Nature Reviews Cardiology ( IF 41.7 ) Pub Date : 2024-10-11 , DOI: 10.1038/s41569-024-01076-0 Radosław Lenarczyk, Marco Proietti, Jan F. Scheitz, Dipen Shah, Eberhard Siebert, Diana A. Gorog, Jacek Kowalczyk, Nikolaos Bonaros, George Ntaios, Wolfram Doehner, Nicolas M. Van Mieghem, Sandor Nardai, Jan Kovac, Roland Fiszer, Roberto Lorusso, Eliano Navarese, Sergio Castrejón, Andrea Rubboli, José Miguel Rivera-Caravaca, Alaide Chieffo, Gregory Y. H. Lip
Over the past 50 years, the number and invasiveness of percutaneous cardiovascular procedures globally have increased substantially. However, cardiovascular interventions are inherently associated with a risk of acute brain injury, both periprocedurally and postprocedurally, which impairs medical outcomes and increases health-care costs. Current international clinical guidelines generally do not cover the area of acute brain injury related to cardiovascular invasive procedures. In this international Consensus Statement, we compile the available knowledge (including data on prevalence, pathophysiology, risk factors, clinical presentation and management) to formulate consensus recommendations on the prevention, diagnosis and treatment of acute brain injury caused by cardiovascular interventions. We also identify knowledge gaps and possible future directions in clinical research into acute brain injury related to cardiovascular interventions.
中文翻译:
侵入性心血管手术引起的临床和亚临床急性脑损伤
在过去的 50 年里,全球经皮心血管手术的数量和侵入性大幅增加。然而,心血管干预本质上与围手术期和术后急性脑损伤的风险相关,这会损害医疗结果并增加医疗保健成本。目前的国际临床指南通常不涵盖与心血管侵入性手术相关的急性脑损伤领域。在本国际共识声明中,我们汇编了现有知识(包括患病率、病理生理学、风险因素、临床表现和管理的数据),以制定关于预防、诊断和治疗心血管干预引起的急性脑损伤的共识建议。我们还确定了与心血管干预相关的急性脑损伤临床研究的知识差距和可能的未来方向。