Clinical and Subclinical Acute Brain Injury Caused by Invasive Cardiovascular Procedures

Overview

Journal Nat Rev Cardiol

Specialty Cardiology & Vascular Diseases

Date 2024 Oct 11

PMID 39394524

Authors

Radoslaw Lenarczyk

Marco Proietti

Jan F Scheitz

Dipen Shah

Eberhard Siebert

Diana A Gorog

Jacek Kowalczyk

Nikolaos Bonaros

George Ntaios

Wolfram Doehner

Nicolas M Van Mieghem

Sandor Nardai

Jan Kovac

Roland Fiszer

Roberto Lorusso

Eliano Navarese

Sergio Castrejon

Andrea Rubboli

Jose Miguel Rivera-Caravaca

Alaide Chieffo

Gregory Y H Lip

Affiliations

Soon will be listed here.

Abstract

Over the past 50 years, the number and invasiveness of percutaneous cardiovascular procedures globally have increased substantially. However, cardiovascular interventions are inherently associated with a risk of acute brain injury, both periprocedurally and postprocedurally, which impairs medical outcomes and increases health-care costs. Current international clinical guidelines generally do not cover the area of acute brain injury related to cardiovascular invasive procedures. In this international Consensus Statement, we compile the available knowledge (including data on prevalence, pathophysiology, risk factors, clinical presentation and management) to formulate consensus recommendations on the prevention, diagnosis and treatment of acute brain injury caused by cardiovascular interventions. We also identify knowledge gaps and possible future directions in clinical research into acute brain injury related to cardiovascular interventions.

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