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Neurological Complications of Cardiological Interventions

  • Neurology of Systemic Diseases (J Biller, Section Editor)
  • Published:
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Abstract

Purpose of Review

Neurological complications are common during cardiac procedures. The type of procedure influences the profile of neurological complications and their management. In this article, we review the different neurological complications encountered following cardiac procedures, and treatment strategies for managing those complications.

Recent Findings

Recent clinical trials have expanded the time window of eligibility for mechanical thrombectomy and intravenous thrombolysis. As a result, more options are now available for the treatment of periprocedural strokes.

Summary

Early recognition of neurological complications, particularly stroke, will allow more patients to be treated effectively. The expanded window for intravenous thrombolysis and mechanical thrombectomy using advanced neuroimaging for selection provides more opportunities for treatment of periprocedural stroke. There is a paucity of data on the management of cerebrovascular complications, such as ischemic and hemorrhagic strokes, in the setting of left ventricular assist device or mechanical valve.

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Authors and Affiliations

  1. Department of Neurology, Carver College of Medicine, University of Iowa, 200 Hawkins drive, Iowa City, IA, 52242, USA

    Amir Shaban & Enrique C. Leira

  2. Department of Neurosurgery, Carver College of Medicine, University of Iowa, Iowa City, IA, USA

    Enrique C. Leira

  3. Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA

    Enrique C. Leira

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  1. Amir Shaban
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Correspondence to Amir Shaban.

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Shaban, A., Leira, E.C. Neurological Complications of Cardiological Interventions. Curr Neurol Neurosci Rep 19, 6 (2019). https://doi.org/10.1007/s11910-019-0923-1

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