Abstract:

Ischemic stroke is a serious complication during the perioperative period of cardiac surgery. Endovascular mechanial thrombectomy is an effective treatment for acute ischemic stroke, especially for patients after cardiac surgery who cannot undergo intravenous thrombolysis. However, for this specific patients in the perioperative period of cardiac surgery, the proportion of mechanial thrombectomy is significantly lower than in non-cardiac surgery patients. The therapeutic effect of mechanial thrombectomy in this context is not yet fully clear and require extensive clinical research for further validation.

Key words: Cardiac surgical procedures, Perioperative period, Ischemic stroke, Thrombectomy, Review

摘要：

缺血性卒中是心脏手术围手术期的严重并发症，血管内机械取栓术是急性缺血性卒中的有效治疗方法，尤其对于无法静脉溶栓的心脏手术后患者。但心脏手术围手术期行机械取栓术的比例明显低于非心脏手术，且疗效尚不十分明确，有待大量临床研究进一步提供证据支持。

关键词: 心脏外科手术, 围手术期, 缺血性卒中, 血栓切除术, 综述