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Clinical and subclinical acute brain injury caused by invasive cardiovascular procedures

Radosław Lenarczyk1,2, Marco Proietti3,4, Jan F Scheitz5,6,7,8

  • 1Department of Cardiology and Electrotherapy, Silesian Centre for Heart Diseases, Zabrze, Poland. rlenarczyk@sum.edu.pl.

Nature Reviews. Cardiology
|October 11, 2024
PubMed

Insights

Percutaneous cardiovascular procedures increase the risk of acute brain injury, impacting patient outcomes. This consensus statement provides recommendations for prevention, diagnosis, and treatment of this complication.

Area of Science:

  • Cardiology
  • Neurology
  • Interventional Cardiology

Background:

  • Global increase in percutaneous cardiovascular procedures over 50 years.
  • Cardiovascular interventions carry inherent risks of periprocedural and postprocedural acute brain injury (ABI).
  • Existing clinical guidelines lack comprehensive coverage for ABI related to cardiovascular interventions.

Purpose of the Study:

  • To compile current knowledge on ABI associated with cardiovascular interventions.
  • To formulate consensus recommendations for prevention, diagnosis, and treatment of ABI.
  • To identify research gaps and future directions in the field.

Main Methods:

  • International consensus development.
  • Compilation of existing data on ABI prevalence, pathophysiology, risk factors, clinical presentation, and management.
  • Formulation of evidence-based recommendations.

Main Results:

  • Established a comprehensive overview of ABI in the context of cardiovascular interventions.
  • Developed consensus-based recommendations for clinical practice.
  • Highlighted areas requiring further research.

Conclusions:

  • Acute brain injury is a significant complication of cardiovascular interventions.
  • Standardized approaches to prevention, diagnosis, and treatment are needed.
  • Further research is crucial to improve patient outcomes and reduce healthcare costs.

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