Timing of Surgery After Ischemic Stroke.

IF 2.7 2区医学 Q2 ANESTHESIOLOGY

Journal of neurosurgical anesthesiology Pub Date : 2026-04-01 Epub Date: 2026-02-24 DOI:10.1097/ANA.0000000000001097

Adekemi N Akano, Andrew J Bowman, Matthew K Whalin

引用次数: 0

Abstract

Prior ischemic stroke is a strong risk factor for perioperative mortality and morbidity, including recurrent stroke and other major adverse cardiovascular events. These risks are highest in the months after stroke and decline over time. Increasing the interval between stroke and surgery may decrease the risk of perioperative complications. The benefits of delay must be weighed against the risks of postponing surgery. In this focused review, we examine 5 major studies of the timing of surgery after ischemic stroke. On the basis of this evidence, we provide a framework to guide the appropriate scheduling of surgery after stroke.

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缺血性卒中后手术时机选择。

既往缺血性卒中是围手术期死亡率和发病率的重要危险因素，包括复发性卒中和其他主要不良心血管事件。这些风险在中风后的几个月内最高，并随着时间的推移而降低。增加卒中和手术之间的间隔可能会降低围手术期并发症的风险。必须权衡推迟手术的好处和推迟手术的风险。在这篇重点综述中，我们检查了5项关于缺血性卒中后手术时机的主要研究。在此证据的基础上，我们提供了一个框架来指导卒中后手术的适当安排。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of neurosurgical anesthesiology 医学-临床神经学

CiteScore

6.20

自引率

10.80%

发文量

119

审稿时长

>12 weeks

期刊介绍： The Journal of Neurosurgical Anesthesiology (JNA) is a peer-reviewed publication directed to an audience of neuroanesthesiologists, neurosurgeons, neurosurgical monitoring specialists, neurosurgical support staff, and Neurosurgical Intensive Care Unit personnel. The journal publishes original peer-reviewed studies in the form of Clinical Investigations, Laboratory Investigations, Clinical Reports, Review Articles, Journal Club synopses of current literature from related journals, presentation of Points of View on controversial issues, Book Reviews, Correspondence, and Abstracts from affiliated neuroanesthesiology societies. JNA is the Official Journal of the Society for Neuroscience in Anesthesiology and Critical Care, the Neuroanaesthesia and Critical Care Society of Great Britain and Ireland, the Association de Neuro-Anesthésiologie Réanimation de langue Française, the Wissenschaftlicher Arbeitskreis Neuroanästhesie der Deutschen Gesellschaft fur Anästhesiologie und Intensivmedizen, the Arbeitsgemeinschaft Deutschsprachiger Neuroanästhesisten und Neuro-Intensivmediziner, the Korean Society of Neuroanesthesia, the Japanese Society of Neuroanesthesia and Critical Care, the Neuroanesthesiology Chapter of the Colegio Mexicano de Anesthesiología, the Indian Society of Neuroanesthesiology and Critical Care, and the Thai Society for Neuroanesthesia.