Transient ischemic attack and minor stroke as "surgeons affairs": a narrative review.
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| Title: | Transient ischemic attack and minor stroke as "surgeons affairs": a narrative review. |
|---|---|
| Authors: | Caproni, S. (AUTHOR), Ottavi, P. (AUTHOR), Borghetti, V. (AUTHOR), Taddei, G. (AUTHOR), Conti, C. (AUTHOR), Riva, A. (AUTHOR), Di Schino, Chiara (AUTHOR), Costantini, F. (AUTHOR), Colosimo, C. (AUTHOR) |
| Source: | Neurological Sciences. Dec2023, Vol. 44 Issue 12, p4233-4245. 13p. |
| Subjects: | Transient ischemic attack, Stroke, Infective endocarditis, Carotid artery stenosis, Bowhunters, Surgical decompression |
| Abstract: | Objective: The scope of this paper is to review the subtypes of transient ischemic attack (TIA) and minor stroke (mS) in which a surgical treatment is needed, discussing the importance and the timing of a multidisciplinary approach, in order to achieve an optimized management and prevent major strokes or other critical complications. Materials and methods: The keywords "transient ischemic attack," "minor stroke," "surgical treatment," "vascular surgery," "heart surgery," "neurosurgery," and "multidisciplinary" were searched using MEDLINE, EMBASE, and Scopus. Relevant search results were discussed by the authors for references inclusion. Results: Notwithstanding that best medical therapy is usually the first choice for the most part of cases, there are specific but recurrent etiologies that must be properly recognized because of a potential surgical approach, even in urgency. In fact, symptomatic carotid stenosis, or particular cases of hemodynamic cerebrovascular events, should be promptly referred to vascular surgeon, since increasing evidences highlighted a benefit from an early artery revascularization. In addition, beyond arrhythmic causes, cardioembolic events due to bacterial endocarditis and atrial myxoma should be quickly diagnosed, possibly in emergency department, because they are a presumptive urgency for heart surgery. In addition to the above-mentioned conditions, in patients suffering from vertebrobasilar TIA or mS, clinicians should keep in mind the Bow Hunter disease, because surgical artery decompression can represent the only suitable treatment in selected cases. Conclusions: TIA and mS require a multidisciplinary in order to discuss therapeutic options, comparing risks and benefits and determining the best timing for an optimized management. [ABSTRACT FROM AUTHOR] |
| Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 173558402 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Transient ischemic attack and minor stroke as "surgeons affairs": a narrative review. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Caproni%2C+S%2E%22">Caproni, S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ottavi%2C+P%2E%22">Ottavi, P.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Borghetti%2C+V%2E%22">Borghetti, V.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Taddei%2C+G%2E%22">Taddei, G.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Conti%2C+C%2E%22">Conti, C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Riva%2C+A%2E%22">Riva, A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Di+Schino%2C+Chiara%22">Di Schino, Chiara</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Costantini%2C+F%2E%22">Costantini, F.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Colosimo%2C+C%2E%22">Colosimo, C.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Neurological+Sciences%22">Neurological Sciences</searchLink>. Dec2023, Vol. 44 Issue 12, p4233-4245. 13p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Transient+ischemic+attack%22">Transient ischemic attack</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke%22">Stroke</searchLink><br /><searchLink fieldCode="DE" term="%22Infective+endocarditis%22">Infective endocarditis</searchLink><br /><searchLink fieldCode="DE" term="%22Carotid+artery+stenosis%22">Carotid artery stenosis</searchLink><br /><searchLink fieldCode="DE" term="%22Bowhunters%22">Bowhunters</searchLink><br /><searchLink fieldCode="DE" term="%22Surgical+decompression%22">Surgical decompression</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective: The scope of this paper is to review the subtypes of transient ischemic attack (TIA) and minor stroke (mS) in which a surgical treatment is needed, discussing the importance and the timing of a multidisciplinary approach, in order to achieve an optimized management and prevent major strokes or other critical complications. Materials and methods: The keywords "transient ischemic attack," "minor stroke," "surgical treatment," "vascular surgery," "heart surgery," "neurosurgery," and "multidisciplinary" were searched using MEDLINE, EMBASE, and Scopus. Relevant search results were discussed by the authors for references inclusion. Results: Notwithstanding that best medical therapy is usually the first choice for the most part of cases, there are specific but recurrent etiologies that must be properly recognized because of a potential surgical approach, even in urgency. In fact, symptomatic carotid stenosis, or particular cases of hemodynamic cerebrovascular events, should be promptly referred to vascular surgeon, since increasing evidences highlighted a benefit from an early artery revascularization. In addition, beyond arrhythmic causes, cardioembolic events due to bacterial endocarditis and atrial myxoma should be quickly diagnosed, possibly in emergency department, because they are a presumptive urgency for heart surgery. In addition to the above-mentioned conditions, in patients suffering from vertebrobasilar TIA or mS, clinicians should keep in mind the Bow Hunter disease, because surgical artery decompression can represent the only suitable treatment in selected cases. Conclusions: TIA and mS require a multidisciplinary in order to discuss therapeutic options, comparing risks and benefits and determining the best timing for an optimized management. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s10072-023-06985-5 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 13 StartPage: 4233 Subjects: – SubjectFull: Transient ischemic attack Type: general – SubjectFull: Stroke Type: general – SubjectFull: Infective endocarditis Type: general – SubjectFull: Carotid artery stenosis Type: general – SubjectFull: Bowhunters Type: general – SubjectFull: Surgical decompression Type: general Titles: – TitleFull: Transient ischemic attack and minor stroke as "surgeons affairs": a narrative review. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Caproni, S. – PersonEntity: Name: NameFull: Ottavi, P. – PersonEntity: Name: NameFull: Borghetti, V. – PersonEntity: Name: NameFull: Taddei, G. – PersonEntity: Name: NameFull: Conti, C. – PersonEntity: Name: NameFull: Riva, A. – PersonEntity: Name: NameFull: Di Schino, Chiara – PersonEntity: Name: NameFull: Costantini, F. – PersonEntity: Name: NameFull: Colosimo, C. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: Dec2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 15901874 Numbering: – Type: volume Value: 44 – Type: issue Value: 12 Titles: – TitleFull: Neurological Sciences Type: main |
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