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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Perioperative Stroke.

Megan C Leary1,2, Preet Varade3,4

  • 1Department of Neurology, Lehigh Valley Hospital and Health Network, 1250 S Cedar Crest Blvd, Suite 405, Allentown, PA, 18103-6224, USA. learymd@msn.com.

Current Neurology and Neuroscience Reports
|April 29, 2020
PubMed
Summary
This summary is machine-generated.

This review examines perioperative stroke, defined as stroke within 30 days of surgery. Early recognition and intervention are key to improving outcomes for patients undergoing cardiac surgery, carotid endarterectomy, neurosurgery, and other procedures.

Keywords:
Cardiac surgeryCarotid surgeryNeurosurgeryNon-cardiac and non-carotid surgeryPerioperativePostoperativeStroke

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Area of Science:

  • Neurology
  • Cardiology
  • Surgical Sciences

Background:

  • Perioperative stroke is a significant concern following various surgical procedures.
  • Increasing awareness highlights opportunities for improved patient outcomes through timely intervention.
  • Defining perioperative stroke as occurring within 30 days of surgery provides a clear temporal framework.

Purpose of the Study:

  • To overview the risks, mechanisms, and acute evaluation of perioperative stroke.
  • To discuss management strategies for perioperative stroke in specific surgical contexts.
  • To consolidate current knowledge on perioperative stroke across diverse surgical populations.

Main Methods:

  • Literature review focusing on perioperative stroke.
  • Analysis of stroke incidence based on surgical procedure type.
  • Synthesis of information on risk factors and pathophysiological mechanisms.
  • Examination of acute evaluation and management protocols.

Main Results:

  • Perioperative stroke incidence varies significantly with surgical procedure type.
  • Key surgical populations include cardiac surgery, carotid endarterectomy, and neurosurgery.
  • Non-cardiac, non-carotid, and non-neurological surgeries also present stroke risks.
  • Early detection and intervention are crucial for patient outcomes.

Conclusions:

  • Understanding the specific risks associated with different surgeries is essential.
  • Standardized evaluation and management protocols can improve patient care.
  • Further research into prevention and treatment strategies is warranted.