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Table 2 Cardiac surgery in ICU patients with IE and neurologic complications

From: Management of neurological complications of infective endocarditis in ICU patients

Surgery possible if required Surgery to be delayed or contraindicated
Heart failure, uncontrolled infection, abscess, high embolic risk  
Silent neurologic complications (CT scan, MRI) Severe comorbidities
Transient ischemic attack Severe septic shock
Stroke Stroke and coma or extensive neurologic deficit
Microbleeds or very small hemorrhagic lesions Intracranial hemorrhage (other than microbleeds or very small hemorrhagic)
Meningitis Meningitis and coma (rare)
Brain abscess Brain abscess associated with intracranial hypertension
Small ICMA Very large or enlarging ICMA