title: Strategies and Devices to Minimize Stroke in Adult Cardiac Surgery.
abstract: Stroke after cardiac surgery is a devastating complication with a frequency of 1%-3% and a potential mortality risk of >20%. The approaches that one should consider to minimize the risk of stroke associated with cardiac surgery involve preoperative, intraoperative, and postoperative interventions, which are described in detail.
authors.affiliation: Cardiac Surgical Research, Baystate Medical Center, Massachusetts Tufts University, Springfield, Boston Massachusetts.. Electronic address: richard.engelman@bhs.org.
authors.forename: Richard M
authors.initials: RM
authors.lastname: Engelman
authors.affiliation: Cardiac Surgical Intensive Care, Baystate Medical Center, Massachusetts Tufts University, Springfield, Boston Massachusetts.
authors.forename: Daniel T
authors.initials: DT
authors.lastname: Engelman
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods* / Q000592:standards; D014943:Global Health; D006801:Humans; D015994:Incidence; D007430:Intraoperative Care / Q000592:standards*; D011183:Postoperative Complications; D017410:Practice Guidelines as Topic; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D020521:Stroke / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control
keywords: ascending aortic atherosclerosis; cardiopulmonary bypass perfusion; cardiopulmonary bypass temperature management; perioperative atrial fibrillation; perioperative stroke