血管内介入操作和心脏手术后脑缺血

Cerebral Ischemia Mter Endo vascular Interventional Procedures and Cardiac surgery

血管内介入操作和心脏手术是目前治疗心脑血管疾病的重要手段，尽管临床认为这些手术后并发脑缺血的发生率较低，但磁共振弥散加权成像却显示术后脑缺血的发生率却较高。导致缺血的原因很多，但大多数是可以预防的。加强术前准备、规范手术操作和加强术后随访，对于降低脑缺血发生率非常重要。

Endovascular intervendonal procedures and cardiac surgery are the important means in the treatments of cardiocerebrovascular diseases now. Although it is considered that the complication of cerebral ischemia in clinical practice is lower after these procedures, diffusion-weighted MRI has found that the incidence of cerebral ischemia is higher. A numbers of causes have resulted in cerebral ischemia; however, most of them can he prevented It is most irnportant for reducing the incidence of cerebral ischemia by improving preoperative preparation, standardizing operative procedures and enhancing postoperative follow-up visit.