Metabolic Parameters Influence Brain Infarction and Outcome after Resection of Brain Metastases.

brain metastases ischemia outcome postoperative infarction

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
30 Apr 2020
Historique:
received: 02 04 2020
revised: 23 04 2020
accepted: 28 04 2020
entrez: 6 5 2020
pubmed: 6 5 2020
medline: 6 5 2020
Statut: epublish

Résumé

Perioperative infarction in brain tumor surgery occurs in about 30-80% of cases and is strongly associated with poor patient outcomes and longer hospital stays. Risk factors contributing to postoperative brain infarction should be assessed. We retrospectively included all patients who underwent surgery for brain metastases between January 2015 and December 2017. Hemodynamic parameters were analyzed and then correlated to postoperative infarct volume and overall survival. Of 249 patients who underwent biopsy or resection of brain metastases during that time, we included 234 consecutive patients in this study. In total, 172/249 patients showed ischemic changes in postoperative magnet resonance imaging (MRI) (73%). Independent risk factors for postoperative brain infarction were perioperative blood loss (rho 0.189,

Identifiants

pubmed: 32365974
pii: cancers12051127
doi: 10.3390/cancers12051127
pmc: PMC7280970
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

J Neurosurg. 2013 Dec;119(6):1395-400
pubmed: 24116722
Anaesth Intensive Care. 1989 Aug;17(3):312-9
pubmed: 2570536
Crit Care. 2017 Aug 21;21(1):218
pubmed: 28826408
J Neurosurg Anesthesiol. 2017 Oct;29(4):388-392
pubmed: 27438799
Am J Emerg Med. 2016 Apr;34(4):708-12
pubmed: 26818152
Br J Anaesth. 2016 Jul;117(1):17-40
pubmed: 27160932
Nature. 2018 Sep;561(7724):S40-S41
pubmed: 30258156
Oncotarget. 2016 Sep 20;7(38):61945-61954
pubmed: 27566556
J Neurosurg. 2013 Oct;119(4):829-36
pubmed: 23829818
Pharmacol Ther. 2016 Aug;164:152-69
pubmed: 27139518
Oncotarget. 2015 Jun 10;6(16):14537-44
pubmed: 25966341
PLoS One. 2014 Jul 03;9(7):e101805
pubmed: 24992634
Neurocrit Care. 2014 Apr;20(2):202-8
pubmed: 24114519
Int J Stroke. 2009 Oct;4(5):346-51
pubmed: 19765122
Dis Markers. 2019 Nov 26;2019:1578502
pubmed: 31885730
Neurosurgery. 2009 Sep;65(3):463-9; discussion 469-70
pubmed: 19687690
Clin Neurol Neurosurg. 2018 May;168:153-162
pubmed: 29554624
Crit Care Med. 2016 May;44(5):966-72
pubmed: 26751612
Neuro Oncol. 2017 Jul 1;19(7):887-896
pubmed: 28339582
Sci Rep. 2017 Jul 17;7(1):5585
pubmed: 28717226
J Neurosurg. 2013 Apr;118(4):801-8
pubmed: 23373806
J Neurochem. 2018 Jan;144(2):186-200
pubmed: 29205357
J Neurosurg Anesthesiol. 2013 Jul;25(3):254-61
pubmed: 23295268

Auteurs

Nicole Lange (N)

Department of Neurosurgery, Klinikum rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Julia Urich (J)

Department of Neurosurgery, Klinikum rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Melanie Barz (M)

Department of Neurosurgery, Klinikum rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Kaywan Aftahy (K)

Department of Neurosurgery, Klinikum rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Arthur Wagner (A)

Department of Neurosurgery, Klinikum rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Lucia Albers (L)

Department of Neurosurgery, Klinikum rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Stefanie Bette (S)

Department of Neuroradiology, Klinikum rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.
Department of Diagnostic and Interventional Radiology, Universitätsklinikum Augsburg, 86156 Augsburg, Germany.

Benedikt Wiestler (B)

Department of Neuroradiology, Klinikum rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Martin Bretschneider (M)

Department of Anesthesiology, Klinikum rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Bernhard Meyer (B)

Department of Neurosurgery, Klinikum rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Jens Gempt (J)

Department of Neurosurgery, Klinikum rechts der Isar, School of Medicine, Technical University Munich, 81675 Munich, Germany.

Classifications MeSH