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...
Gespeichert in:
Veröffentlicht in: | The New England journal of medicine 2007-02, Vol.356 (7), p.706-713 |
---|---|
1. Verfasser: | |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 713 |
---|---|
container_issue | 7 |
container_start_page | 706 |
container_title | The New England journal of medicine |
container_volume | 356 |
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 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69009283</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69009283</sourcerecordid><originalsourceid>FETCH-LOGICAL-c331t-53acda2bdf9cc77110a1e2a4f67b287ce9ec18a49660b8c1d8ae9cd99938698c3</originalsourceid><addsrcrecordid>eNqF0E1Lw0AQBuBFFFurt57Fg3oyupNNdneOpdQv6geo52WzmUBq0tTdVPDfG2mgHgSHgbk8vAMvY2Pgl8BTefU4u3_wlstYSr3DhpAKESUJl7tsyHmso0ShGLCDEBa8G0hwnw1ACQ7dDtn4mXzZrMjbtvykk5fWN-90yPYKWwU66u-IvV3PXqe30fzp5m46mUdOCGijVFiX2zjLC3ROKQBugWKbFFJlsVaOkBxom6CUPNMOcm0JXY6IQkvUTozY-SZ35ZuPNYXW1GVwVFV2Sc06GImcY6zFvxBQCaFU2sGLDXS-CcFTYVa-rK3_MsDNT13md10dP-5z11lN-Rb3_XTgrAc2OFsV3i5dGbZOp6AA486dblxdB7OkRf33v2_uw3uV</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>19733775</pqid></control><display><type>article</type><title>Perioperative Stroke</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>ProQuest Central UK/Ireland</source><source>New England Journal of Medicine</source><creator>Selim, Magdy</creator><creatorcontrib>Selim, Magdy</creatorcontrib><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
– . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMra062668</identifier><identifier>PMID: 17301301</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Boston, MA: Massachusetts Medical Society</publisher><subject>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</subject><ispartof>The New England journal of medicine, 2007-02, Vol.356 (7), p.706-713</ispartof><rights>Copyright © 2007 Massachusetts Medical Society. All rights reserved.</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c331t-53acda2bdf9cc77110a1e2a4f67b287ce9ec18a49660b8c1d8ae9cd99938698c3</citedby><cites>FETCH-LOGICAL-c331t-53acda2bdf9cc77110a1e2a4f67b287ce9ec18a49660b8c1d8ae9cd99938698c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMra062668$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJMra062668$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,780,784,2759,2760,26103,27924,27925,52382,54064,64387</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18517192$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17301301$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Selim, Magdy</creatorcontrib><title>Perioperative Stroke</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><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
– . . .</description><subject>Biological and medical sciences</subject><subject>Coronary Artery Bypass</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neurology</subject><subject>Postoperative Complications - physiopathology</subject><subject>Postoperative Complications - prevention & control</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Stroke - etiology</subject><subject>Stroke - physiopathology</subject><subject>Stroke - prevention & control</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0E1Lw0AQBuBFFFurt57Fg3oyupNNdneOpdQv6geo52WzmUBq0tTdVPDfG2mgHgSHgbk8vAMvY2Pgl8BTefU4u3_wlstYSr3DhpAKESUJl7tsyHmso0ShGLCDEBa8G0hwnw1ACQ7dDtn4mXzZrMjbtvykk5fWN-90yPYKWwU66u-IvV3PXqe30fzp5m46mUdOCGijVFiX2zjLC3ROKQBugWKbFFJlsVaOkBxom6CUPNMOcm0JXY6IQkvUTozY-SZ35ZuPNYXW1GVwVFV2Sc06GImcY6zFvxBQCaFU2sGLDXS-CcFTYVa-rK3_MsDNT13md10dP-5z11lN-Rb3_XTgrAc2OFsV3i5dGbZOp6AA486dblxdB7OkRf33v2_uw3uV</recordid><startdate>20070215</startdate><enddate>20070215</enddate><creator>Selim, Magdy</creator><general>Massachusetts Medical Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>20070215</creationdate><title>Perioperative Stroke</title><author>Selim, Magdy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c331t-53acda2bdf9cc77110a1e2a4f67b287ce9ec18a49660b8c1d8ae9cd99938698c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Biological and medical sciences</topic><topic>Coronary Artery Bypass</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neurology</topic><topic>Postoperative Complications - physiopathology</topic><topic>Postoperative Complications - prevention & control</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Stroke - etiology</topic><topic>Stroke - physiopathology</topic><topic>Stroke - prevention & control</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Selim, Magdy</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Selim, Magdy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perioperative Stroke</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2007-02-15</date><risdate>2007</risdate><volume>356</volume><issue>7</issue><spage>706</spage><epage>713</epage><pages>706-713</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><coden>NEJMAG</coden><abstract>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
– . . .</abstract><cop>Boston, MA</cop><pub>Massachusetts Medical Society</pub><pmid>17301301</pmid><doi>10.1056/NEJMra062668</doi><tpages>8</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0028-4793 |
ispartof | The New England journal of medicine, 2007-02, Vol.356 (7), p.706-713 |
issn | 0028-4793 1533-4406 |
language | eng |
recordid | cdi_proquest_miscellaneous_69009283 |
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 |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T20%3A06%3A46IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Perioperative%20Stroke&rft.jtitle=The%20New%20England%20journal%20of%20medicine&rft.au=Selim,%20Magdy&rft.date=2007-02-15&rft.volume=356&rft.issue=7&rft.spage=706&rft.epage=713&rft.pages=706-713&rft.issn=0028-4793&rft.eissn=1533-4406&rft.coden=NEJMAG&rft_id=info:doi/10.1056/NEJMra062668&rft_dat=%3Cproquest_cross%3E69009283%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=19733775&rft_id=info:pmid/17301301&rfr_iscdi=true |