[Complications of mechanical thrombectomy].

Radiologie (Heidelberg, Germany) Pub Date : 2025-02-01 Epub Date: 2024-12-13 DOI:10.1007/s00117-024-01401-1
Josef Mohamad
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引用次数: 0

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.

机械取栓的并发症。
临床问题:缺血性脑卒中是成年人致残的最常见原因,也是社会的重要疾病;因此,预防、诊断和治疗起着重要作用。通过血管内机械再通术重新开通大面积闭塞的脑内血管已成为治疗的金标准,因此了解最重要的并发症及其处理方法对介入医师来说至关重要:颅内出血,包括脑出血和蛛网膜下腔出血,是可怕的并发症,会使临床预后显著恶化。因此,早期监测和优化处理至关重要。脑空气栓塞是一种罕见但危险的并发症,由于治疗方案有限,因此预防至关重要。
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