UNASSIGNED: Since the advent of cardiac surgery, complications have existed in many forms. Recent work has focused on the safety of current cardiac surgery with particular emphasis on cognitive outcomes. Cardiopulmonary bypass has improved the safety of operative practice; however, increasing concern surrounds the measurable and immeasurable impact embolization has on the brain. New @entity2806 have been associated with distant emboli, which intraoperatively enter the cardiovascular system. This has prompted better characterization of the nature of emboli manifesting as @entity73 postoperatively. The difficulty in attributing causation relates to the subclinical damage that does not necessarily manifest as clinical @entity64 . Transcranial Doppler has become an important tool in documenting @entity999 during surgery. The purpose of this systematic review is to focus on the current literature to improve our understanding of the impact embolization has on the brain. We also aim to investigate which cardiac interventions hold the greatest burden of @entity887 and how previous literature has investigated the impact of emboli on cognition by monitoring emboli during specific cardiac interventions. Significant intraoperative factors such as the cardiopulmonary bypass machine and surgical interventions have been highlighted to summarize the current literature associating cerebral embolization with these factors and postoperative cognitive outcomes. The findings of this review report that the current literature is divided as to whether the impact of embolization during cardiac surgery has any adverse impact on cognition. This review highlights that the ultimate goal of improving cognitive safety will involve further careful consideration of multifactorial events.

Intraoperative Embolization and XXXX After Cardiac Surgery: A Systematic Review.

@entity64 :: ('MESH:D020521', 'Disease') :: ['stroke'] @entity2806 :: ('MESH:D002545', 'Disease') :: ['ischemic lesions'] @entity73 :: ('MESH:D003072', 'Disease') :: ['cognitive impairment'] @entity999 :: ('MESH:D020766', 'Disease') :: ['cerebral emboli'] @entity887 :: ('MESH:D004617', 'Disease') :: ['embolic load']
@entity73 :: (MESH:D003072,Disease) :: ['Cognitive Decline']
