Cerebral vascular disease

Cerebral vascular disease

Patients who have su ff ered a cerebrovascular accident have been shown to have a higher rate of MACE postoperatively . This is highest in the first 3 months after a stroke. The urgency of surgery needs to be discussed with the surgeon, anaesthetist and a stroke physician. Ideally elective surgery is postponed until MACE risks stabilise after 9 months. The bleeding versus thrombosis risk of continuing dual antiplatelet therapy needs to be considered. Cerebral vascular disease

Patients who have su ff ered a cerebrovascular accident have been shown to have a higher rate of MACE postoperatively . This is highest in the first 3 months after a stroke. The urgency of surgery needs to be discussed with the surgeon, anaesthetist and a stroke physician. Ideally elective surgery is postponed until MACE risks stabilise after 9 months. The bleeding versus thrombosis risk of continuing dual antiplatelet therapy needs to be considered.