Interní Med. 2003; 5(5): 22-26

Neurologické komplikace operací v mimotělním oběhu

MUDr. David Goldemund, MUDr. Robert Mikulík
I. neurologická klinika LF MU a FN u sv. Anny Brno

Keywords: stroke, diffuse encephalopathy, microembolisation, extracorporal circulation, atherosclerosis.

Published: December 31, 2003  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Goldemund D, Mikulík R. Neurologické komplikace operací v mimotělním oběhu. Interní Med. 2003;5(5):22-26.

Cerebrální inzulty patří k nejtěžším a nejvíce devastujícím komplikacím srdečních operací. V textu autoři uvádějí přehled a stručnou symptomatologii perioperačních neurologických komplikací, diskutován je předpokládaný mechanizmus jejich vzniku i rizikové faktory.

Neurological complications of operation in extracorporal circulation

Cerebral insults belong to the most severe and debilitating complications of heart surgery. In the paper, the authors give a review and brief symptomatology of perioperative neurological complications, hypothesize upon presumptive mechanism of their origin and risk factors.

Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Almassi GH, Moritz TE, et al. Stroke in cardiac surgical patient: determinants and outcome. Ann Thorac Surg 1999; 68: 391-398. Go to original source... Go to PubMed...
    2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC: Američan Psychiatric Associationů 1994.
    3. Arrowsmith JE, Grocott Hp et al. Central Nervous Systém Complications Of Cardiac Surgery. British Journal Of Anaesthesia 2000; 84: 378-393. Go to original source... Go to PubMed...
    4. Arrowsmith JE, Harrison MJG, et al. Neuroprotection of the brain during cardiopulmonary bypass. A randomized trial of remacemide during coronary artery bypass in 171 patients. Stroke 1998; 29: 2357-2362. Go to original source... Go to PubMed...
    5. Asymptomatic carotid Atherosclerosis Study Executive Commitee. Endarterectomy for asymptomatic carotid artery stenosis. JAMA 1995; 273: 1421-1428. Go to original source...
    6. Barbut D, Caplan LR, et al. Brain complications of cardiac Surgery. Current problems in Cardiology 1997; 22: 449-484. Go to original source... Go to PubMed...
    7. Barbut D, Hinton RB, et al. Cerebrál emboli detected dutiny vypase surgery are associated with clamp removal. Stroke 1994; 25: 2398-2402. Go to original source... Go to PubMed...
    8. Caplan LR, Hennerici M. Impaired clearance of emboli (washout) is important link between hypoperfusion, embolism, and ischemic stroke. Arch neruol 1998; 55: 1475-1482. Go to original source... Go to PubMed...
    9. Creswell LL. Postoperative atrial arrhytmias:risk factors and associated adverse outcomes. Semin Thorac Cardiovasc Surg 1999; 11: 303-307. Go to original source... Go to PubMed...
    10. Croughwell N, Lyth M, et al. Diabetic patiens have abnormal cerebral autoregulation dutiny cardiopulmonary vypase. Circulation 1990; 82: 407-412.
    11. D´Agostino RS, Svensson LG, et al. Screening carotid ultrasonography and risk factors for stroke in coronary artery bypass in coronary artery surgery patients. Ann Thorac Surg 1996; 62: 1714-1723. Go to original source... Go to PubMed...
    12. Duda AM et al. Does routine use of aortic ultrasonography decrease the stroke rate in coronary vypase surgery? J BASF Surg 1995; 21: 98-107. Go to original source... Go to PubMed...
    13. European Carotid Surgery Trialists Collaborative Group. Randomized trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST). Lancet 1998; 351: 1379-1387. Go to original source...
    14. Gardner TJ, Horneffer PJ, et al. Major Stroke after coronary artery bypass surgery: changing magnitude of the problem. J Vasc Surg 1986; 3: 684-687. Go to original source...
    15. Gaudino M, Glieca F, et al. Individualized surgical strategy for reduction of stroke risk in patients undergoing coronary artery bypass grafting. Ann Thorac Surg 1999; 67: 1246-1253. Go to original source... Go to PubMed...
    16. Gold JP, Charlson ME, et al. Improvement of outcomes after coronary Artury vypase. A randomized trial comparing intraoperative high versus low mean arterial pressure. J Thorac Cardiovasc Surg 1995; 110: 1302-1314. Go to original source... Go to PubMed...
    17. Goto T, bab T, et al. Craniocervical and aortic atherosclerosis as neurologic risk factors in coronary surgery. Ann Thorac Surg 2000; 69: 834-840. Go to original source... Go to PubMed...
    18. Guy M.McKhann Encephalopathy and Stroke After CABG Arch Neurol. 2002; 59: 1422-1428.
    19. Harrison Mj. neurologic Complications of coronary Artury vypase grafting: difuse or focal iscehmia? Ann Thorac Surg. 1995; 59: 1356-1358. Go to original source... Go to PubMed...
    20. Hogue CW Jr, Murény SF, et al. Rsik factors for early or delayed stroke after cardiac surgery. Circulation 1999; 100: 642-647. Go to original source... Go to PubMed...
    21. John R, Choudhri BS et al. Review Of Preoperative risk factors for stroke after coronary bypass grafting. Ann Thorac Surg 2000; 69: 30-36. Go to original source... Go to PubMed...
    22. Johnson WD, et al. The left atrial appendage: our most lehal human attachment! Surgical Implications. Eur J Cardiothorac Surg 2000; 17: 718-722. Go to original source... Go to PubMed...
    23. Marschall K, Kanchuger M, et al. Superiority of transesophageal echocardiography in detecting aortic arch atheromatous disease: identification of patiens at increased risk of stroke dutiny cardiac surgery. J cardiothorac BASF Anesth 1994; 8: 5-13. Go to original source... Go to PubMed...
    24. Mayo Asymptomatic Carotid Endarterectomy Study Group. Results of a randomized cotrolled trial of carotid endarterectomy for asymptomatic carotid stenosis. Mayo Clin Proc 1992; 67: 513-518. Go to original source... Go to PubMed...
    25. Mickleborough LL, Walker PM, et al. Risk factors for stroke in patients undergoing coronary artery bypass grafting. J Thorac Cardiovasc Surg 1996; 112:1250-1259. Go to original source... Go to PubMed...
    26. Mitchell SJ, Pellet O, et al. Cerebral protection by lidocaine during cardiac operations. Annals of Thoracic Surgery 1999; 67: 1117-1124. Go to original source... Go to PubMed...
    27. Murkin JM, et al. Attenuation of neurologic Injury Dutiny Cardiac Surgery. Ann Thorac Surg 2001; 72: 834-844. Go to original source... Go to PubMed...
    28. Neville MJ, Butterworth J, et al. Similar neurobehavioral outcome after valve or coronary artery operations despite difering carotid embolic counts. J Thorac Cardiovasc Surg 2001; 121: 125-136. Go to original source... Go to PubMed...
    29. Newman MF, Kirchner JL. Longitudinal assessment of neurocognitive function after coronary artery vypase surgery. N Engl J Med 2001; 344: 395-402. Go to original source... Go to PubMed...
    30. North American Symptomatic Carotid Stenosis Trial Collaborators. beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med 1991; 325: 445-453. Go to original source... Go to PubMed...
    31. Nussmeier N et al A Review of risk Factors for Adverse Neurologic Outcome After Cardiac Surgery. JECT 2002; 34: 4-10.
    32. Odell JA, Blackshear JL, et al. Stroke after coronary artery bypass grafting: Are we forgetting atrial fibrillation? Ann Thorac Surg 2001; 71: 397-404. Go to original source... Go to PubMed...
    33. Perry JR, et al. Consensus against both endarterectomy and routine screening for asymptomatic carotid stenosis: Canadian Stroke Consortium. Arch Neurol 1996; 54: 25-28. Go to original source... Go to PubMed...
    34. Plestis KA, Gold JP. Importace Of Blood Pressure Regulation In Maintaining Adequate tissue perfusion dutiny cardiopulmonary vypase. Semin Thorac Cardiovasc Surgery 2001 Apr; 13(2): 170-175. Go to original source... Go to PubMed...
    35. PugsleyW, Kliner L, et al. The Impact of microemboli duringcardiopulmonary vypase on neuropsychological functioning. Stroke 1994; 25: 1393-1399. Go to original source... Go to PubMed...
    36. Puskas JD, Winston AD, et al. Stroke after Coronary artery operation: Incidence, Correlates, outcome and Cost. Ann Thorac Surg 2000; 69: 1053-1056. Go to original source... Go to PubMed...
    37. Redmond JM, Greene PS, et al. Neurologic injury in cardiac surgical patient with history of stroke. Ann Thorac Surg 1996; 61: 42-47. Go to original source... Go to PubMed...
    38. Roach GW, Kanchuger M, et al. Adverse cerebral outcomes after coronary bypass surgery. Multicenter study of Perioperative Ischemia Research Group And the Ischemia Research and education Foundation Investigators. N Engl J Med 1996; 335: 1863-1875. Go to original source... Go to PubMed...
    39. Rolfson DB, McElhanay JE, Rockwood K, et al. Icidence and risk factors for delirium and other adverse outcomes in older adults after coronary artery bypass graft surgery. Can J Cardiol 1999; 15: 771-776.
    40. RW II, Weiss DG, et al. Efficacy of carotid endarterectomy for asymptomatic carotid stenosis:The Veterans Affairs Cooperative Study Group. N Engl J Med 1993; 328: 221-227. Go to original source... Go to PubMed...
    41. Selnes OA, et al. Determinant sof cognitive change after coronary Artury vypase surgery: A multifactorial problem. Ann Thorac Surg 1999; 67: 1669-1676. Go to original source... Go to PubMed...
    42. Selnes OA, Royall RM, Grega MA, Borowicz Mjr, Quaskey S, McKhann GM. Cognitive changes 5 years after coronary Artury vypase grafting: is there evidence of late decline? Arch Neurol 2001; 58: 598-604. Go to original source... Go to PubMed...
    43. Slogoff S, Reul GJ, et al. Role of perfusion pressure and flow in major organ dysfunction after cardiopulmonary vypase. Ann Thorac Surg 1990; 50: 911-918. Go to original source... Go to PubMed...
    44. Steinberg GK De La Paz R. MR and cerebrospinal fluid enzymes as sensitive indicators of subclinical cerebral injury after open-heart valve replacement surgery. AJNR Am J Neuroradiol. 1996; 17: 205-212.
    45. Strandgaard S, Olsen J, et al. Autoreglation of brain circulation in severe arterial hypertension. Br JMed 1973; 210: 507-510. Go to original source... Go to PubMed...
    46. The CASANOVA Study Group. carotid surgery versus medical therapy in asymptomatic carotid stenosis. Stroke 1991; 22: 1229-1235. Go to original source... Go to PubMed...
    47. Vingerhoets G, et al Short-term and Long-term neuropsychological consequences of cardiac surgery with extracorporeal circulation. Europ J Cardiothorac Surg 1997; 11: 424-431. Go to original source... Go to PubMed...
    48. Warehag TH, Davila-Roman VG, et al. Managment of Severly atherosclerotic ascending aorta during cardiac operations. J Thorac Cardiovasc Surg 1992; 453-462. Go to original source...
    49. Wityk RJ, Goldsborough, et al. Diffusion- and perfusion-wighted brain magnetic resonance imaging in patiens with neurologic complications after cardiac surgery. Arch Neurol 2001; 58: 571-576. Go to original source... Go to PubMed...
    50. Wolman RL, Kanchuger M, et al. Adverse neurologic outcome following cardiac surgery. Anesth Analg 1994; 78: 484.

    Return to the content


    Internal Medicine for Practice

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.