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Neurologic complications of cardiac and vascular surgery
1Division of Neurocritical Care and Emergency Neurology, Department of Neurology, Yale New Haven Hospital, New Haven, CT, USA.
Insights
Neurologic complications following cardiac and vascular surgeries, including stroke and delirium, can significantly impact patient outcomes. Understanding these risks is crucial for effective prevention and management strategies.
Area of Science:
- Neurology
- Neurosurgery
- Cardiology
- Vascular Surgery
Background:
- Cardiac and vascular surgeries carry risks of significant neurologic complications.
- These complications can lead to increased morbidity and mortality, potentially undermining surgical benefits.
Purpose of the Study:
- To provide a comprehensive overview of major neurologic complications associated with common cardiac and vascular procedures.
- To discuss the neuropathology, prevention, and management of these surgical complications.
Main Methods:
- Review of existing literature and clinical data on neurologic complications.
- Categorization of complications based on type of surgery and underlying mechanisms.
Main Results:
- Identified common complications including stroke, seizures, delirium, cognitive dysfunction, cerebral hyperperfusion syndrome, cranial nerve injuries, and peripheral neuropathies.
- Highlighted the variable severity and diverse etiologies of these neurologic deficits.
Conclusions:
- Familiarity with neurologic complications is essential for timely diagnosis, management, and improved patient outcomes.
- Ongoing research is expanding knowledge on the prevention and treatment of these adverse events.
Abstract:
This chapter will provide an overview of the major neurologic complications of common cardiac and vascular surgeries, such as coronary artery bypass grafting and carotid endarterectomy. Neurologic complications after cardiac and vascular surgeries can cause significant morbidity and mortality, which can negate the beneficial effects of the intervention. Some of the complications to be discussed include ischemic and hemorrhagic stroke, seizures, delirium, cognitive dysfunction, cerebral hyperperfusion syndrome, cranial nerve injuries, and peripheral neuropathies. The severity of these complications can range from mild to lethal. The etiology of complications can include a variety of mechanisms, which can differ based on the type of cardiac or vascular surgery that is performed. Our knowledge about neuropathology, prevention, and management of surgical complications is growing and will be discussed in this chapter. It is imperative for clinicians to be familiar with these complications in order to narrow the differential diagnosis, start early management, anticipate the natural history, and improve outcomes.
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