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- Reduction of Risk of Perioperative Stroke in Adults Undergoing Cardiac and Thoracic Aortic Operation
Considerations for Reduction of Risk of Perioperative Stroke in Adult Patients Undergoing Cardiac and Thoracic Aortic Operations
Published: August 26, 2020

- This statement identifies strategies aimed at reducing the risk of perioperative stroke and improving outcomes for patients who experience a perioperative stroke.
- Perioperative stroke is associated with an increased length of hospital stay, a 5 to 10-fold greater likelihood of in-hospital mortality, and increased risk of cognitive decline at 1 year after surgery.
- Many factors can increase risk for perioperative stroke. To help reduce intra-operative stroke, pre- and intra-operative screening strategies can help guide optimal surgical techniques.
Supporting Materials
- Commentary: Progresses and Challenges in Reducing Stroke at Cardiac Surgery by Marc Ruel, MD, MPH, FRCSC, FCCS, FAHA
- Top Things to Know: Considerations for Reduction of Risk of Perioperative Stroke in Adult Patients Undergoing Cardiac and Thoracic Aortic Operations
- News Release: Steps outlined to reduce the risk of stroke during, after heart surgery
Recommended Reading
- Guidelines for the Early Management of Patients with Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke
- 2014 Guideline for the Management of Patients With Non–ST-Elevation Acute Coronary Syndromes
- 2013 Guideline for the Management of ST-elevation Myocardial Infarction
- 2012 Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease
- 2011 Guideline for Coronary Artery Bypass Graft Surgery