Abstract
Stroke is an uncommon but feared complication of surgery. The observed stroke rate is 0.3–3.5 % in general surgery patients, varying by age and other comorbidities. Approximately one-third of postoperative strokes are embolic. A history of cerebrovascular disease is a risk factor for perioperative cerebrovascular and cardiovascular complications.
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References
Bell R, Merli G. Perioperative assessment and management of the surgical patient with neurologic problems. In: Merli G, Weitz H, editors. Medical management of the surgical patient. Philadelphia, PA: W. B. Saunders; 1998. p. 283.
Selim M. Perioperative stroke. N Engl J Med. 2007;356:706–13.
Parikh S, Cohen J. Perioperative stroke after general surgical procedures. N Y State J Med. 1993;93:162–5.
Landercasper J, Merz BJ, Cogbill TH, et al. Perioperative stroke risk in 173 consecutive patients with a past history of stroke. Arch Surg. 1990;125:986–9.
Limburg M, Wijdicks EF, Li H. Ischemic stroke after surgical procedures: clinical features, neuroimaging, and risk factors. Neurology. 1998;50:895–901.
Fleisher LA, Beckman JA, Brown KA, et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2007;116:e418–500.
Ropper AH, Wechsler LR, Wilson LS. Carotid bruit and the risk of stroke in elective surgery. N Engl J Med. 1982;307(22):1388–90.
Hines GL, Scott WC, Schubach SL, et al. Prophylactic carotid endarterectomy in patients with high-grade carotid stenosis undergoing coronary bypass: does it decrease the incidence of perioperative stroke? Ann Vasc Surg. 1998;12:23.
Szeder V, Torbey MT. Prevention and treatment of perioperative stroke. Neurologist. 2008;14(1):30–6.
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Golob, A.L. (2015). Cerebrovascular Disease. In: Jackson, M.B., Mookherjee, S., Hamlin, N.P. (eds) The Perioperative Medicine Consult Handbook. Springer, Cham. https://doi.org/10.1007/978-3-319-09366-6_24
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DOI: https://doi.org/10.1007/978-3-319-09366-6_24
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