Surgical timing for patients with infective endocarditis complicated with intracranial hemorrhage: Controversies and consensus
- VernacularTitle:感染性心内膜炎合并颅内出血患者心脏手术时机的争议与共识
- Author:
Hongkun QING
1
;
Xuhua JIAN
1
Author Information
1. Department of Cardiac Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510010, P. R. China
- Publication Type:Journal Article
- Keywords:
Infective endocarditis;
intracranial hemorrhage;
infectious intracranial aneurysm;
surgical timing;
neurological complications;
perioperative death
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2026;33(06):840-847
- CountryChina
- Language:Chinese
-
Abstract:
Intracranial hemorrhage (ICH) represents a severe complication of infective endocarditis (IE) and stands as a significant contributor to the poor prognosis associated with IE. Current guidelines suggested a delay of 4 weeks for cardiac surgery in patients with ICH, but these recommendations were based on insufficient clinical evidence, and recent studies have yielded different opinions. In this paper, we thoroughly reviewed relevant guidelines and their references in conjunction with 3 typical cases with IE and ICH, discussed the recommendations, and proposed a process for the management of IE with ICH.
