PubMed · 9752176
The government's green paper sets specific targets for a reduction in the incidence of stroke. Carol Williams and Lynne Kendall look at the nurse's role in prevention and recovery.
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C Williams, L Kendall. Tackling strokes.. https://pubmed.ncbi.nlm.nih.gov/9752176/
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The evolution of new neurointerventional techniques, along with improved imaging and catheter developments, has changed the interventional suite into a subspecialized operating room. This article discusses this operating room as a combination of neuroanesthesia, neuromonitoring, nursing, and technician support coordinated by the neruointerventionalist. The coordination of elective and emergent intervention is also discussed, from conception to completion of the plan, including arteriovenous emoblization, endovascular aneurysm obliteration, intra-arterial thrombolysis, extracranial and intracranial carotid angioplasty, and stenting. Specific examples are illustrated, including pharmacologic intervention complementing these techniques.
The extracranial vasculature is subject to a vast array of disease processes including atherosclerosis, dissection, inflammation, and mechanical compression. Our current understanding of the pathogenesis of these diseases is discussed.