中国卒中杂志2024，Vol.19Issue(8)：962-966,5.DOI:10.3969/j.issn.1673-5765.2024.08.014
肺叶楔形切除术后并发急性缺血性卒中行介入取栓治疗2例并文献回顾
Interventional Thrombectomy in Patients with Acute Ischemic Stroke after Wedge Resection of Pulmonary Lobes:Two Case Reports and Literature Review
白磊鹏 1罗杰 1周思捷 1黄健辉 1梁铭钦 1赵庆顺1
作者信息
- 1. 佛山 528000 佛山市第一人民医院脑血管病外科
- 折叠
摘要
Abstract
The incidence of acute ischemic stroke during the perioperative period after wedge resection of pulmonary lobes is not high,but it may lead to life-long disability and even death in severe cases,thus affecting the prognosis of patients.At present,the pathogenesis is still unclear.This paper reported two cases of interventional thrombectomy in patients with acute ischemic stroke after lung cancer surgery.Patient 1 underwent wedge resection of the upper lobe of the left lung under thoracoscope.On the same day,acute embolism of the left middle cerebral artery caused extensive infarction in the left cerebral hemisphere.After interventional thrombectomy and recanalization(TICI grade 3),the patient had a good prognosis(NIHSS score of 4).Patient 2 underwent the right inferior pulmonary wedge resection under thoracoscope.On the same day,basilar artery occlusion caused extensive cerebellar infarction.After interventional thrombectomy,the blood vessels reopened well(TICI grade 3),but the patient had severe postoperative brain edema and ultimately gave up treatment.This paper summarized the experience,reviewed relevant literature and analyzed the high-risk factors for acute ischemic stroke after wedge resection of pulmonary lobes,to provide a reference for clinical practice.关键词
肺叶楔形切除术/急性缺血性卒中/介入取栓治疗Key words
Wedge resection of pulmonary lobe/Acute ischemic stroke/Interventional thrombectomy treatment分类
医药卫生引用本文复制引用
白磊鹏,罗杰,周思捷,黄健辉,梁铭钦,赵庆顺..肺叶楔形切除术后并发急性缺血性卒中行介入取栓治疗2例并文献回顾[J].中国卒中杂志,2024,19(8):962-966,5.
