Şahin, Ahmet AnılTaşbulak, Ömer2024-05-192024-05-1920212147-0758https://search.trdizin.gov.tr/yayin/detay/487637https://hdl.handle.net/20.500.12713/4124INTRODUCTION: Cerebrovascular event (CVE) is majorcause of mortality and morbidity after coronary artery bypasssurgery (CABG). There is no available data in literatureinvestigating correlation between SYNTAX and clinicalSYNTAX score (CSS) and CVE after isolated CABG. The aimof the study was to investigate predicting risk of CVE withSYNTAX and CSS. METHODS: 1850 patients underwent isolated CABG betweenOctober 2011 to December 2013 were included in the study inour hospital. 249 patients included in our study aftereliminating patients having exclusion criteria. CVE includedtransient ischemic events and strokes in 30 days after CABGand two groups were determined as post-operative CVE (+)(PoCVE+) and post-operative CVE(-) (PoCVE-). SYNTAXscore and additional clinical parameters (age, left ventricularejection fraction (LVEF), glomerular filtration rate (GFR)) tocalculate CSS were recorded for patients using last coronaryangiography before isolated CABG. RESULTS: In present study, age (p=0.002), total cholesterol(p=0.048), glucose (p=0.022), uric acid (p=0.032), creatinine(p=0.022), neutrophil count (p=0.06), circumflex-saphenousgrafting (CX-SVG) (p=0.01), CSS (p=0.003) were foundstatistically higher in PoCVE(+) group. Additionally, LVEF(p=0.019) and GFR (p=0.013) were detected lower inPoCVE(+) group. logistic regression of significant parametersshowed that, average age (p=0.017), increased glucose levels(p=0.08), existence of CX-SVG (p=0.011) and CSS (p=0,026)were found contributed factors. CSS >8 predicts CVE withsensitivity of 78.6, specificity of 68.9 DISCUSSION AND CONCLUSION: This study showed CSSmight be a useful and practical score to predict CVE inpatients who planned to undergo CABG therefore precautionsmight be taken before surgery for these patients.eninfo:eu-repo/semantics/openAccessArticle10197105487637