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Lancet Neurol. 2014 May;13(5):490-502. doi: 10.1016/S1474-4422(14)70004-3. Epub 2014 Apr 2.

Neurological complications of cardiac surgery.

Author information

1
Department of Anesthesiology, Duke University Medical Center, Durham, NC, USA; Department of Neurology, Duke University Medical Center, Durham, NC, USA. Electronic address: david.mcdonagh@duke.edu.
2
Department of Anesthesiology, Duke University Medical Center, Durham, NC, USA.
3
Department of Neurology, Duke University Medical Center, Durham, NC, USA.
4
Department of Surgery (Division of Cardiovascular and Thoracic Surgery), Duke University Medical Center, Durham, NC, USA.

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.

PMID:
24703207
PMCID:
PMC5928518
DOI:
10.1016/S1474-4422(14)70004-3
[Indexed for MEDLINE]
Free PMC Article

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