Perioperative stroke and atherosclerotic changes in the extracranial cerebral arteries
AbstractBackground: Stroke is one of the most feared complications of surgery, significantly contributing to patients’ disability, mortality and overall costs. An important factor contributing to perioperative stroke incidence is atherosclerotic disease of the extracranial cerebral arteries, major part of which is attributed to carotid disease. Carotid disease is synonymous to advanced atherosclerosis of the carotid bifurcation with consequent stenosis or occlusion of the extracranial portion of the internal carotid artery. The latest clinical trials show that this is a complex issue with many controversies. Addressing this issue requires an interdisciplinary approach, which should be tailored to patients’ risk factors and the planned surgical procedure.
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