A review of risk factors for adverse neurologic outcome after cardiac surgery

Journal of Extra-Corporeal Technology

Volumn 34, Issue 1, 2002, Pages 4-10

  Nussmeier, Nancy A ^a  

^a TEXAS HEART INSTITUTE   (United States)

Author keywords

Cardiac surgery; Cardiopulmonary bypass; Carotid endarterectomy; Combined cardiovascular procedures; Complications; Coronary artery bypass grafting; Risk factor analysis; Stroke

Indexed keywords

AGE; AORTA ATHEROSCLEROSIS; ARTICLE; CAROTID ENDARTERECTOMY; CORONARY ARTERY BYPASS GRAFT; HEART VALVE REPLACEMENT; HUMAN; HYPERTENSION; MICROEMBOLISM; POSTOPERATIVE COMPLICATION; RISK FACTOR; STROKE; SURGICAL TECHNIQUE; THROMBOCYTE ACTIVATION; THROMBOCYTE AGGREGATION;

EID: 0036193188     PISSN: 00221058     EISSN: 29698960     Source Type: Journal    
DOI: None     Document Type: Article

References (95)

1. Adverse cerebral outcomes after coronary bypass surgery
2. Stroke after coronary artery operation: Incidence, correlates, outcome, and cost
3. Risk factors for stroke in patients undergoing coronary artery bypass grafting
4. Superior extension of intraoperative brain damage in case of normothermic systemic perfusion during coronary artery bypass operations
5. Risk factors for early or delayed stroke after cardiac surgery
6. Stroke in cardiac surgical patients: Determinants and outcome
7. Multicenter review of preoperative risk factors for stroke after coronary artery bypass grafting
8. Predictors of stroke risk in coronary artery bypass patients
9. Etiologic factors in neuropsychiatric complications associated with cardiopulmonary bypass
10. Risk factors for stroke after cardiac surgery: Buffalo Cardiac-Cerebral Study Group
11. Brain damage and neurological outcome after openheart surgery
12. Predictors of mortality, complications, and length of stay in aortic valve replacement for aortic stenosis
13. Comparison of anesthetic techniques in patients undergoing heart valve replacement
14. Cerebral injury after cardiac surgery: Risk is procedure-dependent
15. Decreasing incidence of stroke during valvular surgery
16. Changing pattern of valve surgery
17. Central nervous system complications after cardiac surgery: A comparison between coronary artery bypass grafting and valve surgery
18. Cerebral injury after cardiac surgery: Identification of a group at extraordinary risk
19. Perioperative stroke encephalopathy and CNS dysfunction
20. Atheromatous embolism in the brain: A clinicopathologic analysis of 15 autopsy cases
21. A rat model of reproducible cerebral infarction using thrombotic blood clot emboli
22. Atheroemboli to the brain: Size threshold for causing acute neuronal cell death
23. Carotid artery duplex scanning in preoperative assessment for coronary artery revascularization: The association between peripheral vascular disease, carotid artery stenosis, and stroke
24. Asymptomatic carotid artery stenosis and stroke in patients undergoing cardiopulmonary bypass
25. Carotid occlusive disease and stroke risk in coronary artery bypass graft surgery
26. Screening carotid ultrasonography and risk factors for stroke in coronary artery surgery patients
27. Risk neutralization in cardiac operations: Detection and treatment of associated carotid disease
28. The effect of arterial filtration on reduction of gaseous microemboli in the middle cerebral artery during cardiopulmonary bypass
29. Individualized surgical strategy for the reduction of stroke risk in patients undergoing coronary artery bypass grafting
30. Coronary bypass and carotid endarterectomy: Does a combined approach increase risk? A meta-analysis
31. Stroke following coronary artery bypass grafting: A 10-year study
32. Differential effects of advanced age on neurologic and cardiac risks of coronary artery operations
33. Superiority of transe-sophageal echocardiography in detecting aortic arch atheromatous disease: Identification of patients at increased risk of stroke during cardiac surgery
34. Management of the severely atherosclerotic ascending aorta during cardiac operations. A strategy for detection and treatment
35. Strategy for the reduction of stroke incidence in cardiac surgical patients
36. Management of the severely atherosclerotic aorta during cardiac operations
37. Does routine use of aortic ultrasonography decrease the stroke rate in coronary artery bypass surgery?
38. Protruding aortic atheromas predict stroke in elderly patients undergoing cardiopulmonary bypass: Experience with intraoperative transesophageal echocardiography
39. Surgical implications of transesophageal echocardiography to grade the atheromatous aortic arch
40. Intraoperative ultrasonographic evaluation of the ascending aorta in 100 consecutive patients undergoing cardiac surgery
41. Pro: Epiaortic scanning is routinely necessary for cardiac surgery
42. Con: Epiaortic scanning is not routinely necessary for cardiac surgery
43. Severity of aortic atheromatous disease diagnosed by transesophageal echocardiography predicts stroke and other outcomes associated with coronary artery surgery: A prospective study
44. Atherosclerosis of the ascending aorta and coronary artery bypass
45. The unclampable ascending aorta in coronary artery bypass patients. A surgical challenge of increasing frequency
46. When do cerebral emboli appear during open-heart operations? A transcranial Doppler study
47. Cerebral emboli detected during bypass surgery are associated with clamp removal
48. Microemboli during coronary artery bypass grafting. Genesis and effect on outcome
49. Posterior distribution of infarcts in strokes related to cardiac operations
50. Risk factors for stroke following coronary bypass surgery
51. Stroke in coronary artery bypass graft surgery: An analysis of the CASS experience. The participants in the Coronary Artery Surgery Study
52. Autoregulation of brain circulation in severe arterial hypertension
53. Physiology of cerebral blood flow
54. Role of perfusion pressure and flow in major organ dysfunction after cardiopulmonary bypass
55. Differential age effects of mean arterial pressure and rewarming on cognitive dysfunction after cardiac surgery
56. Determinants of cognitive change after coronary artery bypass surgery: A multifactorial problem
57. Intraoperative physiologic variables and outcome in cardiac surgery: Part I. In-hospital mortality
58. Improvement of outcomes after coronary artery bypass. A randomized trial comparing intraoperative high versus low mean arterial pressure
59. Impaired clearance of emboli (washout) is an important link between hypoperfusion, embolism, and ischemic stroke
60. Effect of cerebral embolization on regional autoregulation during cardiopulmonary bypass in dogs
61. Neurologic injury in cardiac surgical patients with a history of stroke
62. Multicenter preoperative stroke risk index for patients undergoing coronary artery bypass graft surgery
63. Diabetic patients have abnormal cerebral autoregulation during cardiopulmonary bypass
64. Normoglycemia (not hypoglycemia) optimizes outcome from middle cerebral artery occlusion
65. Cerebral injury and infection in nondiabetics and diabetics: Influence of glucosecontaining prime
66. Increased risk for neurologic complications after cardiac surgery for women
67. Women undergoing coronary artery surgery: Hormone replacement therapy improves survival
68. Prospective, randomized trial of retrograde warm blood cardioplegia: Myocardial benefit and neurologic threat
69. The effect of temperature management during cardiopulmonary bypass on neurologic and neuropsychologic outcomes in patients undergoing coronary revascularization
70. The effects of cardiopulmonary bypass temperature on neuropsychologic outcome after coronary artery operations: A prospective randomized trial
71. Warm heart surgery
72. Cardiopulmonary bypass, temperature, and central nervous system dysfunction
73. Stroke during coronary artery bypass grafting using hypothermic versus normothermic perfusion
74. Influence of cardiopulmonary bypass perfusion temperature on neurologic and hematologic function after coronary artery bypass grafting
75. Is there a relationship between systemic perfusion temperature during coronary artery bypass grafting and extent of intraoperative ischemic central nervous system injury?
76. Rapid rewarming causes an increase in the cerebral metabolic rate for oxygen that is temporarily unmatched by cerebral blood flow. A study during cardiopulmonary bypass in rabbits
77. Feeling the heat
78. Does rapid rewarming during cardiopulmonary bypass increase neurospychological impairment?
79. The association of rewarming rate and neurocognitive dysfunction after cardiac surgery
80. Small differences in intraischemic brain temperature critically determine the extent of ischemic neuronal injury
81. The effect of mild hyperthermia and hypothermia on brain damage following 5, 10, and 15 minutes of forebrain ischemia
82. Effects of normothermic versus mild hyperthermic forebrain ischemia in rats
83. Therapeutic modulation of brain temperature: Relevance to ischemic brain injury
84. Body temperature in acute stroke: Relation to stroke severity, infarct size, mortality, and outcome
85. Continuous jugular venous versus nasopharyngeal temperature monitoring during hypothermic cardiopulmonary bypass for cardiac surgery
86. Temperature measurement during CPB
87. Longer duration of cardiopulmonary bypass is associated with greater numbers of cerebral microemboli
88. Beating heart surgery: Why expect less central nervous system morbidity?
89. Evidence for improved cerebral function after minimally invasive bypass surgery
90. Neuromonitoring and neurocognitive outcome in off-pump versus conventional coronary bypass operation
91. Serum S-100 protein release and neuropsychologic outcome during coronary revascularization on the beating heart: A prospective randomized study
92. Is cardiopulmonary bypass still the cause, of cognitive dysfunction after cardiac operations?
93. Neuropsychological dysfunction after minimally invasive direct coronary artery bypass grafting
94. Neurological outcome in coronary artery surgery with and without cardiopulmonary bypass
95. Reduced cerebral embolic signals in beating heart coronary surgery detected by transcranial Doppler ultrasound