[Evaluation of the neurologic risk before cardiovascular surgery].
The risk of neurological adverse outcome after open heart surgery is stable since the late 60's. Only since the early 90's cardiac surgeons have shown an interest in decreasing morbidity due to neurological complications. Etiopathological mechanisms of stroke were better understood and due to huge meta-analysis the role of carotid artery disease in adverse neurological outcome was progressively better circumvented. Discovering preoperative markers of neurological hasard is of an uppermost importance for surgeons. It allows to use peri-operative prophylactic strategies, because for the nervous system "prevention is better than cure".
Ruchat
Patrick
P
Service de Chirurgie Cardio-Vasculaire, CHUV, Lausanne. Patrick.Ruchat@chuv.hospvd.ch
von Segesser
Ludwig Karl
LK
Devuyst
Gérald
G
D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D009422:Nervous System Diseases / Q000209:etiology / Q000517:prevention & control*; D011300:Preoperative Care; D018570:Risk Assessment; D014656:Vascular Surgical Procedures / Q000009:adverse effects*
Evaluation du risque neurologique avant chirurgie cardiovasculaire.