Pipeline密网支架植入术治疗颅内复杂动脉瘤的护理

发布时间：2019-06-11 23:17

【摘要】：目的:探讨Pipeline密网支架植入术治疗颅内复杂动脉瘤的护理。方法 :所有患者均经MRI及DSA造影明确诊断为颅内动脉大型、巨大复杂动脉瘤。在充分抗聚药物准备后,全麻下DSA三维旋转造影,选择合适工作角度,通过Marksman导管释放Pipeline支架覆盖动脉瘤颈部。术后继续抗血小板聚集治疗。6个月返院复查造影。结果:本组13例患者均顺利行Pipeline密网支架植入术,术后均未发生术后抗凝、抗血小板聚集相关并发症或死亡;出院时改良Rankin评分0分12例,1分1例。结论 :对于Pipeline密网支架植入术治疗颅内复杂动脉瘤的患者,术前熟悉手术方案并备好介入材料、术中严密监测患者生命体征并配合手术操作者完成患者全身肝素化、术后对缺血事件的判断评估及科学的专科护理规范均是保证手术成功和患者良好预后的关键。
[Abstract]:Objective: to explore the nursing care of complex intracranial aneurysm treated with Pipeline dense mesh stent implantation. Methods: all patients were diagnosed as large and complex intracranial artery aneurysm by MRI and DSA. After adequate preparation of antipolymeric drugs, DSA three-dimensional rotating angiography under general anesthesia, select the appropriate working angle, and release Pipeline stents through Marksman catheter to cover the neck of the aneurysm. Antiplatelet aggregation treatment continued after operation. 6 months back to the hospital for reexamination. Results: all the 13 patients underwent Pipeline stent implantation without postoperative anticoagulation, antiplatelet aggregation related complications or death, and the modified Rankin score was 0 in 12 cases and 1 in 1 case. Conclusion: for patients with complex intracranial aneurysm treated with Pipeline dense mesh stent implantation, familiar with the surgical plan and preparation of interventional materials before operation, closely monitoring the vital signs of the patients during the operation and cooperating with the surgical operator to complete the whole body heparin of the patients, the judgment and evaluation of ischemic events after operation and the scientific nursing standards are the key to ensure the success of the operation and the good prognosis of the patients.
【作者单位】：南方医科大学南方医院神经外科;
【基金】：广东省科技计划项目(编号:2013B022000064) 广东省医学科研基金项目(编号:C2016062)
【分类号】：R473.6

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