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Updated: Jul 20, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Risks of stroke from general surgical procedures in stroke patients
1Stroke Program, Davee Department of Neurology and Clinical Neurological Sciences, Feinberg School of Medicine of Northwestern University, Chicago, IL 60611, USA. r-bernstein@northwestern.edu
Abstract:
Neurologists often assess the risk of stroke from general surgical procedures in patients who have cerebrovascular disease. Common questions for neurologists include: Should a symptomatic or an asymptomatic carotid stenosis be revascularized before general surgery? What is the risk of surgery in patients who have stenoses in the cervicocephalic vasculature? What is the risk of recurrent stroke in patients who have a history of stroke requiring surgery? Can antithrombotic therapy be interrupted for surgery? and How soon after a stroke may elective surgeries be performed? Although definite answers to these questions are lacking, available clinical evidence and knowledge of cerebrovascular pathophysiology can help inform recommendations.
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