PMID: 15379153Sep 24, 2004Paper

Evaluation of the neurologic risk before cardiovascular surgery

Revue médicale de la Suisse romande
Patrick RuchatGérald Devuyst

Abstract

The risk of neurological adverse outcome after open heart surgery is stable since the late 60's. Only since the early 90's cardiac surgeons have shown an interest in decreasing morbidity due to neurological complications. Etiopathological mechanisms of stroke were better understood and due to huge meta-analysis the role of carotid artery disease in adverse neurological outcome was progressively better circumvented. Discovering preoperative markers of neurological hasard is of an uppermost importance for surgeons. It allows to use peri-operative prophylactic strategies, because for the nervous system "prevention is better than cure".

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