Department of Anaesthesia & Pain Medicine, King's College Hospital NHS Foundation Trust, London, UK.
Department of Human Structure and Repair, Faculty of Medicine and Health Sciences, Ghent University Hospital, Ghent, Belgium.
Perfusion. 2023 Nov;38(8):1545-1559. doi: 10.1177/02676591221119312. Epub 2022 Aug 19.
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.
成人心脏手术和体外循环(CPB)相关的神经并发症很常见,在某些情况下可能是毁灭性的。本综述不仅将考虑中风和神经认知功能障碍等广泛类别,还将总结与 CPB 相关的其他神经并发症,并提供有关风险、预防和治疗的最新信息。在适当的情况下,我们考虑了非体外循环技术对我们理解 CPB 对不良结局的贡献的影响。