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2022-09-07

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cc-by (c) Siquier Padilla, Joan et al., 2022
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/200235

Optimal Timing for Cardiac Surgery in Infective Endocarditis with Neurological Complications: A Narrative Review

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Recurs relacionat

https://doi.org/10.3390/jcm11185275

Resum

In patients with infective endocarditis and neurological complications, the optimal timing for cardiac surgery is unclear due to the varied risk of clinical deterioration when early surgery is performed. The aim of this review is to summarize the best evidence on the optimal timing for cardiac surgery in the presence of each type of neurological complication. An English literature search was carried out from June 2018 through July 2022. The resulting selection, comprising observational studies, clinical trials, systematic reviews and society guidelines, was organized into four sections according to the four groups of neurological complications: ischemic, hemorrhagic, infectious, and asymptomatic complications. Cardiac surgery could be performed without delay in cases of ischemic vascular neurological complication (provided the absence of severe damage, which can be avoided with the performance of mechanical thrombectomy in cases of major stroke), as well as infectious or asymptomatic complications. In the presence of intracranial hemorrhage, a delay of four weeks is recommended for most cases, although recent studies have suggested that performing cardiac surgery within four weeks could be a suitable option for selected cases. The findings of this review are mostly in line with the recommendations of the current European and American infective endocarditis guidelines.

Matèries

Infart cerebral, Endocarditis, Hemorràgia, Malalts cardíacs, Meningitis, Micotoxines, Aneurismes aòrtics, Cirurgia cardíaca, Complicacions quirúrgiques

Matèries (anglès)

Cerebral infarctio, Endocarditis, Hemorrhage, Cardiac patients, Meningitis, Mycotoxins, Aortic aneurysms, Heart surgery, Complications of surgery

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Col·leccions

Articles publicats en revistes (Medicina)
Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)
Articles publicats en revistes (Institut de Neurociències (UBNeuro))

Citació

SIQUIER PADILLA, Joan, CUERVO REQUENA, Guillermo, URRA, Xabier, QUINTANA, Eduard, HERNÁNDEZ-MENESES, Marta, SANDOVAL, Elena, LAPEÑA, Pau, FALCES SALVADOR, Carles, MESTRES, Carlos a., PÁEZ CARPIO, Alfredo, MORENO CAMACHO, Ma. asunción, MIRÓ MEDA, José m. (josé maría), Hospital Clinic Endocarditis Team Investigators. Optimal Timing for Cardiac Surgery in Infective Endocarditis with Neurological Complications: A Narrative Review. _Journal of Clinical Medicine_. 2022. Vol. 11, núm. 18, pàgs. 5275. [consulta: 12 de febrer de 2026]. ISSN: 2077-0383. [Disponible a: https://hdl.handle.net/2445/200235]

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