Post-Thrombectomy Care for Ischemic Stroke Patients

After undergoing endovascular thrombectomy for ischemic stroke, proper post-operative care is essential to support recovery and prevent complications. The following nursing guidelines are recommended to ensure optimal patient outcomes.

Blood Pressure Management

Monitoring and controlling blood pressure is one of the most critical aspects of post-procedure care. After thrombectomy, patients are at risk of both hyperperfusion and hypoperfusion. Hyperperfusion can increase the likelihood of cerebral hemorrhage, so blood pressure must be carefully regulated to avoid excessive levels. On the other hand, hypoperfusion can impair brain function, so maintaining a stable and moderate blood pressure level is necessary. Typically, a systolic blood pressure range of 110–120 mmHg is considered ideal, as it supports adequate cerebral perfusion while minimizing the risk of bleeding complications.

Preventing Post-Operative Complications

Patients who remain bedridden after surgery are prone to various complications, including infections and deep vein thrombosis (DVT). To reduce the risk of pulmonary infections, especially in those who are unconscious for extended periods, regular repositioning and chest physiotherapy such as turning and back tapping should be performed. These practices help clear respiratory secretions and improve lung function.

Mobility and Thrombosis Prevention

Deep vein thrombosis is another major concern in post-thrombectomy care. To mitigate this risk, gentle massage and passive movement of the limbs, along with compression devices or anticoagulant therapy when appropriate, can significantly reduce the chance of clot formation. Early mobilization under medical supervision should be encouraged whenever possible.

Nutritional and Neurological Support

Adequate nutritional support is crucial for recovery. Patients may require enteral feeding if they are unable to swallow safely. In addition, neurological monitoring and interventions aimed at promoting consciousness, such as sensory stimulation and medication management, should be part of the comprehensive care plan.