دورية أكاديمية
Infective endocarditis and neurologic events: indications and timing for surgical interventions
| العنوان: | Infective endocarditis and neurologic events: indications and timing for surgical interventions |
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| المؤلفون: | Bonaros, Nikolaos, Czerny, Martin, Pfausler, Bettina, Müller, Silvana, Bartel, Thomas, Thielmann, Matthias, Shehada, Sharaf-Eldin, Folliguet, Thierry, Obadia, Jean-Francois, Holfeld, Johannes, Lorusso, Roberto, Parolari, Alessandro, Müller, Ludwig, Grimm, Michael, Ruttmann-Ulmer, Elfriede |
| المساهمون: | European Society of Cardiology, Council on Stroke |
| المصدر: | European Heart Journal Supplements ; volume 22, issue Supplement_M, page M19-M25 ; ISSN 1520-765X 1554-2815 |
| بيانات النشر: | Oxford University Press (OUP) |
| سنة النشر: | 2020 |
| الوصف: | A therapeutic dilemma arises when infective endocarditis (IE) is complicated by a neurologic event. Postponement of surgery up to 4 weeks is recommended by the guidelines, however, this negatively impacts outcomes in many patients with an urgent indication for surgery due to uncontrolled infection, disease progression, or haemodynamic deterioration. The current literature is ambiguous regarding the safety of cardiopulmonary bypass in patients with recent neurologic injury. Nevertheless, most publications demonstrate a lower risk for secondary haemorrhagic conversion of uncomplicated ischaemic lesions than the risk for recurrent embolism under antibiotic treatment. Here, we discuss the current literature regarding neurologic stroke complicating IE with an indication for surgery. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1093/eurheartj/suaa167 |
| الإتاحة: | https://doi.org/10.1093/eurheartj/suaa167Test http://academic.oup.com/eurheartjsupp/article-pdf/22/Supplement_M/M19/36405422/suaa167.pdfTest |
| حقوق: | http://creativecommons.org/licenses/by-nc/4.0Test/ |
| رقم الانضمام: | edsbas.8BC8A83F |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/eurheartj/suaa167 |
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