Recently, the Stroke Intervention Team of the County First People’s Hospital timely performed “cerebral arteriography + right middle cerebral artery embolization and thrombectomy” for a patient with acute cerebral embolism, which successfully saved the patient’s life and prevented the progression of the disease. Continue to deteriorate, and made a new breakthrough in technology.
It is understood that the patient, Ms. Yan, 71 years old, was watching TV at home around ten in the morning when she suddenly felt that her left limbs were inactive, and she was accompanied by symptoms such as slurred speech. Seeing that the situation was not good, family members who were aware of stroke prevention quickly called the emergency number of the first county hospital to seek further treatment.
After admission, the emergency doctor immediately gave Ms. Yan various physical examinations, and no obvious cerebral hemorrhage was found in the cranial CT review. The lesions, combined with the current symptoms, were initially diagnosed as “acute cerebral infarction”, and interventional stroke therapy was recommended, and the physician of the stroke intervention team was immediately called for consultation. Ms. Yan has a history of hypertension, atrial fibrillation, and cerebral infarction in the past. Doctor Yan Jinxiang of the stroke intervention group inspected the patient, but was unable to speak and did not cooperate with the physical examination. The NIHSS score was 24.
After physical examination, examination, and various evaluations, the physicians of the stroke intervention team believed that the patient had clear indications for emergency interventional thrombectomy and needed immediate intervention, otherwise the patient’s life would be in danger!
Time is life, time is brain! After communicating with the patient’s family, Yan Jinxiang agreed to perform interventional thrombectomy, and was immediately transferred to the catheterization laboratory to prepare for interventional surgery.
After completing various examinations, the physicians in the stroke intervention group successfully completed cerebral angiography with the assistance of medical staff in the anesthesiology department and catheterization laboratory, and performed embolization and thrombectomy of the right middle cerebral artery according to the results of the angiography. The operation went well. Postoperatively, the patient’s consciousness recovered, and his limb activity and other symptoms also improved significantly. The family is very satisfied.
According to Yan Jinxiang, the attending physician of neurosurgery, for patients with acute cerebral infarction, “time is the brain”. function, effectively reduce or avoid the occurrence of sequelae. Mechanical thrombectomy for acute cerebral infarction (neural interventional thrombectomy) is a minimally invasive interventional treatment with high, precise, and delicate operation, and it is required to minimize the delay time before surgery. The earlier the surgery, the better the prognosis. Since the hospital carried out the mechanical thrombectomy for acute cerebral infarction, the patient’s life has been saved to the greatest extent. For acute ischemic stroke caused by arterial occlusion of large vessels, traditional intravenous thrombolysis therapy has lower vascular recanalization rate and unsatisfactory treatment effect compared with neurointerventional therapy. It greatly improves the recanalization rate of blood vessels, achieves the ideal therapeutic effect, and becomes the first choice for clinical treatment.
At present, the stroke intervention group can use whole cerebral angiography to diagnose cerebrovascular disease and the etiology of spontaneous subarachnoid hemorrhage; Stenting, carotid artery stenting, cerebral aneurysm embolization, cerebral vascular malformation embolization, interventional treatment of carotid cavernous fistula, basilar artery balloon angioplasty, vertebral artery stenosis angioplasty, subclavian artery stenosis Interventional diagnosis and treatment of cerebrovascular diseases such as angioplasty. So that patients with cerebrovascular disease can receive high-level professional treatment without leaving home.
【Correspondent Sun Fengsong】