ABO blood types may affect transient neurological events after surgical revascularization in patients with moyamoya disease: a retrospective single center study.
BMC Anesthesiol
; 23(1): 419, 2023 12 19.
Article
in En
| MEDLINE
| ID: mdl-38114904
ABSTRACT
BACKGROUND:
Moyamoya disease (MMD) is a cerebrovascular disease with unknown cause. Patients with MMD disease usually experience transient neurological events (TNEs) after revascularization surgery. This retrospective single-center study was aimed to explore the risk factors of postoperative TNEs after surgical revascularization in patients with MMD.METHODS:
We selected 324 patients who underwent surgical revascularization between January 2017 and September 2022 in our center. The perioperative characteristics of the patients were recorded and the outcome was TNEs after surgery. An analysis of risk factors contributing to postoperative TNEs by using logistic regression model.RESULTS:
Three hundred twelve patients were enrolled, and the incidence of postoperative TNEs was 34% in our study. Males were more likely to suffer from postoperative TNEs (OR = 2.344, p = 0.002). Preoperative ischemic presentation (OR = 1.849, p = 0.048) and intraoperative hypotension (OR = 2.332, p = 0.002) were associated with postoperative TNEs. Compared to patients with blood type O, patients with blood type A (OR = 2.325, p = 0.028), B (OR = 2.239, p = 0.027) and AB (OR = 2.938, p = 0.019) had a significantly higher incidence of postoperative TNEs. A risk prediction model for postoperative TNEs was established, and the established risk prediction area under the receiver operating characteristic curve (ROC) of the model was 0.741.CONCLUSIONS:
Males, preoperative ischemic presentation and intraoperative hypotension were associated with postoperative TNEs. We also found a possible link between postoperative TNEs and ABO blood types after surgical revascularization for moyamoya patients.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cerebral Revascularization
/
Hypotension
/
Moyamoya Disease
Limits:
Humans
/
Male
Language:
En
Journal:
BMC Anesthesiol
/
BMC anesthesiol. (Online)
/
BMC anesthesiology (Online)
Year:
2023
Document type:
Article
Affiliation country:
China
Country of publication:
United kingdom