Discussion

Abstract

Presenter: Dr Igor VendraminView Large Image Figure ViewerDownload Hi-res image Download (PPT)Also, with the first group we could be more critical. Group 1 patients with syncope is an interesting group because the results are not good. From this study, we see that we have 80% mortality in this group. It is not expected, not for me. Also, postoperative neurological deficit with almost 36% of patients with persistent PND and 6 patients with coma. It means that something happened during the operation, and maybe the brain protection was not ideal. It is true, we are not sure that the selection of patients is correct 100%, but the results show us that something more could be done in that kind of patient.For example, our study with axillary artery cannulation resulted in a significant protective factor for both groups: the syncope and the focal neurological function groups. This is the topic of our study. Regardless of the clinical presentation, we can move on and easily and routinely start with axillary artery cannulation strategy to significantly reduce the outcome.It is true that it is not easy to classify correctly all these patients because the CT scan preoperatively of the brain is not so usable everywhere. I prefer to go as quick as possible to the operating room instead of studying the brain. You can underestimate the problem because if the interval time is only 4 hours, for example, you think that the reason is a problem with the brain, but it is not correct. Presenter: Dr Igor Vendramin Also, with the first group we could be more critical. Group 1 patients with syncope is an interesting group because the results are not good. From this study, we see that we have 80% mortality in this group. It is not expected, not for me. Also, postoperative neurological deficit with almost 36% of patients with persistent PND and 6 patients with coma. It means that something happened during the operation, and maybe the brain protection was not ideal. It is true, we are not sure that the selection of patients is correct 100%, but the results show us that something more could be done in that kind of patient. For example, our study with axillary artery cannulation resulted in a significant protective factor for both groups: the syncope and the focal neurological function groups. This is the topic of our study. Regardless of the clinical presentation, we can move on and easily and routinely start with axillary artery cannulation strategy to significantly reduce the outcome. It is true that it is not easy to classify correctly all these patients because the CT scan preoperatively of the brain is not so usable everywhere. I prefer to go as quick as possible to the operating room instead of studying the brain. You can underestimate the problem because if the interval time is only 4 hours, for example, you think that the reason is a problem with the brain, but it is not correct.