No Symptomatic Intracerebral Hemorrhage after Cardiac Surgery: A 14-Year Retrospective Study

Korn‐Lubetzki, Isabelle; Oren, Avraham; Tauber, Rachel; Bitran, Daniel; Steiner-Birmanns, Bettina

doi:10.1159/000322136

Cited by 2 publications

(3 citation statements)

References 37 publications

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“…Although rare (1.47%), ischaemic stroke is a serious cause of morbidity and mortality after cardiac surgery (18). The causes of acute cardioembolic stroke after open heart surgery were evaluated by Maruyama et al in a group of patients operated on early after cardioembolic stroke.…”

Section: Cerebral Ischaemia After Heart Surgerymentioning

confidence: 99%

“…Preexisting neurological problems (seizure, history of head trauma, previous intracerebral haematoma, cerebral malformations) were found in a small percentage of cases. Intracerebral haematomas after heart surgery affect infants more frequently than adult patients (soft, less myelinated infant brain, small left atrium in congenital heart disease with pulmonary hypertension, and subsequent poor drainage of the vena cava) (18).…”

Section: Cerebral Ischaemia After Heart Surgerymentioning

confidence: 99%

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Neurosurgical treatment of cerebrovascular complications of heart surgeries and interventions

Chrastina

Novák²,

Brichta³

et al. 2014

Turkish Neurosurgery

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AIm: Intracerebral haematoma and brain ischaemia are rare life-threatening complications of cardiovascular surgery. The aim of this study is to present the experience with the neurosurgical treatment of patients with cerebrovascular complications of heart surgery. mATERIAl and mEThods: Patients with brain ischaemia or intracerebral haematoma in the acute phase after heart surgery or invasive intervention operated on between 2002 and 2011 were reviewed. There were 3 patients with middle cerebral artery infarction requiring decompressive craniectomy (2 males, 1 female; mean age 54.3 years) and 5 patients with intracerebral haematoma (3 males, 2 females; mean age 55 years). The type of surgery for intracerebral haematoma was selected individually preferring minimally invasive techniques: stereotactic aspiration (2 patients), neuroendoscopy (1 patient), stereotactic craniotomy (1 patient) or classical craniotomy (1 patient). REsulTs:The results of decompressive craniectomy were unsatisfactory: GOS 1, 3 and 4 in 1 patient each. The results of surgery for intracerebral haematoma were GOS 5 in 1 patient, GOS 4 in 2 patients, and lethal in 2 patients. CoNClusIoN:Minimally invasive neurosurgery techniques appear to be beneficial for selected patients with intracerebral haematoma after heart surgeries even when considering the limited number of patients. Decompressive craniectomy should be considered strictly individually.

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Section: Cerebral Ischaemia After Heart Surgerymentioning

confidence: 99%

Section: Cerebral Ischaemia After Heart Surgerymentioning

confidence: 99%

Neurosurgical treatment of cerebrovascular complications of heart surgeries and interventions

Chrastina

Novák²,

Brichta³

et al. 2014

Turkish Neurosurgery

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“…Cardiac surgery procedures are increasingly often performed in elderly patients with systemic diseases, which foster the occurrence of cerebral events [1].…”

Section: Introductionmentioning

confidence: 99%

Anaesthesiology and intensive care Does the optimization of intra-operative cerebral regional oxygen saturation have an effect on neurological function in elderly patients undergoing cardiac surgery?

Kucewicz¹,

Żegleń²,

Wojarski³

et al. 2013

kitp

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StreszczenieWstęp: W celu ograniczenia częstości występowania powikłań neurologicznych po operacjach kardiochirurgicznych podejmowane są różne działania. Należy do nich śródoperacyjne monitorowanie funkcji ośrodkowego układu nerwowego (OUN). Celem pracy była ocena wpływu utrzymywania regionalnej saturacji mózgowej w wyznaczonych granicach na częstość występowania powikłań neurologicznych typu I we wczesnym okresie pooperacyjnym u chorych w wieku ≥ 75 lat poddawanych zabiegom kardiochirurgicznym. Analizowano także czę-stość występowania innych powikłań w obu grupach. Materiał i metody: Do grupy badanej zakwalifikowano pacjentów operowanych w 2011 r., u których śródoperacyjnie monitorowano oksymetrię mózgową i utrzymywano jej wartość na optymalnym, indywidualnie wyznaczonym poziomie. Grupę kontrolną stanowili chorzy, u których zrezygnowano z monitorowania ScO 2 . Do badań włączono chorych ≥ 75. roku życia. Grupa badana liczyła 119, kontrolna 138 chorych. Do monitorowania ScO 2 wykorzystano metodę spektroskopii w widmie bliskim podczerwieni. Wyniki: Chorzy w grupie monitorowania ScO 2 byli znamiennie starsi i w tej grupie częściej odnotowano przebyty udar OUN. Mimo to wczesne udary pooperacyjne wystąpiły z tą samą czę-stością w obu grupach. Chorzy w grupie badanej charakteryzowali się w okresie pooperacyjnym krótszym czasem wentylacji płuc i mniejszą liczbą przetoczonych jednostek koncentratu krwinek czerwonych, mimo że w grupie kontrolnej więcej chorych sklasyfikowano w I grupie wydolności wg NYHA. Pacjenci Kardiochirurgia i Torakochirurgia Polska 2013; 10 (4) 380 ANAESTHESIOLOGY AND INTENSIVE CARE AbstractBackground: The optimization of cerebral oxygen delivery variables by using noninvasive cerebral oximetry could reduce the incidence of stroke. The aim of the study was to evaluate the effect of the intraoperative management of oxygen delivery on neurological function during the early postoperative period in elderly patients undergoing cardiac surgery. Material and methods: This observational study included 257 patients, aged 75 and above, who underwent surgery in 2011. In the study group (119 patients), cerebral oxygen saturation was monitored and managed in order to maintain the oximetry values within individually assigned optimal levels. The control group (138 patients) underwent cardiac surgery without the intraoperative monitoring of cerebral oximetry. The two groups were dissimilar with regard to age, EuroSCORE risk factors, previous cerebral vascular accidents, and chronic kidney disease. More patients in the control group had preoperative NYHA class I. Results: There was no difference between the groups with regard to the incidence of permanent stroke. Total ventilation time was significantly shorter in the study group. Patients in the study group required shorter lung ventilation and a lower number of packed red blood cell units. The length of postoperative ward and hospital stay was longer among the patients with low values of baseline cerebral oximetry (< 50%). Conclusions: These findings suggest that...

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No Symptomatic Intracerebral Hemorrhage after Cardiac Surgery: A 14-Year Retrospective Study

Cited by 2 publications

References 37 publications

Neurosurgical treatment of cerebrovascular complications of heart surgeries and interventions

Neurosurgical treatment of cerebrovascular complications of heart surgeries and interventions

Anaesthesiology and intensive care Does the optimization of intra-operative cerebral regional oxygen saturation have an effect on neurological function in elderly patients undergoing cardiac surgery?

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