Stroke and stroke prevention in cardiac surgery and thoracic aortic surgery

被引：0

作者：

Di Marco, Luca ^{[1
]}

Snaidero, Silvia ^{[1
]}

Leone, Alessandro ^{[1
]}

Pacini, Davide ^{[1
]}

机构：

[1] IRCCS Azienda Osped Univ Bologna, UO Cardiochirurg, Polo Cardiotoracovasc, Policlin St Orsola, Bologna, Italy

来源：

GIORNALE ITALIANO DI CARDIOLOGIA | 2024年 / 25卷 / 06期

关键词：

Aortic arch surgery; Aortic surgery; Cerebral protection; Neurological complications; Stroke; SELECTIVE CEREBRAL PERFUSION; ARTERIAL CANNULATION; BRAIN PROTECTION; ARCH REPLACEMENT; AXILLARY ARTERY; ANTEGRADE; BYPASS; NEUROPROTECTION; STRATEGIES; OPERATIONS;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Perioperative stroke and neurological injuries in general are complications that can occur during and after cardiac surgery, particularly in aortic surgery that involves the aortic arch. The overall incidence of early and delayed stroke is about 1% according to recent meta-analyses. This incidence depends on interindividual risk factor profile and type of surgery. In order to reduce cerebrovascular complications during cardiac surgery, a number of preventative measures can be taken, including the evaluation of atherosclerotic plaques, the site of cannulation and neuroprotection strategies. During aortic arch surgery, main strategies for cerebral protection are represented by deep hypothermic circulatory arrest, retrograde and antegrade cerebral perfusion.

引用

页码：424 / 432

页数：9

共 57 条

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