PMID: 16507229Mar 2, 2006Paper

Neurologic complications of cardiac surgery: current concepts and recent advances

Current Cardiology Reports
David J Bronster

Abstract

Neurologic complications following cardiac surgery result in increased morbidity and mortality. The incidence of stroke is 2% to 4%, but is substantially higher in patients with a prior history of stroke. The success of off-pump techniques in altering this risk is controversial. The efficacy and safety of simultaneous carotid endarterectomy and coronary artery bypass surgery are still debated. Mechanical clot retrievers may offer new opportunity to treat postoperative large, middle cerebral artery strokes. The risk of cognitive deficits is debatable but may be due to factors other than the use of bypass and may not differ from similar deficits after noncardiac surgery. Short-term cognitive deficits usually resolve by 1 to 3 months. Long-term risks are not clearly established. Novel approaches may decrease the incidence of neurocognitive dysfunction. Postoperative seizures may result from global or focal cerebral ischemia due to hypoperfusion, particulate or air emboli, or metabolic causes. Newer anticonvulsant drugs may offer additional management opportunities.

References

Aug 15, 1991·The New England Journal of Medicine·UNKNOWN North American Symptomatic Carotid Endarterectomy Trial CollaboratorsM Eliasziw
May 1, 1990·Neurology·M B Rorick, A J Furlan
Sep 1, 1983·Stroke; a Journal of Cerebral Circulation·A C BreuerF G Estafanous
Jan 1, 1996·The Annals of Thoracic Surgery·J M RedmondW A Baumgartner
Jan 1, 1996·Archives of Neurology·R B LibmanM Graver
May 1, 1996·Journal of the International Neuropsychological Society : JINS·G VingerhoetsC Jannes
May 2, 1998·JAMA : the Journal of the American Medical Association·D E WennbergE S Fisher
Sep 2, 1999·The Journal of Thoracic and Cardiovascular Surgery·D P TaggartD T Wade
Dec 29, 1999·The Journal of Thoracic and Cardiovascular Surgery·S WestabyP W Halligan
Oct 3, 2000·Progress in Cardiovascular Diseases·R LlinasL R Caplan
Aug 9, 2001·Seminars in Thoracic and Cardiovascular Surgery·R A BakerJ L Knight
Mar 21, 2002·JAMA : the Journal of the American Medical Association·Diederik Van DijkUNKNOWN Octopus Study Group
Mar 21, 2002·JAMA : the Journal of the American Medical Association·Daniel B Mark, Mark F Newman
May 7, 2002·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A R NaylorP R F Bell
Jul 16, 2002·Archives of Neurology·Martin BendszusLaszlo Solymosi
Jan 7, 2003·Journal of Vascular Surgery·Kellie R BrownMarc E Hendel
Feb 1, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Gerhard Wimmer-Greinecker, UNKNOWN International Council of Emboli Managament (ICEM) Study Group
Feb 28, 2003·The Annals of Thoracic Surgery·Jan BuceriusFriedrich W Mohr
Apr 26, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A R NaylorP R F Bell
Nov 25, 2003·Zeitschrift für Kardiologie·P EmmrichF W Mohr
Dec 23, 2003·The Journal of Thoracic and Cardiovascular Surgery·Christoph SchmitzArmin Welz
Apr 15, 2004·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Stephan C KnippHeinz Jakob
Sep 30, 2004·The Heart Surgery Forum·Donald S LikoskyUNKNOWN Northern New England Cardiovascular Disease Study Group, Lebanon, New Hampshire
Oct 8, 2004·The New England Journal of Medicine·Jay S YadavUNKNOWN Stenting and Angioplasty with Protection in Patients at High Risk for Endarterectomy Investigators
Oct 30, 2004·The Annals of Thoracic Surgery·Shahar Bar-YosefUNKNOWN Neurological Outcome Research Group and CARE Investigators of the Duke Heart Center
Nov 25, 2004·The Annals of Thoracic Surgery·Yugal MishraNaresh Trehan
Dec 1, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J GhoshM G Walker
Dec 3, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Dominic C HarmonGeorge D Shorten
Dec 17, 2004·BMC Neurology·Henrik JönssonSten Blomquist
Jan 29, 2005·The Journal of Thoracic and Cardiovascular Surgery·Oren Lev-RanGideon Uretzky
Feb 3, 2005·International Journal of Cardiology·M De FeoM Cotrufo

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Citations

Nov 9, 2011·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Rizwan A ManjiEric Jacobsohn
Jan 28, 2014·Journal of Critical Care·Lara V MarcuseJoanna Chikwe
Nov 3, 2007·The Journal of Thoracic and Cardiovascular Surgery·Ani C AnyanwuDavid H Adams
Apr 18, 2007·Pediatric Neurology·Valeria SansoneAlessandro Fontana
May 13, 2008·The American Journal of Cardiology·Farzan FilsoufiDavid H Adams
Jan 25, 2011·The Annals of Thoracic Surgery·Andrew B GoldstoneJoanna Chikwe
Dec 15, 2011·The Heart Surgery Forum·Sahin SenayTayyar Sarioglu
Nov 24, 2007·Cerebrovascular Diseases·Muhammad U FarooqUNKNOWN Paul Coverdell National Acute Stroke Registry Michigan Prototype Investigators
May 24, 2012·The Journal of Bone and Joint Surgery. American Volume·Thomas C B PollardJonathan L Rees
Nov 22, 2017·Journal of the American Geriatrics Society·Maisha M KhanKrista L Lanctôt

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