Neurological Complications of Cardiological Interventions

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Amir Shaban1, Enrique C Leira2,3,4

  • 1Department of Neurology, Carver College of Medicine, University of Iowa, 200 Hawkins drive, Iowa City, IA, 52242, USA. Amir-shaban@uiowa.edu.

Current Neurology and Neuroscience Reports
|February 11, 2019
PubMed

Insights

Neurological complications after cardiac procedures are common. Early recognition and expanded treatment windows for stroke improve patient outcomes.

Area of Science:

  • Cardiology
  • Neurology
  • Neurosurgery

Background:

  • Neurological complications frequently occur following cardiac procedures.
  • The specific cardiac procedure impacts the type and management of neurological complications.

Purpose of the Study:

  • To review neurological complications after cardiac procedures.
  • To discuss treatment strategies for these complications.

Main Methods:

  • Review of current literature on periprocedural neurological complications.
  • Analysis of recent clinical trials expanding stroke treatment eligibility.

Main Results:

  • Expanded time windows for mechanical thrombectomy and intravenous thrombolysis offer more treatment options for periprocedural strokes.
  • Advanced neuroimaging aids in patient selection for stroke interventions.
  • Limited data exists on managing cerebrovascular complications in patients with left ventricular assist devices or mechanical valves.

Conclusions:

  • Early identification of neurological complications, especially stroke, is crucial for effective treatment.
  • Advances in stroke intervention provide increased opportunities for managing periprocedural strokes.
  • Further research is needed for cerebrovascular complication management in specific patient populations.
Abstract

Keywords:
Acute ischemic strokeCardiac procedureContrast neurotoxicityCoronary artery bypass graftingIntracranial hemorrhageLeft ventricular assist deviceNerve injuryPercutaneous coronary interventionValve replacement

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