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Review
. 2018 Oct;62(10):738-742.
doi: 10.4103/ija.IJA_292_18.

Perioperative stroke - Prediction, Prevention, and Protection

Amarja S Nagre  1
Affiliations
Review

Perioperative stroke - Prediction, Prevention, and Protection

Amarja S Nagre. Indian J Anaesth. 2018 Oct.

Abstract

Stroke culminates into 6.2 million deaths annually and is thereby a leading cause of disability and death worldwide. In patients undergoing noncardiac, nonneurological surgery, perioperative stroke can eventuate into a catastropic aftermath with almost eight-fold rise in mortality. In cardiac, neurological, and carotid surgery, stroke rate accounts to be high (2.2%-5.2%) and is a significant instigator of morbidity and mortality as well. These facts kindle interest to review the predictive parameters, preventive measures, and all the possibilities in the management and protection against perioperative stroke.

Keywords: Atrial fibrillation; coronary artery bypass surgery; ischaemic stroke; noncardiac surgery; nonneurological surgery; perioperative stroke; risk factors; stroke; stroke prevention.

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Conflict of interest statement

There are no conflicts of interest.

References

    1. Gelb AW, Cowie DA. Perioperative stroke prevention. Anesth Analg. 2001;92:46–53.
    1. Vlisides P, Mashour GA. Perioperative stroke. Can J Anaesth. 2016;63:193–204. - PMC - PubMed
    1. Jorgensen ME, Torp-Pedersen C, Gislason GH, Jensen PF, Berger SM, Christiansen CB, et al. Time elapsed after ischemic stroke and risk of adverse cardiovascular events and mortality following elective noncardiac surgery. JAMA. 2014;312:269–77. - PubMed
    1. Rupert E. Preoperative assessment of cardiac risk. Indian J Anaesth. 2007;51(4):269–78.
    1. Dacey LJ, Likosky DS, Leavitt BJ, Lahey SJ, Quinn RD, Hernandez F, Jr, et al. Perioperative stroke and long-term survival after coronary bypass graft surgery. Ann Thorac Surg. 2005;79:53237. - PubMed