title: Incidence and Predictors of Catheterization-Related Cerebral Infarction on Diffusion-Weighted Magnetic Resonance Imaging.
abstract: Introduction. The aim of this study was to examine the incidence and risk factors of catheterization-related CI in the contemporary era, using diffusion-weighted magnetic resonance imaging. Methods. We retrospectively analyzed consecutive 84 patients who underwent MRI (magnetic resonance imaging) after 2.81 ± 2.4 days (mean ± SD) of catheterization via aortic arch. We categorized the patients by the presence or absence of acute CI determined by diffusion-weighted MRI and analyzed the incidence and predictors. Results. Of 84 patients that underwent MRI after catheterization, acute CI was determined in 27 (32.1%) patients. In univariate analysis, dyslipidemia, age, coronary artery disease, antiplatelet agents, number of catheters used, urgent settings, and interventional procedures were significantly different. Multivariate analysis revealed dyslipidemia (odds ratio [OR], 4.46; 95% confidence interval [CI], 1.41-16.03; p = 0.01), higher age (OR, 1.09; 95% CI, 1.007-1.19; p = 0.03), and the number of catheters used (OR, 2.21; 95% CI, 1.21-4.36; p = 0.01) as independent predictors of the incidence of catheterization-related acute CI. Conclusions. Dyslipidemia, higher age, and number of catheters used were independent predictors for acute CI after catheterization. These findings imply that managing dyslipidemia and comprehensive planning to minimize the numbers of catheters are important.
authors.affiliation: Cardiovascular Center, Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka 530-8480, Japan.
authors.forename: Yusuke
authors.identifier: 0000-0002-5850-3175
authors.initials: Y
authors.lastname: Morita
authors.affiliation: Cardiovascular Center, Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka 530-8480, Japan.
authors.forename: Takao
authors.identifier: 0000-0001-8213-7999
authors.initials: T
authors.lastname: Kato
authors.affiliation: Cardiovascular Center, Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka 530-8480, Japan.
authors.forename: Mitsumasa
authors.initials: M
authors.lastname: Okano
authors.affiliation: Cardiovascular Center, Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka 530-8480, Japan.
authors.forename: Kanae
authors.initials: K
authors.lastname: Suu
authors.affiliation: Cardiovascular Center, Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka 530-8480, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Kimura
authors.affiliation: Cardiovascular Center, Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka 530-8480, Japan.
authors.forename: Eri
authors.initials: E
authors.lastname: Minamino-Muta
authors.affiliation: Cardiovascular Center, Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka 530-8480, Japan.
authors.forename: Eisaku
authors.initials: E
authors.lastname: Nakane
authors.affiliation: Cardiovascular Center, Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka 530-8480, Japan.
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Izumi
authors.affiliation: Cardiovascular Center, Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka 530-8480, Japan.
authors.forename: Shoichi
authors.initials: S
authors.lastname: Miyamoto
authors.affiliation: Cardiovascular Center, Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka 530-8480, Japan.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Haruna
authors.affiliation: Cardiovascular Center, Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka 530-8480, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Ueyama
authors.affiliation: Cardiovascular Center, Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka 530-8480, Japan.
authors.forename: Moriaki
authors.identifier: 0000-0003-1388-4899
authors.initials: M
authors.lastname: Inoko
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization / Q000706:statistics & numerical data*; D015984:Causality; D002544:Cerebral Infarction / Q000000981:diagnostic imaging* / Q000453:epidemiology*; D015897:Comorbidity; D038524:Diffusion Magnetic Resonance Imaging / Q000379:methods / Q000706:statistics & numerical data*; D050171:Dyslipidemias / Q000175:diagnosis / Q000401:mortality*; D005260:Female; D006801:Humans; D015994:Incidence; D007564:Japan / Q000453:epidemiology; D008297:Male; D011379:Prognosis; D015203:Reproducibility of Results; D012307:Risk Factors; D012680:Sensitivity and Specificity