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[机械取栓术的并发症]

[Complications of mechanical thrombectomy].

作者信息

Mohamad Josef

机构信息

Klinik für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum des Saarlandes, Kirrberger Straße 1, 66424, Homburg/Saar, Deutschland.

出版信息

Radiologie (Heidelb). 2025 Feb;65(2):123-126. doi: 10.1007/s00117-024-01401-1. Epub 2024 Dec 13.

Abstract

CLINICAL PROBLEM

Ischemic stroke is the most common cause of disability in adults and an important disease for society; therefore, the prevention, diagnosis, and treatment play an important role. Endovascular mechanical recanalization to reopen large occlusions of the intracerebral vessels has established itself as the gold standard in therapy, which is why knowledge of the most important complications and their management is essential for interventionalists.

PRACTICAL RECOMMENDATIONS

Intracranial hemorrhages, which include intracerebral and subarachnoid hemorrhages, are dreaded complications that significantly worsen the clinical outcome. Early monitoring and optimal management are therefore essential. Cerebral air embolism is a rare but dangerous complication whose prevention is paramount, as treatment options are limited.

摘要

临床问题

缺血性中风是成年人残疾的最常见原因,也是一种对社会很重要的疾病;因此,预防、诊断和治疗都起着重要作用。通过血管内机械再通来重新开通大脑血管的大血管闭塞已成为治疗的金标准,这就是为什么介入医生了解最重要的并发症及其处理方法至关重要。

实用建议

颅内出血,包括脑内出血和蛛网膜下腔出血,是令人恐惧的并发症,会显著恶化临床结局。因此,早期监测和优化管理至关重要。脑空气栓塞是一种罕见但危险的并发症,由于治疗选择有限,预防至关重要。

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