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Neurological Complications of Cardiac Procedures
Courtney M Hrdlicka1, Jeffrey Wang2, Magdy Selim3
1Mayo Clinic Arizona, Scottsdale, Arizona.
Insights
Neurological complications like stroke and cognitive dysfunction can occur after cardiac procedures. Understanding these risks aids in prevention, detection, and treatment of neurological issues following cardiac surgery and interventions.
Area of Science:
- Cardiology
- Neurology
- Neurosurgery
Background:
- Neurological complications are frequent after cardiac surgery and percutaneous cardiac interventions.
- These complications include stroke, cognitive dysfunction, encephalopathy, and seizures.
Purpose of the Study:
- To review the incidence, pathophysiology, diagnosis, and management of neurological complications.
- To improve understanding for better prevention and treatment strategies.
Main Methods:
- Literature review of neurological complications.
- Analysis of incidence, pathophysiology, diagnosis, and management.
Main Results:
- Neurological complications are common sequelae of cardiac procedures.
- Specific complications discussed include stroke, postoperative cognitive dysfunction, contrast-induced encephalopathy, and seizures.
Conclusions:
- Enhanced understanding of these neurological complications is crucial.
- This knowledge can facilitate prevention, early detection, and effective treatment.
Abstract:
Neurological complications after cardiac surgery and percutaneous cardiac interventions are not uncommon. These include periprocedural stroke, postoperative cognitive dysfunction after cardiac surgery, contrast-induced encephalopathy after percutaneous interventions, and seizures. In this article, we review the incidence, pathophysiology, diagnosis, and management of these complications. Improved understanding of these complications could lead to their prevention, faster detection, and facilitation of diagnostic workup and appropriate treatment.
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