Prevalence and causes of cerebral complications in cardiac surgery

1993 ◽  
pp. 37-46 ◽  
Author(s):  
K. A. Sotaniemi
Keyword(s):  
Cardiac Surgery ◽  
Cerebral Complications

Preventing Cerebral Complications of Cardiac Surgery

1991 ◽  
pp. 219-227
Author(s):  
Marc I. Chimowitz ◽  
Anthony J. Furlan
Keyword(s):  
Cardiac Surgery ◽  
Cerebral Complications

scholarly journals A Protocol for Diagnosis and Management of Aortic Atherosclerosis in Cardiac Surgery Patients

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Wouter W. Jansen Klomp ◽  
George J. Brandon Bravo Bruinsma ◽  
Arnoud W. J. Van ’t Hof ◽  
Jan G. Grandjean ◽  
Arno P. Nierich
Keyword(s):  
Cardiac Surgery ◽  
Thoracic Aorta ◽  
Patient Management ◽  
Systematic Approach ◽  
Postoperative Mortality ◽  
Aortic Atherosclerosis ◽  
Clinical Implementation ◽  
Diagnosis And Management ◽  
Cerebral Complications ◽  
Intraoperative Management

In patients undergoing cardiac surgery, use of perioperative screening for aortic atherosclerosis with modified TEE (A-View method) was associated with lower postoperative mortality, but not stroke, as compared to patients operated on without such screening. At the time of clinical implementation and validation, we did not yet standardize the indications for modified TEE and the changes in patient management in the presence of aortic atherosclerosis. Therefore, we designed a protocol, which combined the diagnosis of atherosclerosis of thoracic aorta and the subsequent considerations with respect to the intraoperative management and provides a systematic approach to reduce the risk of cerebral complications.

Lack of Association Between Gaseous Microembolisms Assessed by a Single Detection Device and Cerebral Complications in Cardiac Surgery Patients

2020 ◽  
Vol 34 (6) ◽  
pp. 1496-1503 ◽  
Author(s):  
Sebastian Wiberg ◽  
Anne Grønborg Vedel ◽  
Frederik Holmgaard ◽  
Jesper Kjaergaard ◽  
Annika R. Langkilde ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Cerebral Complications

Risk factor analysis of early and delayed cerebral complications after cardiac surgery

2002 ◽  
Vol 16 (3) ◽  
pp. 278-285 ◽  
Author(s):  
Lisa Ridderstolpe ◽  
Ewa Ahlgren ◽  
Hans Gill ◽  
Hans Rutberg
Keyword(s):  
Factor Analysis ◽  
Cardiac Surgery ◽  
Risk Factor ◽  
Risk Factor Analysis ◽  
Cerebral Complications

scholarly journals Posthypoxic encephalopathy in patients after cardiac surgery: etiological, pathogenetic, and clinical aspects (a literature review)

2018 ◽  
Vol 10 (3) ◽  
pp. 121-128
Author(s):  
T. M. Alekseeva ◽  
O. A. Portik ◽  
M. P. Topuzova
Keyword(s):  
Risk Factors ◽  
Cardiac Surgery ◽  
Depressive Disorders ◽  
Clinical Manifestations ◽  
Length Of Hospital Stay ◽  
Pain Syndrome ◽  
Incidence Rates ◽  
Cerebral Hypoperfusion ◽  
Clinical Aspects ◽  
Cerebral Complications

Post-hypoxic encephalopathy is a brain damage manifested by neurological, neuropsychiatric, and mental disorders, which is caused by a reduction in cerebral blood flow and by a resultant effect of an episode of hypoxia of various etiology and duration. This complication is most characteristic of patients who have undergone cardiac surgery in view of the high prevalence and severity of clinical manifestations, worse quality of life, the longer length of hospital stay, and the higher cost of treatment and rehabilitation. To determine the individual management tactics for such patients, combining both successful surgical treatment, by reducing perioperative stress, and prevention of cerebral complications, it is necessary to analyze the patterns of their development. The role of pathophysiological risk factors, including preoperative, perioperative and postoperative ones, for posthypoxic encephalopathy, is considered. Its preoperative risk factors include age, gender, concomitant diseases, education level, and cognitive functions before surgery, cardiac morphofunctional changes, and depressive disorders. There are surgery-related (type and duration of anesthesia, operating-suite temperatures, and hyperglycemia) and postoperative (pain syndrome after surgical intervention, sleep disorders, and the environment) risk factors. Emphasis is placed on the technical characteristics of on-pump operations, among which there are cerebral hypoperfusion, microembolism, non-pulsatile flow, and duration of extracorporeal circulation. Classifications of cerebral complications are presented. Different types of brain dysfunction are analyzed to assess their incidence rates, clinical features, and dynamics in the postoperative period.

Autopsy study of cerebral complications of congenital heart disease and cardiac surgery

1984 ◽  
Vol 231 (3) ◽  
pp. 153-161 ◽  
Author(s):  
B. Boz�ky ◽  
D. Bara ◽  
Erzs�bet Kert�sz
Keyword(s):  
Congenital Heart Disease ◽  
Cardiac Surgery ◽  
Heart Disease ◽  
Congenital Heart ◽  
Autopsy Study ◽  
Cerebral Complications
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