Neurological complications of cardiac surgery

David L McDonagh, Miles Berger, Joseph P Mathew, Carmelo Graffagnino, Carmelo A Milano, Mark F Newman, David L McDonagh, Miles Berger, Joseph P Mathew, Carmelo Graffagnino, Carmelo A Milano, Mark F Newman

Abstract

As increasing numbers of elderly people undergo cardiac surgery, neurologists are frequently called upon to assess patients with neurological complications from the procedure. Some complications mandate acute intervention, whereas others need longer term observation and management. A large amount of published literature exists about these complications and guidance on best practice is constantly changing. Similarly, despite technological advances in surgical intervention and modifications in surgical technique to make cardiac procedures safer, these advances often create new avenues for neurological injury. Accordingly, rapid and precise neurological assessment and therapeutic intervention rests on a solid understanding of the evidence base and procedural variables.

Conflict of interest statement

Conflict of Interest Statement:

Dr. McDonagh is a consultant for Cephalogics Corporation, LLC.

Dr. Berger has no conflicts of interest.

Dr. Mathew has no conflicts of interest.

Dr. Milano has no conflicts of interest.

Dr. Graffagnino has research funding from Edge Therapeutics, Astra Zeneca, Ornim, and Zoll Corporation.

Dr. Newman has no conflicts of interest.

Copyright © 2014 Elsevier Ltd. All rights reserved.

Source: PubMed

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