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[Cerebrovascular accidents and surgery].
P A Uldry1, J A Nader, J Bogousslavsky
1Service de neurologie, Centre hospitalier universitaire vaudois (CHUV), Lausanne.
Schweizerische Rundschau Fur Medizin Praxis = Revue Suisse De Medecine Praxis
|September 15, 1992
Summary
Stroke risk after surgery is low following general procedures but significantly higher after cardiac and carotid surgeries. Organ transplantations also present a notable risk for cerebrovascular accidents, impacting patient outcomes.
Area of Science:
- Neurosurgery
- Cardiovascular Surgery
- Transplant Surgery
Context:
- Limited data exists on post-general surgery stroke incidence (0.2-0.7%).
- Higher stroke rates (5%) are observed after cardiac and carotid surgeries.
- Cerebrovascular accidents are a significant concern in orthotopic transplantations.
Purpose:
- To review the incidence and significance of stroke following various surgical procedures.
- To highlight the differential risk of stroke across surgical specialties.
- To underscore the impact of stroke on morbidity and mortality in transplant recipients.
Summary:
- General surgery carries a low risk of stroke.
- Cardiac and carotid surgeries exhibit a considerably higher incidence of cerebrovascular accidents.
- Orthotopic heart, heart/lung, and liver transplantations are associated with increased stroke risk, affecting patient morbidity and mortality.
Impact:
- Informing surgical risk assessment and patient counseling.
- Guiding perioperative stroke prevention strategies.
- Improving outcomes for patients undergoing high-risk cardiovascular and transplant surgeries.