关键词: 肺叶楔形切除术; 急性缺血性卒中; 介入取栓治疗

Abstract: The incidence of acute ischemic stroke during the perioperative period after wedge resection of pulmonary lobes is not high, but it may lead to life-long disability and even death in severe cases, thus affecting the prognosis of patients. At present, the pathogenesis is still unclear. This paper reported two cases of interventional thrombectomy in patients with acute ischemic stroke after lung cancer surgery. Patient 1 underwent wedge resection of the upper lobe of the left lung under thoracoscope. On the same day, acute embolism of the left middle cerebral artery caused extensive infarction in the left cerebral hemisphere. After interventional thrombectomy and recanalization (TICI grade 3), the patient had a good prognosis (NIHSS score of 4). Patient 2 underwent the right inferior pulmonary wedge resection under thoracoscope. On the same day, basilar artery occlusion caused extensive cerebellar infarction. After interventional thrombectomy, the blood vessels reopened well (TICI grade 3), but the patient had severe postoperative brain edema and ultimately gave up treatment. This paper summarized the experience, reviewed relevant literature and analyzed the high-risk factors for acute ischemic stroke after wedge resection of pulmonary lobes, to provide a reference for clinical practice.

Key words:

Wedge resection of pulmonary lobe; Acute ischemic stroke; Interventional thrombectomy treatment