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1دورية أكاديمية
المؤلفون: S. N. Yanishevskiy, S. V. Kolomencev, I. A. Voznjouk, A. V. Savello, E. I. Shermatyuk, I. V. Litvinenko
المصدر: Acta Biomedica Scientifica, Vol 9, Iss 2, Pp 98-111 (2024)
مصطلحات موضوعية: perioperative stroke, in-hospital ischemic stroke, non-cardiac and nonneurosurgical operative treatment, antithrombotic prophylaxis, systemic thrombolytic therapy, endovascular intervention, Science
الوصف: One of the possible measures that can enhance the quality of medical care, reduce the number of adverse outcomes, and also achieve target values for the use of reperfusion methods of treatment for acute ischemic stroke is to improve the system of care for patients with in-hospital ischemic stroke. One type of in-hospital stroke is perioperative stroke that develops during or 30 days after surgery. Since the publication in 2014 of the last fundamental work on the prevention of perioperative stroke, the approaches to primary and secondary prevention, diagnosis, conservative and reperfusion treatment of ischemic stroke have been seriously modified. The numerous changes have created the preconditions for a revision of existing approaches to providing care for patients with perioperative ischemic stroke. In 2021, updated documents from foreign researchers/associations on the perioperative ischemic stroke in non-cardiac and non-neurosurgical patients were published. The second part of our review presents current data on the perioperative antithrombotic prophylaxis, clinical and instrumental diagnosis, treatment and organization of care for perioperative ischemic stroke in this category of patients. The issues of using reperfusion treatment methods in non-cardiac and non-neurosurgical patients with perioperative stroke, such as systemic thrombolytic therapy and endovascular interventions, are discussed in detail, including the world experience of their “offlabel” use.
وصف الملف: electronic resource
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