Perioperative Stroke

Stroke is one of the most feared complications of surgery. This article reviews the pathophysiology of perioperative stroke, explains risk-factor stratification, and provides guidance on risk reduction — for example, in patients with carotid stenosis. The review also summarizes the management of stroke in the perioperative period. This article reviews the pathophysiology of perioperative stroke, explains risk-factor stratification, and provides guidance on risk reduction. The review also summarizes the management of stroke in the perioperative period. Stroke is one of the most feared complications of surgery. to provide adequate preventive and therapeutic measures, physicians need to be knowledgeable about the risk factors for stroke during the perioperative period. In this article, I review the pathophysiology of perioperative stroke and provide recommendations for the stratification of risk and the management of risk factors. Incidence The incidence of perioperative stroke depends on the type and complexity of the surgical procedure. The risk of stroke after general, noncardiac procedures is very low. Cardiac and vascular surgeries — in particular, combined cardiac procedures — are associated with higher risks 1 – . . .