Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Department of Cardiology, the first hospital of Lanzhou University, Lanzhou, Gansu, China.
Heart Surg Forum. 2021 May 25;24(3):E487-E492. doi: 10.1532/hsf.3731.
Paraplegia is an unpredictable neurologic complication after coronary artery bypass grafting (CABG) surgery. It is rare but fatal, and the mechanism still is unclear. We aimed to make a summary of the possible causes of paraplegia after CABG. Pubmed database was searched from January 1, 1978 to December 31, 2019, and 14 studies were finally included. Paraplegia after CABG is a multifactorial consequence, but spinal cord ischemia is the key pathological factor to postoperative paraplegia.
截瘫是冠状动脉旁路移植术(CABG)后一种不可预测的神经系统并发症。它很少见但很致命,其发病机制尚不清楚。我们旨在总结 CABG 后截瘫的可能原因。从 1978 年 1 月 1 日至 2019 年 12 月 31 日,对 PubMed 数据库进行了检索,最终纳入了 14 项研究。CABG 后截瘫是多因素的后果,但脊髓缺血是术后截瘫的关键病理因素。