Korean J Anesthesiol.  2018 Feb;71(1):3-11. 10.4097/kjae.2018.71.1.3.

Perioperative stroke: pathophysiology and management

• Ko SB

• KMID: 2402907
• DOI: http://doi.org/10.4097/kjae.2018.71.1.3

Abstract

Although perioperative stroke is uncommon during low-risk non-vascular surgery, if it occurs, it can negatively impact recovery from the surgery and functional outcome. Based on the Society for Neuroscience in Anesthesiology and Critical Care Consensus Statement, perioperative stroke includes intraoperative stroke, as well as postoperative stroke developing within 30 days after surgery. Factors related to perioperative stroke include age, sex, a history of stroke or transient ischemic attack, cardiac surgery (aortic surgery, mitral valve surgery, or coronary artery bypass graft surgery), and neurosurgery (external carotid-internal carotid bypass surgery, carotid endarterectomy, or aneurysm clipping). Concomitant carotid and cardiac surgery may further increase the risk of perioperative stroke. Preventive strategies should be individualized based on patient factors, including cerebrovascular reserve capacity and the time interval since the previous stroke.

Keyword

Embolism; Hemorrhage; Ischemia; Perioperative; Stroke; Surgery

MeSH Terms

Anesthesiology
Aneurysm
Consensus
Coronary Artery Bypass
Critical Care
Embolism
Endarterectomy, Carotid
Hemorrhage
Humans
Ischemia
Ischemic Attack, Transient
Mitral Valve
Neurosciences
Neurosurgery
Stroke*
Thoracic Surgery
Transplants