Perioperative strokes in cardiac surgery

Kutlubaev M.A.; Nikolaeva I.E.; Oleinik B.A.; Kutlubaeva R.F.

doi:https://doi.org/10.17116/jnevro202112103210

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Abstract:

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.

Keywords:

stroke

perioperative

cardiosurgery

bypass surgery

Authors:

Kutlubaev M.A.

Bashkir State Medical University

SPIN RSCI: 4713-0312
Scopus AuthorID: 9241930700
ORCID: 0000-0003-1001-2024

Nikolaeva I.E.

Bashkir State Medical University;
Republican Cardiological Center

RSCI AuthorID: 396106
ORCID: 0000-0001-7641-2317

Oleinik B.A.

Bashkir State Medical University;
Republican Cardiological Center

SPIN RSCI: 9249-9187
Scopus AuthorID: 57194487591
ORCID: 0000-0002-4144-3946

Kutlubaeva R.F.

Republican Cardiological Center

Scopus AuthorID: 57223444951
ORCID: 0000-0002-4671-9040

Received:

23.11.2020

Accepted:

25.11.2020

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