Nursing cooperation in 44 cases of recanalization of symptomatic vertebral artery occlusion

Abstract

Objective \nTo explore the methods of nursing coordination in recanalization operations for vertebral artery occlusion and provide feasible reference for clinical practice. \n \n \nMethods \nXuanwu Hospital of Capital Medical University had carried out recanalization of vertebral artery occlusion earlier than most hospitals world-widely. This study summarized 44 cases of recanalization of vertebral artery occlusion from October 2014 to February 2019 according to the anatomical characteristics of the deep position of vertebral arteries and abundant blood vessels in surrounding tissues. The key points of nursing cooperation during recanalization of symptomatic vertebral artery occlusion included: communication with doctors before operation, familiarity with the operation plan and nursing plan preparation for the whole process; preparation of special intraoperative instruments and deep surgical instruments according to the results of digital subtraction angiography (DSA) ; anticoagulation and thrombus nursing during operation; appropriate arrangement of the instruments in the operating room and avoidance of repeated moving as well as the smooth cooperation between members of the surgical team are the key factors to ensure the safety of the recanalization operation for vertebral artery occlusion. \n \n \nResults \nAll the 44 cases of vertebral artery recanalization were successful, including 26 cases of vertebral artery endarterectomy combined with stent implantation, 18 cases of simple angiography, 1 case of simple balloon dilation, and 2 cases of vertebral artery transposition combined with stent implantation. \n \n \nConclusions \nThe flexible, efficient and comprehensive cooperation of surgical nurses is the key step of the successful operation of recanalization of vertebral artery occlusion. \n \n \nKey words: \nOperative nursing;\xa0Vertebral artery occlusion;\xa0Recanalization;\xa0Nursing cooperation