Nurses’s Role to Prevent Complication in Ischemic Stroke Receiving Thrombectomy Treatment

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วีรยุทธ ศรีทุมสุข
ชัยยุทธ โคตะรักษ์
สุภลักษณ์ นอใส
พรชัย จูลเมตต์


Treatment of patients with ischemic stroke through thrombectomy is another option beyond intravenous thrombolysis with recombinant tissue plasminogen activator (IV-rtPA) ipatients with large blood vessels occlusion or there are some contraindications to receiving IV-rtPA. However, such treatment methods have the potential to cause significant complications in patients such as neurological changes, intracerebral hemorrahge, or reocclusion after thrombectomy treatment including contrast-induced nephropathy etc. Nurses are important in the healthcare for taking care ischemic stroke after treating with thrombectomy. So, understanding of nursing care among pre-operative, intraoperative, and post-operative after thrombectomy treatment to prevent complications that may occur at various stages of treatment including when the patient returns to home.


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ศรีทุมสุขว, โคตะรักษ์ช, นอใสส, จูลเมตต์พ. Nurses’s Role to Prevent Complication in Ischemic Stroke Receiving Thrombectomy Treatment. J Royal Thai Army Nurses [Internet]. 2019Apr.24 [cited 2020Feb.28];20(1):47-5. Available from:
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1. Hacke W, Kaste M, Bluhmki E, et al. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. New England Journal of Medicine. 2008; 359: 1317-29.

2. Bhatia R, Hill MD, Shobha N, et al. Low rates of acute recanalization with intravenous recombinant tissue plasminogen activator in ischemic stroke: real-world experience and a call for action. Stroke. 2010; 41: 2254-8.

3. Jüttler E, Schwab S, Schmiedek P, et al. Decompressive surgery for the treatment of malignant infarction of the middle cerebral artery (DESTINY): a randomized, controlled trial. Stroke. 2007; 38: 2518-25.

4. Worakijthamrongchai T. Endovascular treatment in acute ischemic stroke. Journal of Thai Stroke Society. 2017; 16: 5-13. (in Thai)

5. Broderick JP, Palesch YY, Demchuk AM, et al. Endovascular therapy after intravenous t-PA versus t-PA alone for stroke. New England Journal of Medicine. 2013; 368: 893-903.

6. Ciccone A, Valvassori L, Nichelatti M, et al. Endovascular treatment for acute ischemic stroke. New England Journal of Medicine. 2013;368: 904-13.

7. Berkhemer OA, Fransen PS, Beumer D, et al. A randomized trial of intraarterial treatment for acute ischemic stroke. New England Journal of Medicine. 2015; 372: 11-20.

8. Jovin TG, Chamorro A, Cobo E, et al. Thrombectomy within 8 hours after symptom onset in ischemic stroke. New England Journal of Medicine. 2015; 372: 2296-306.

9. Goyal M, Demchuk AM, Menon BK, et al. Randomized assessment of rapid endovascular treatment of ischemic stroke. New England Journal of Medicine. 2015; 372: 1019-30.

10. Campbell BC, Mitchell PJ, Kleinig TJ, et al. Endovascular therapy for ischemic stroke with perfusion-imaging selection. New England Journal of Medicine. 2015; 372: 1009-18.

11. Saver JL, Goyal M, Bonafe A, et al. Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke. New England Journal of Medicine. 2015; 372: 2285-95.

12. Wahlgren N, Moreira T, Michel P, et al. Mechanical thrombectomy in acute ischemic stroke: consensus statement by ESO-Karolinska stroke update 2014/2015, supported by ESO, ESMINT, ESNR and EAN. International Journal of Stroke. 2016; 11: 134-47.

13. Powers WJ, Derdeyn CP, Biller J, et al. 2015 American Heart Association/American Stroke Association focused update of the 2013 guidelines for the early management of patients with acute ischemic stroke regarding endovascular treatment: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2015; 46: 3020-35.

14. Nambiar V, Sohn SI, Almekhlafi MA, et al. CTA collateral status and response to recanalization in patients with acute ischemic stroke. American Journal of Neuroradiology. 2014;35: 884-90.

15. Jadhav AP, Molyneaux BJ, Hill MD, et al. Care of the post-thrombectomy patient. Stroke. 2018;49: 2801-7.

16. Forrow MG. in Prestigiacomo CJ. Endovascular surgical neuroradiology: theory and clinical practice. New York. 2014.

17. Sousa ID. Thrombectomy in acute ischaemic stroke and the implications for nursing practice. British Journal of Neuroscience Nursing. 2016;
12: S28-S31.

18. Prasat Neurological Institute. Nursing Guideline for Thrombectomy in Ischemic Stroke. Bangkok. (mimeohraphed)

19. Udomvisatsun R. Nursing care in patients with IV administration of contrast media. Songkla Medical Journal. 2004; 22: 415-424. (in Thai)

20. Poomsanguan K. Health empowerment: nurses’important role. Journal of The Royal Thai Army Nurses. 2014; 15: 86-90. (in Thai)