliation: Faculty of Medicine, Department of Cardiology, Cukurova University, Balcali Hospital, Adana, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Deniz
authors.affiliation: Faculty of Medicine, Department of Radiology, Cukurova University, Balcali Hospital, Adana, Turkey.
authors.forename: Kenan
authors.initials: K
authors.lastname: Bicakci
authors.affiliation: Faculty of Medicine, Department of Neurology, Cukurova University, Balcali Hospital, Adana, Turkey.
authors.forename: Sebnem
authors.initials: S
authors.lastname: Bicakci
authors.affiliation: Faculty of Medicine, Department of Neurology, Cukurova University, Balcali Hospital, Adana, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Evlice
authors.affiliation: Faculty of Medicine, Department of Neurology, Cukurova University, Balcali Hospital, Adana, Turkey.
authors.forename: Turgay
authors.initials: T
authors.lastname: Demir
authors.affiliation: Faculty of Medicine, Department of Cardiology, Cukurova University, Balcali Hospital, Adana, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Kanadasi
authors.affiliation: Faculty of Medicine, Department of Cardiology, Cukurova University, Balcali Hospital, Adana, Turkey.
authors.forename: Mesut
authors.initials: M
authors.lastname: Demir
authors.affiliation: Faculty of Medicine, Department of Cardiology, Cukurova University, Balcali Hospital, Adana, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Demirtas
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002544:Cerebral Infarction / Q000453:epidemiology*; D017023:Coronary Angiography / Q000009:adverse effects*; D001026:Coronary Artery Bypass / Q000379:methods; D003324:Coronary Artery Disease / Q000453:epidemiology*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D012307:Risk Factors; D020521:Stroke / Q000453:epidemiology*
keywords: SYNTAX score; coronary angiography; percutaneous coronary intervention; silent embolic cerebral infarction