Neurological Injury After Neonatal Cardiac Surgery

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Neurological injury after neonatal cardiac surgery: a randomized, controlled trial of 2 perfusion techniques.

BACKGROUND Complex neonatal cardiac surgery is associated with cerebral injury. In particular, aortic arch repair, requiring either deep hypothermic circulatory arrest (DHCA) or antegrade cerebral perfusion (ACP), entails a high risk of perioperative injury. It is unknown whether ACP results in less cerebral injury than DHCA. METHODS AND RESULTS Thirty-seven neonates with an aortic arch obstr...

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Meeting abstracts Neurological complications after cardiac surgery

Although mortality rate after cardiac surgery has been drastically reduced, neurological complications remain a significant problem. Several etiologic factors have been proposed, including previous unrecognized neurological abnormality, embolic events, hypoxic insult, low cardiac output, systemic inflammatory response, and altered cerebral blood flow (CBF) and metabolism. Cerebral ischemia can ...

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Cardiac biomarkers and acute kidney injury after cardiac surgery.

OBJECTIVES To examine the relationship of cardiac biomarkers with postoperative acute kidney injury (AKI) among pediatric patients undergoing cardiac surgery. METHODS Data from TRIBE-AKI, a prospective study of children undergoing cardiac surgery, were used to examine the association of cardiac biomarkers (N-type pro-B-type natriuretic peptide, creatine kinase-MB [CK-MB], heart-type fatty aci...

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[Neurological complications of cardiac surgery].

Rev Esp Cardiol. 2005;58(9):1003-6 1003 Despite the advances in surgical techniques, cardiopulmonary bypass circuits and the medical treatment of patients subjected to cardiac surgery, perioperative complications involving the nervous system continue to develop and the underlying mechanisms are sometimes poorly understood. Neurological complications (NC) in these patients can affect the brain, ...

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Extubation Failure after Neonatal Cardiac Surgery: A Multicenter Analysis.

OBJECTIVES To describe the epidemiology of extubation failure and identify risk factors for its occurrence in a multicenter population of neonates undergoing surgery for congenital heart disease. STUDY DESIGN We conducted a prospective observational study of neonates ≤30 days of age who underwent cardiac surgery at 7 centers within the US in 2015. Extubation failure was defined as reintubatio...

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ژورنال

عنوان ژورنال: Circulation

سال: 2014

ISSN: 0009-7322,1524-4539

DOI: 10.1161/circulationaha.113.003312