FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 356:706-713 February 15, 2007 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text PowerPoint Slide Set CME Exam Purchase this article Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

Stroke is one of the most feared complications of surgery. to provide adequate preventive and therapeutic measures, physicians need to be knowledgeable about the risk factors for stroke during the perioperative period. In this article, I review the pathophysiology of perioperative stroke and provide recommendations for the stratification of risk and the management of risk factors.

Incidence

The incidence of perioperative stroke depends on the type and complexity of the surgical procedure. The risk of stroke after general, noncardiac procedures is very low. Cardiac and vascular surgeries — in particular, combined cardiac procedures — are associated with higher risks^{1,2,3,4,5,6,7} (Table . . . [Full Text of this Article]

Pathophysiology

Risk Stratification

Risk Modification

Management

Future Directions

Source Information

From the Department of Neurology, Division of Cerebrovascular Diseases, Beth Israel Deaconess Medical Center, Boston.

Address reprint requests to Dr. Selim at the Department of Neurology, Division of Cerebrovascular Diseases, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Palmer 127, Boston, MA 02215, or at mselim@bidmc.harvard.edu.

Related Letters:

Perioperative Stroke
Kettler R. E., Parashar A., Weintraub M. I., Khoury A., Selim M.
Extract | Full Text | PDF  
N Engl J Med 2007; 356:2325-2327, May 31, 2007. Correspondence

This article has been cited by other articles:

• Silvay, G., Castillo, J. G., Chikwe, J., Flynn, B., Filsoufi, F. (2008). Cardiac Anesthesia and Surgery in Geriatric Patients. SEMIN CARDIOTHORAC VASC ANESTH 12: 18-28 [Abstract]  
• Kettler, R. E., Parashar, A., Weintraub, M. I., Khoury, A., Selim, M. (2007). Perioperative Stroke. NEJM 356: 2325-2327 [Full Text]