What is minimally invasive surgery for cerebral infarction? How is the procedure done?

Cerebral infarction is predominantly surgically surgical** in the acute phase, usually minimally invasive intervention. Minimally invasive surgery is mainly to puncture through the right femoral artery, send a microcatheter through the thoracoabdominal aorta, heart and internal carotid artery to reach the intracranial diseased blood vessels, mechanically pull the thrombus with a stent, or inject thrombolytic drugs to dissolve and eliminate the thrombus and open up the blood supply artery.

Cerebral infarction surgery is not minimally invasive, but cerebral infarction can be performed with minimally invasive surgery**. Cerebral infarction is a blood disorder in the brain, cerebral ischemia and hypoxia caused by the ischemic necrosis or softening of localized brain tissue, manifested as headache, dizziness, dizziness, nausea, vomiting, motor or sensory aphasia, and even coma, etc., which are generally conservative.

Minimally invasive surgery for cerebral infarction is the current popular thrombectomy for acute cerebral infarction, which does not require surgery, and is a method of thrombectomy for blocked blood vessels through intervention, so as to restore blood flow.

The patient must have an acute cerebral infarction, and it must be within 6 hours, so that the cerebral infarction can be achieved through minimally invasive surgery. The patient is punctured, then the catheter is placed into the carotid artery, and then the problem is found, and the blood vessel can be kept open with a mesh blue thrombectomy.

It refers to a minimally invasive surgery, in the process of surgery, generally at the root of the thigh, put a sheath, and then put some catheters next to it, will use certain technical means, and then reach the lesion and release a stent.

The situation is still relatively mild, at this time, through minimally invasive surgery, and then ** cerebral infarction, this surgery will choose laser, as well as anesthetic, repair.

In terms of minimally invasive surgery for cerebral infarction, a sheath is mainly placed from the root of the thigh, and a certain guidewire or catheter is placed along the sheath.

Minimally invasive surgery for cerebral infarction is a surgery to make a small hole through a microscope and make a blood vessel through it.

It is to perform the surgery with some instruments and there will be no big wounds. This surgery is done by making a hole in the brain and inserting instruments into the brain, without the need for a craniotomy, and the wound is very small.

In terms of minimally invasive cerebral thrombosis surgery, this generally refers to the removal of cerebral thrombosis through intravascular thrombectomy**. In clinical practice, if some thrombus falls off, then as the blood vessels reach the skull, the corresponding blood vessels are blocked, resulting in a terminal cerebral infarction.

Minimally invasive surgery is mainly to use the right femoral artery puncture, through the thoracoabdominal aorta, heart and internal carotid artery into the microcatheter to reach the intracranial diseased blood vessels, and the stent is used to mechanically pull the thrombus.

Minimally invasive surgery for cerebral infarction According to the continuous development of science and technology, this minimally invasive surgery can be completed in a very short time, and the recovery is relatively fast.

Minimally invasive surgery for cerebral infarction is generally used in our side**, I see that their postoperative recovery is very good, and the recovery time is short, the postoperative does not affect eating, and the trauma is small.

This requires a professional doctor to perform the operation according to the patient's condition, and it is possible to fully recover after the operation, as long as it is done well, there is no problem.

After minimally invasive surgery, the recovery time for cerebral infarction is only about 24 hours. Because of cerebral infarction, a puncture is done at the base of the thigh during minimally invasive surgery. After the surgery is done, the tube is removed.

The wound can be healed within 24 hours, and the wound is basically healed in about three days. If the patient still has a slight functional impairment in the body after the minimally invasive surgery. Then the recovery of this situation needs to be decided by the patient himself.

Normally, after the surgery, the physical impairment will recover within two to three months. However, there are also cases in which patients with more severe conditions may have a longer recovery time.

It can be done by puncture, and there is no need for surgery. Of course, it is possible to recover completely, which is a relatively normal surgery.

There is no need for surgery, and the blood vessels are dredged by interventional methods, which are generally punctures. Yes, as long as there is no problem with the operation.

That is, minimally invasive surgery, but if the disease has been continuous for many days, and the blood clot has become organic and hardened, these treatments can no longer be selected.

In conclusion, encephalopathy attacks can only be operated on the premise of complications such as coma. In other cases, surgery** is usually not necessary, and the general goal of surgery is to reduce intracranial hypertension to a large extent due to intracranial tissue lesions. Pharmacological thrombolysis is usually used for interventional purposes** if intracranial decompression is necessary or should not be judged by the physician on a case-by-case basis.

Stroke is cerebral infarction, referred to as cerebral infarction, is a group of cranial nerve dysfunction syndrome caused by intracranial artery occlusion, cerebral infarction is divided into lacunar cerebral infarction, he just said that only large-scale cerebral infarction may require surgery, surgical indications include large-scale cerebral infarction, flat ** dislocation of more than 10 mm, the formation of cerebral herniation, the gradual deepening of consciousness disorder, the student's swelling or even disappearance of the reaction.

The need for surgery is generally due to the need for intervention, endovascular**, i.e., embolism, which is relatively large, and vascular occlusion may be the main complication. Now the effect of intravenous thrombolysis may not be good, we need to implant blood vessels to remove blood clots, and the other situation is that the blood vessels have been completely closed for a long time, and there is no way to open them through the blood vessels**. It is good to take Zidan Huoxue tablets, aspirin, lipid-clearing capsules**, fasting spicy and greasy, drinking more boiled water, exercising properly, regular rechecks, and hoping to get it soon**.

Good luck with you**.

In the first case, the patient is very urgent. Within the time window of arterial thrombectomy, interventional surgery may be considered if caused by aortic disease or cardiogenic cerebral embolism; In the second case, if the patient has a large cerebral infarction and forms a brain herniation, you also need surgery** to save the patient's life, since the stroke has occurred, it is recommended that the patient seek medical attention as soon as possible, and the earliest **, the most beneficial patient will also get. It is necessary to use dehydrating drugs to reduce intracranial pressure to reduce cerebral edema, and patients with early cerebral infarction will have symptoms such as speech fluency and limb mobility impairment.

The disease must be diagnosed after the onset of the disease. Intravenous thrombolysis** should be performed immediately within 3 hours of diagnosis, in addition, we can also perform massage and acupuncture** in daily life.

If there is a blockage of the main blood vessels, or a cerebral hemorrhage, or a large blood mass, surgery is necessary**.

If it is said that in the early stage of infarction, the patient has brain damage in the corresponding area of infarction, there are limb or language nervous system dysfunction, and there are some special types of manifestations, which seriously affect normal life. This will require surgery**.

If you have a cerebral infarction, you will need surgery if you are in a coma or if your cerebral hematoma is severe.

When our body is unable to exert strength, our limbs are numb, and we cannot speak, we should have surgery as soon as possible**.

To put it simply, cerebral infarction can only be operated on the premise of complications such as coma, and the rest of the cases generally do not require surgery**. Surgery** is usually done to relieve high intracranial pressure caused by a large number of intracranial tissue lesions. As for general cerebral infarction, intervention is usually carried out by drug thrombolysis**.

The need for intracranial decompression surgery is determined by the doctor based on the specific condition. Cerebral infarction is cerebral infarction, referred to as cerebral infarction. Because of the occlusion of the intracranial arteries, a group of syndromes that lead to neurological dysfunction.

Cerebral infarction is further divided into lacunar cerebral infarction, cerebral thrombosis, cerebral embolism, etc. As I said earlier, surgery can only be performed in the case of a massive cerebral infarction. Indications for surgery include massive cerebral infarction, midline displacement of more than 10 mm, brain herniation, progressive deepening of consciousness, dilated pupils, and even loss of response to light.

Craniotomy should only be considered for decompression in such cases. The main elements of cerebral infarction include thrombolysis, anticoagulation, and neuroprotection.

Drugs for cerebral infarction**: thrombolysis** can be streptokinase and urokinase; Anticoagulants can be heparin, dicoumarin, etc., for the prevention and development of thrombosis and new thrombosis. Surgery**:

For patients with obstructive hydrocephalus caused by large infarction and severe compression of the fourth ventricle by cerebral edema, posterior fossa decompression and ventricular drainage are required to control intracranial pressure and save the patient's life. Patients with cerebral infarction should pay attention to daily life regulation, strengthen training, strengthen oral, respiratory, urine, and urine care, control blood sugar and blood pressure, live a regular life, and exercise appropriately. Diet:

It is advisable to eat lightly, do not overeat, and quit smoking and drinking.

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When the condition is particularly severe, it has compressed the cranial nerves, which will affect fibroids, affect sleep quality, cause serious brain damage, severe dysfunction of the limbs and speech nervous system, and cerebral thrombosis or cerebral embolism.

Speech function declined, and there were serious problems with the arteries and blood vessels. There is a lump in the brain, there will be a serious ***, and the situation is very critical. It affected lives.

If there is a lack of breathing, blood circulation, palpitations, breathlessness, chest tightness and shortness of breath, surgery is required in these cases** because it is very dangerous.

The limbs are very stiff, the language system is affected, the brain is hemorrhage, there is a mass in the brain, and the unconscious should need surgery in time**.

Acute cerebral infarction leads to intracranial hypertension and requires craniotomy and decompressionIn general, cerebral infarction requires guidance from a neurologist**. Please consult the neurology department of your local hospital.

Deputy Chief Physician of Neurosurgery - Lv Xueming, General Hospital of Jinan Military Region.

Analysis: Cerebral infarction cannot be operated.

Suggestion: There is no way to operate for cerebral infarction. Mainly drugs**.

Intravenous infusion of Danshen injection and low molecular weight dextran, oral enteric-coated aspirin and Danshen tablets, appropriate use of mannitol, and preferably hospitalization** are recommended. It is mainly vasodilator drugs and blood-invigorating drugs, such as salvia, vitamin brain pathway, etc. Pay attention to a low-fat diet, eat more light-tasting foods, and eat more vegetables.

Xu Weijie - Hebei Provincial People's Hospital.

Internist.

Cerebral infarction (cerebral infarction) is the necrosis of brain tissue caused by insufficient blood supply to the brain.

There are many causes of cerebral infarction, and the treatment is different.

Small-scale cerebral infarction (including lacunar cerebral infarction), if it is caused by arteriosclerosis, it is mainly necessary to prevent its aggravation with drugs and restore functional regulation**. Further examination, if there is a stenosis, the intima of the stenosis can be removed by intravascular stent placement or surgery to remove the obstruction.