Up to 15% of all strokes occur in hospitalized patients, many of whom are there for surgical procedures or cardiac disorders. Outcomes can be poor, with high mortality - possibly related to co-morbidities and the complexities of hospital care. Risk factors for in-hospital stroke include specific operations and procedures (such as cardiac surgery), previous medical disorders (especially a history of stroke or transient ischemic attack), and certain physiological characteristics (including fever and dehydration). More rapid diagnosis and evaluation for interventional therapies is needed. This major new book examines the causes of treatment-related stroke in most hospital-based situations. Therapeutic approaches - including interventional therapies and intra-arterial thrombolysis - are highlighted, including experimental agents and interventions where other treatment possibilities are limited. Increasing the awareness of such interventions is an important factor in reducing delays in the assessment of patients who have strokes while in hospital, thus decreasing morbidity and reducing costs.
Alexander Tsiskaridze is Professor of Neurology and Dean of the Faculty of Medicine at Ivane Javakhishvili Tbilisi State University, and Scientific Director at the Sarajishvili Institute of Neurology, Tbilisi, Georgia. Arne Lindgren is Professor of Neurology in the Department of Clinical Sciences, Lund University, and Senior Consultant in the Department of Neurology and Rehabilitation Medicine, Skane University Hospital, Lund, Sweden. Adnan Qureshi is a Professor in the Department of Neurology at the University of Minnesota.
Part I. Iatrogenic Ischemic Strokes - Peri- and Postoperative Strokes: 1. Stroke after general surgery Magdy Selim and Arne Lindgren; 2. Stroke after open arterial surgery David Bergqvist and Bjoern Kragsterman; 3. Postoperative stroke in neurosurgery Federico Landriel, Pablo Ajler and Claudio Yampolsky; 4. Vasospasm and delayed cerebral ischemia in aneurysmal subarachnoid hemorrhage Fernando D. Goldenberg, Mario D. Teran and Federico Landriel; 5. Stroke occurring on medical wards David Blacker; 6. Stroke in trauma patients David Blacker; Part II. Iatrogenic Ischemic Strokes - Stroke after Endovascular Procedures: 7. Stroke associated with endovascular procedures Nabeel A. Herial, Mushtaq H. Qureshi and Adnan I. Qureshi; 8. Stroke after diagnostic endovascular procedures Anastasios Mpotsaris and Tommy Andersson; 9. Stroke after endovascular cardiac procedures and cardiothoracic surgery Christian Weimar and Stephan Knipp; 10. Stroke after carotid revascularization procedure Andrei V. Alexandrov, Kristian Barlinn and Robert Mikulik; Part III. Iatrogenic Ischemic Strokes - Other Causes: 11. Radiation therapy and stroke Jelle Demeestere and Vincent Thijs; 12. Stroke after chiropractic manipulations Lars Neeb and Uwe Reuter; 13. Stroke due to air and fat embolism Fernando de M. Cardoso and Gabriel R. de Freitas; 14. Stroke after discontinuation of preventive medications Jelle Demeestere and Vincent Thijs; Part IV. Iatrogenic Hemorrhagic Strokes - Thrombolysis-Related Hemorrhagic Strokes: 15. Intracranial hemorrhage: complication of endovascular therapy for acute stroke Muhib Alam Khan and Rushna Ali; 16. Intracranial hemorrhage: complication of intravenous thrombolysis Norbert Nighoghossian; Part V. Iatrogenic Hemorrhagic Strokes - Intracranial Bleeding: 17. Intracranial hemorrhages secondary to antiplatelet treatment Shraddha Mainali; Part VI. Iatrogenic Hemorrhagic Strokes - Anticoagulation-Related Intracranial Hemorrhage: 18. Intracranial-extracerebral hemorrhage: complication of anticoagulation Muhib Alam Khan; 19. Iatrogenic intracerebral hemorrhage due to oral anticoagulation therapy: risk factors and diagnosis Alexander Tsiskaridze; Part VII. Other Uncommon Causes of Iatrogenic Stroke: 20. Stroke during pregnancy and puerperium Elisabetta Del Zotto and Alessandro Pezzini; 21. Cardioversion-related stroke Morten L. Hansen and Steen Husted; 22. Medication-induced stroke Fazeel M. Siddiqui and Adnan I. Qureshi; Part VIII. Cerebral Venous Thrombosis: 23. Cerebral venous thrombosis Jose M. Ferro and Patricia Canhao; Part IX. Medication Reversal and Restarting in Patients with Iatrogenic Strokes: 24. Treatment of oral anticoagulant-related intracranial hemorrhages Mushtaq H. Qureshi, J. Alfredo Caceres and Adnan I. Qureshi.