The nursing care for patients with hyperperfusion syndrome occurring after carotid artery stenting;initial experience in 9 cases
10.3969/j.issn.1008-794X.2014.08.019
- VernacularTitle:颈动脉支架术后并发症--高灌注综合征九例的护理
- Author:
Wenyan ZHU
;
Yanhua CHEN
;
Zhenyun GU
;
Zhaohui MA
- Publication Type:Journal Article
- Keywords:
carotid stenosis;
carotid stenting;
hyperperfusion syndrome;
nursing
- From:
Journal of Interventional Radiology
2014;(8):729-731
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical features of hyperperfusion syndrome occurring after carotid artery stenting, and to discuss its nursing measures. Methods Among 220 patients who received carotid artery stenting, nine developed hyperperfusion syndrome after stent implantation. Their clinical materials were retrospectively analyzed. The nursing measures, including properly controlling blood pressure, relieving brain edema, monitoring cerebral blood flow, medication with sedation drug, stopping or reducing antiplatelet therapy, close observation of blood pressure and clinical symptoms, cooperation with physicians to control the blood pressure and to dynamically make reexamination, etc. Results Of the nine patients with hyperperfusion syndrome, complete recovery was achieved in eight at the time of discharge and death due to intracranial hemorrhage occurred in one. Conclusion The key point of nursing for patients with hyperperfusion syndrome is close cooperation with physicians to control the patient ’s blood pressure so as to ensure a proper cerebral blood flow.
