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Review
. 2023 Nov;38(8):1545-1559.
doi: 10.1177/02676591221119312. Epub 2022 Aug 19.

Neurologic complications after cardiopulmonary bypass - A narrative review

Tom Gilbey  1 , Benjamin Milne  1 , Filip de Somer  2 , Gudrun Kunst  1   3
Affiliations
Review

Neurologic complications after cardiopulmonary bypass - A narrative review

Tom Gilbey et al. Perfusion. 2023 Nov.

Abstract

Neurologic complications, associated with cardiac surgery and cardiopulmonary bypass (CPB) in adults, are common and can be devastating in some cases. This comprehensive review will not only consider the broad categories of stroke and neurocognitive dysfunction, but it also summarises other neurological complications associated with CPB, and it provides an update about risks, prevention and treatment. Where appropriate, we consider the impact of off-pump techniques upon our understanding of the contribution of CPB to adverse outcomes.

Keywords: Cardiac surgery; postoperative cognitive dysfunction; postoperative delirium; postoperative neurocognitive disorders; postoperative neurological complications; postoperative stroke.

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Conflict of interest statement

Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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References

    1. Messé SR, Acker MA, Kasner SE, et al. Stroke after aortic valve surgery: results from a prospective cohort. Circulation 2014; 129: 2253–2261. - PMC - PubMed
    1. Gaudino M, Rahouma M, Di Mauro M, et al. Early versus delayed stroke after cardiac surgery: a systematic review and meta-analysis. J Am Heart Assoc 2019; 8: e012447. - PMC - PubMed
    1. Pataraia E, Jung R, Aull-Watschinger S, et al. Seizures after adult cardiac surgery and interventional cardiac procedures. J Cardiothorac Vasc Anesth 2018; 32: 2323–2329. - PubMed
    1. Rodriguez RA, Bussière M, Bourke M, et al. Predictors of duration of unconsciousness in patients with coma after cardiac surgery. J Cardiothorac Vasc Anesth 2011; 25: 961–967. - PubMed
    1. Rudolph JL, Jones RN, Levkoff SE, et al. Derivation and validation of a preoperative prediction rule for delirium after cardiac surgery. Circulation 2009; 119: 229–236. - PMC - PubMed

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