Cardiopulmonary bypass and cardiac surgery are associated with neurologic complications including stroke and delirium, though evidence suggests aortic manipulation is the primary driver of stroke.
This narrative review highlights that neurologic complications after cardiac surgery are primarily driven by aortic manipulation rather than cardiopulmonary bypass itself, emphasizing the importance of careful surgical technique and patient risk stratification.
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.
Gilbey et al. (Fri,) conducted a review in Neurologic complications after cardiac surgery. Cardiopulmonary bypass vs. Off-pump techniques was evaluated. Cardiopulmonary bypass and cardiac surgery are associated with neurologic complications including stroke and delirium, though evidence suggests aortic manipulation is the primary driver of stroke.