Clinical and subclinical acute brain injury caused by invasive cardiovascular procedures

Radoslaw 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

doi:10.1038/s41569-024-01076-0

Clinical and subclinical acute brain injury caused by invasive cardiovascular procedures

Radoslaw 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 ChieffoGregory Y H Lip

^*Corresponding author for this work

Research output: Contribution to journal › (Systematic) Review article › peer-review

Abstract

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.

Original language	English
Journal	Nature Reviews Cardiology
DOIs	https://doi.org/10.1038/s41569-024-01076-0
Publication status	E-pub ahead of print - 11 Oct 2024

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Lenarczyk, R., Proietti, M., Scheitz, J. F., Shah, D., Siebert, E., Gorog, D. A., Kowalczyk, J., Bonaros, N., Ntaios, G., Doehner, W., Van Mieghem, N. M., Nardai, S., Kovac, J., Fiszer, R., Lorusso, R., Navarese, E., Castrejón, S., Rubboli, A., Rivera-Caravaca, J. M., ... Lip, G. Y. H. (2024). Clinical and subclinical acute brain injury caused by invasive cardiovascular procedures. Nature Reviews Cardiology. Advance online publication. https://doi.org/10.1038/s41569-024-01076-0

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title = "Clinical and subclinical acute brain injury caused by invasive cardiovascular procedures",

abstract = "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.",

author = "Radoslaw Lenarczyk and Marco Proietti and Scheitz, {Jan F} and Dipen Shah and Eberhard Siebert and Gorog, {Diana A} and Jacek Kowalczyk and Nikolaos Bonaros and George Ntaios and Wolfram Doehner and {Van Mieghem}, {Nicolas M} and Sandor Nardai and Jan Kovac and Roland Fiszer and Roberto Lorusso and Eliano Navarese and Sergio Castrej{\'o}n and Andrea Rubboli and Rivera-Caravaca, {Jos{\'e} Miguel} and Alaide Chieffo and Lip, {Gregory Y H}",

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doi = "10.1038/s41569-024-01076-0",

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Lenarczyk, R, Proietti, M, Scheitz, JF, Shah, D, Siebert, E, Gorog, DA, Kowalczyk, J, Bonaros, N, Ntaios, G, Doehner, W, Van Mieghem, NM, Nardai, S, Kovac, J, Fiszer, R, Lorusso, R, Navarese, E, Castrejón, S, Rubboli, A, Rivera-Caravaca, JM, Chieffo, A & Lip, GYH 2024, 'Clinical and subclinical acute brain injury caused by invasive cardiovascular procedures', Nature Reviews Cardiology. https://doi.org/10.1038/s41569-024-01076-0

TY - JOUR

T1 - Clinical and subclinical acute brain injury caused by invasive cardiovascular procedures

AU - Lenarczyk, Radoslaw

AU - Proietti, Marco

AU - Scheitz, Jan F

AU - Shah, Dipen

AU - Siebert, Eberhard

AU - Gorog, Diana A

AU - Kowalczyk, Jacek

AU - Bonaros, Nikolaos

AU - Ntaios, George

AU - Doehner, Wolfram

AU - Van Mieghem, Nicolas M

AU - Nardai, Sandor

AU - Kovac, Jan

AU - Fiszer, Roland

AU - Lorusso, Roberto

AU - Navarese, Eliano

AU - Castrejón, Sergio

AU - Rubboli, Andrea

AU - Rivera-Caravaca, José Miguel

AU - Chieffo, Alaide

AU - Lip, Gregory Y H

PY - 2024/10/11

Y1 - 2024/10/11

N2 - 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.

AB - 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.

U2 - 10.1038/s41569-024-01076-0

DO - 10.1038/s41569-024-01076-0

M3 - (Systematic) Review article

SN - 1759-5002

JO - Nature Reviews Cardiology

JF - Nature Reviews Cardiology

ER -

Clinical and subclinical acute brain injury caused by invasive cardiovascular procedures

Abstract

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