Evidence map›Paper›PMID 40278202›Full record

ReviewJournal of cardiovascular development and disease2025

Neuroprotective Strategies in Coronary Artery Disease Interventions.

Maurish Fatima, Akbar Bazarbaev, Asama Rana, Ruman Khurshid, Victory Effiom, Nyle Khalid Bajwa, Afsheen Nasir, Katherine Candelario, Sair Ahmad Tabraiz, Samantha Colon and 3 more

Abstract readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Maurish FatimaDivision of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, USA.
Akbar BazarbaevDivision of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, USA.ORCID 0009-0002-0983-2615
Asama RanaDivision of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, USA.
Ruman KhurshidDivision of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, USA.ORCID 0009-0001-6637-596X
Victory EffiomDivision of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, USA.
Nyle Khalid BajwaDivision of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, USA.ORCID 0009-0001-4821-3975
Afsheen NasirDivision of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, USA.
Katherine CandelarioDivision of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, USA.
Sair Ahmad TabraizDivision of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, USA.ORCID 0009-0005-6972-8563
Samantha ColonDivision of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, USA.
Chanseo LeeDivision of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, USA.
Sedem DankwaDivision of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, USA.
Irbaz HameedDivision of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, USA.ORCID 0000-0003-4954-4685

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neuroprotective strategies in coronary artery interventions are essential due to the rising number of high-risk patients undergoing procedures like coronary artery bypass grafting (CABG), totally endoscopic coronary artery bypass (TECAB), and hybrid revascularization. In this review article, we summarize the neurological complications associated with coronary artery disease intervention and the risk mitigation strategies. CABG carries significant risks, including ischemic stroke, encephalopathy, seizures, and peripheral nerve injuries. Risk factors include advanced age, hypertension, diabetes, and atherosclerosis. Off-pump CABG minimizes stroke risk by avoiding aortic manipulation and CPB. TECAB and hybrid revascularization have fewer reported neurological complications but still pose risks of stroke and cranial nerve injuries. Pharmacological neuroprotection includes agents such as barbiturates, volatile anesthetics, lidocaine, NMDA receptor antagonists, magnesium, nimodipine, corticosteroids, and aprotinin. Deep hypothermic circulatory arrest (DHCA) is reserved for complex aortic cases requiring a bloodless surgical field. Intraoperative strategies involve cerebral perfusion monitoring, embolic protection devices, and therapeutic hypothermia. Preoperative optimization targets risk factors, arrhythmia prevention, and antiplatelet therapy management. Postoperatively, timely antiplatelet administration, glucose control, hemodynamic stabilization, and cognitive monitoring are critical. Comprehensive neuroprotective approaches, spanning pre- to postoperative phases, aim to reduce neurological complications and enhance outcomes in coronary interventions.

Indexed as

coronary artery diseaseneuroprotectionstroke

Identifiers

PMID40278202
PMCPMC12027976

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.