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[Neurological complications of cardiac catheterization]
I Garcimartin-Cerrón1, M A Tola-Arribas, J Muñoz-San José
1Unidad de Cardiología Hospital de Medina del Campo, Valladolid, España.
Revista De Neurologia
|October 10, 2002
Summary
Neurological complications after cardiac catheterization, including stroke and nerve damage, occur in 0.01-0.4% of procedures. Risk factors include age, vascular disease, and specific cardiac interventions.
Area of Science:
- Neurology
- Cardiology
- Interventional Cardiology
Context:
- Cardiac catheterization procedures have increased, leading to a rise in associated complications.
- Neurological pathologies are a significant concern, with an incidence ranging from 0.01% to 0.4%.
Purpose:
- To detail the neurological complications of cardiac catheterization.
- To identify associated risk factors and pathogenic mechanisms.
Summary:
- Common neurological issues include cerebrovascular disease, neuro-ophthalmological syndromes, and peripheral neuropathies.
- Mechanisms involve embolic cerebral ischemia and direct nerve compression.
- Risk factors include advanced age, vascular risk factors, female sex, specific valvuloplasties, and non-elective revascularization.
Impact:
- Understanding these complications aids in identifying high-risk patients.
- Development of preventative protocols and early therapeutic interventions can be enhanced.
- Operator experience and departmental activity are linked to complication rates.