Circulation. 2020 Oct 6;142(14):e193-e209. doi: 10.1161/CIR.0000000000000885. Epub 2020 Aug 26.
Perioperative stroke is one of the most severe and feared complications of cardiac surgery. Based on the timing of onset and detection, perioperative stroke can be classified as intraoperative or postoperative. The pathogenesis of perioperative stroke is multifactorial, which makes prediction and prevention challenging. However, information on its incidence, mechanisms, diagnosis, and treatment can be helpful in minimizing the perioperative neurological risk for individual patients. We herein provide suggestions on preoperative, intraoperative, and postoperative strategies aimed at reducing the risk of perioperative stroke and at improving the outcomes of patients who experience a perioperative stroke.
围手术期卒中是心脏手术最严重和最令人恐惧的并发症之一。根据发病和检测时间，围手术期卒中可分为术中或术后卒中。围手术期卒中的发病机制是多因素的，这使得预测和预防具有挑战性。然而，关于其发病率、机制、诊断和治疗的信息有助于最大限度地降低个体患者的围手术期神经风险。我们在此提供了关于术前、术中和术后策略的建议，旨在降低围手术期卒中风险，并改善经历围手术期卒中的患者的结局。
