Perioperative strokes in cardiac surgery

The frequency of perioperative stroke in cardiosurgical practice may reach up to 10%. The risk of stroke is especially high after coronary artery bypass surgery and valve replacement. Perioperative stroke is related to embolism with the fragments of atherosclerotic plaque, arterial hypotension, card...

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Published inZhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Vol. 121; no. 3. Vyp. 2; p. 10
Main Authors Kutlubaev, M A, Nikolaeva, I E, Oleinik, B A, Kutlubaeva, R F
Format Journal Article
LanguageEnglish
Russian
Published Russia (Federation) 2021
Subjects
Aorta
Cardiac Surgical Procedures - adverse effects
Coronary Artery Bypass
Humans
Plaque, Atherosclerotic
Risk Factors
Stroke - epidemiology
Stroke - etiology
perioperative
bypass surgery
stroke
cardiosurgery
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Summary:The frequency of perioperative stroke in cardiosurgical practice may reach up to 10%. The risk of stroke is especially high after coronary artery bypass surgery and valve replacement. Perioperative stroke is related to embolism with the fragments of atherosclerotic plaque, arterial hypotension, cardiac arrhythmias, hypercoagulation, etc. The likelihood of stroke can be reduced by preoperative assessment of the patient. It is important to control blood pressure and saturation during the surgery. The manipulation on aorta should be minimized in order to reduce the risk of perioperative stroke. Important role belongs to timely identification of those who developed stroke after surgery. The only possible method of reperfusion therapy in perioperative stroke is mechanical thrombectomy.
ISSN:1997-7298
DOI:10.17116/jnevro202112103210