神经超声在急性缺血性卒中机械性血栓切除术后监测的应用进展
Progress in the application of neurosonography in monitoring the patients with acute ischemic stroke after receiving mechanical thrombectomy
彭湃 1朱虹 1刘永晟 1王铭义 1刘勇建 1王峰1
作者信息
- 1. 116000 辽宁大连 大连医科大学附属第一医院介入治疗科
- 折叠
摘要
机械性血栓切除术(MT)是目前针对大血管闭塞所致的急性缺血性卒中(AIS)血管再通最有效的手段.但是MT术后对患者并发症的监测及管理成为目前棘手的问题,也受到广泛的关注.神经超声技术以无创、灵活及快速诊断等优势在脑血流动力学和结构病理学评估监测领域中已建立完善的体系.随着技术和设备的更新,针对AIS患者MT术后开启了无创监测颅内压、脑血流自动调节、颅内出血监测及其他占位性病变的导向模式,逐步成为MT术后管理的重要工具.本文对AIS患者MT术后神经超声监测技术的应用发展进行综述,目的是为临床实施前瞻性干预措施提供依据,使MT术后管理达到最大获益化,减低AIS患者病死率.
Abstract
At present,mechanical thrombectomy(MT)is the most effective means of achieving vascular recanalization in treating acute ischemic stroke(AIS)caused by large vessel occlusion.However,the monitoring and management of the patient's complications after MT has become a thorny clinical problem and it has attracted wide attention.Being of its non-invasive,flexible and quick diagnosis,and other advantages,the neurosonography has already established a perfect system in the evaluation and monitoring field of cerebral hemodynamic and structural pathology.With the innovation in technology and equipment,the guiding mode for non-invasive monitoring of intracranial pressure,autoregulation of cerebral blood flow,monitoring of intracranial hemorrhage and detection of other space-occupying lesions has been used for AIS patients,which has gradually become an important tool for the postoperative management of MT.This paper aims to make a comprehensive review about the application of neurosonography monitoring technology in AIS patients after MT,so as to provide a basis for the clinical implementation of prospective interventions,to enable AIS patients to obtain the maximum benefits from the postoperative management of MT,and to reduce the mortality of AIS patients.
关键词
神经超声/急性缺血性卒中/机械性血栓切除术/进展Key words
neurosonography/acute ischemic stroke/mechanical thrombectomy/progress引用本文复制引用
出版年
2024
NETL
NSTL
万方数据