Strategies and Devices to Minimize Stroke in Adult Cardiac Surgery

Richard M Engelman; Daniel T Engelman

doi:10.1053/j.semtcvs.2015.03.001

Strategies and Devices to Minimize Stroke in Adult Cardiac Surgery

Semin Thorac Cardiovasc Surg. 2015 Spring;27(1):24-9. doi: 10.1053/j.semtcvs.2015.03.001. Epub 2015 Mar 14.

Authors

Richard M Engelman¹, Daniel T Engelman²

Affiliations

¹ Cardiac Surgical Research, Baystate Medical Center, Massachusetts Tufts University, Springfield, Boston Massachusetts.. Electronic address: richard.engelman@bhs.org.
² Cardiac Surgical Intensive Care, Baystate Medical Center, Massachusetts Tufts University, Springfield, Boston Massachusetts.

PMID: 26074106
DOI: 10.1053/j.semtcvs.2015.03.001

Abstract

Stroke after cardiac surgery is a devastating complication with a frequency of 1%-3% and a potential mortality risk of >20%. The approaches that one should consider to minimize the risk of stroke associated with cardiac surgery involve preoperative, intraoperative, and postoperative interventions, which are described in detail.

Keywords: ascending aortic atherosclerosis; cardiopulmonary bypass perfusion; cardiopulmonary bypass temperature management; perioperative atrial fibrillation; perioperative stroke.

Publication types

Review

MeSH terms

Adult
Cardiac Surgical Procedures / methods*
Cardiac Surgical Procedures / standards
Global Health
Humans
Incidence
Intraoperative Care / standards*
Postoperative Complications*
Practice Guidelines as Topic*
Risk Assessment / methods*
Risk Factors
Stroke* / epidemiology
Stroke* / etiology
Stroke* / prevention & control