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 str...

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Veröffentlicht in:The New England journal of medicine 2007-02, Vol.356 (7), p.706-713
1. Verfasser: Selim, Magdy
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container_title The New England journal of medicine
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creator Selim, Magdy
description 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 – . . .
doi_str_mv 10.1056/NEJMra062668
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland; New England Journal of Medicine
subjects Biological and medical sciences
Coronary Artery Bypass
Female
General aspects
Humans
Male
Medical sciences
Neurology
Postoperative Complications - physiopathology
Postoperative Complications - prevention & control
Risk Assessment
Risk Factors
Stroke - etiology
Stroke - physiopathology
Stroke - prevention & control
Vascular diseases and vascular malformations of the nervous system
title Perioperative Stroke
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