Clinically,approximately one-fourth of patients with large vessel occlusion acute ischemic stroke present with large infarct cores. The main treatment principles for these patients are to alleviate brain edema,relieve elevated intracranial pressure,prevent hemorrhagic transformation,and other secondary injuries. Due to the high risks of hemorrhagic transformation and reperfusion injury,the efficacy of endovascular therapy for patients with acute ischemic stroke associated with large core infarction remains controversial. Recently,studies have reported that endovascular therapy is beneficial for the prognosis of patients with ischemic stroke accompanied by large core infarction;however,there is a risk of secondary brain injury after the operation. Therefore,meticulous nursing is required to improve their prognosis. Excellent nursing plays a crucial role in optimizing blood pressure control,reducing secondary brain injury,controlling brain edema,and providing neuroprotection. This article presents a review on the progress of postoperative nursing for patients with ischemic stroke accompanied by large core infarction after endovascular therapy.
Acute ischemic strokeLarge core infarctionEndovascular therapyNursing care