• Surgery

Non-Surgical Stroke Treatment【Kishiwada Tokushukai Hospital】

implementation facility
  • Kishiwada Tokushukai Hospital
Facility Details
program name
Non-Surgical Stroke Treatment【Kishiwada Tokushukai Hospital】
genre
  • Surgery:Surgery
program details
Endovascular treatment for stroke without surgery is a minimally invasive method that reduces the burden on the body and enables faster recovery. Using catheters, brain blood vessels are treated safely from the inside, allowing for discharge within a short period.
requirement, condition for apply
Eligibility Criteria

1. Medical Information:
- Diagnosis (e.g., cerebral aneurysm, cerebral infarction, stroke)
- Detailed symptoms (e.g., headache, impaired consciousness, limb paralysis)
- Test results from other facilities (e.g., CT, MRI, angiography)
- Presence of comorbidities (e.g., diabetes, hypertension, kidney disease)

2. Treatment History:
- History of cerebrovascular treatments (e.g., catheterization, surgery)
- Current medications (e.g., anticoagulants, antiplatelet drugs)
- Allergies or adverse drug reactions

3. Age and Physical Condition:
- Confirmation of physical fitness for treatment in elderly patients or those with comorbidities
- Evaluation of eligibility for general anesthesia, including assessments of lung and cardiac function

4. Treatment Duration and Schedule:
- Treatment schedule (e.g., hospitalization period, post-treatment follow-up)
- Need for outpatient visits and follow-up monitoring

5. Kidney Function:
- Confirmation of adequate kidney function, as contrast agents may be required

6. Urgency:
- Determination of whether urgent intervention is needed for cases such as ruptured cerebral aneurysms or acute cerebral infarction

7. Other Conditions:
- Suitability for antiplatelet medication and management of pre-treatment drug regimens
precaution, contraindication
Precautions and Contraindications

1. Cases Not Suitable for Treatment:
- Severe renal dysfunction may make the use of contrast agents difficult, rendering the treatment contraindicated.
- Anatomical issues in the blood vessels or severe stenosis that make catheter insertion challenging.
- Patients for whom antiplatelet medication is contraindicated (e.g., those with extremely high bleeding risks) may face limited treatment options due to increased thrombotic risk.

2. Contraindications Related to General Anesthesia:
- Patients with reduced cardiopulmonary function or underlying conditions that prevent tolerance to general anesthesia.
- A history of drug allergies requires prior verification of medications to be used.

3. Risk of Complications:
- There is a risk of complications such as bleeding, thrombosis, or cerebral infarction during or after the procedure. Complications in the brain can result in severe symptoms.
- The introduction of foreign materials (e.g., catheters, stents) into blood vessels carries risks of infection and thrombosis.

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Pre-Procedure Instructions

1. Preoperative Preparation:
- Follow the doctor’s instructions regarding the discontinuation of antiplatelet or anticoagulant medications.
- Undergo all necessary preoperative tests, including blood tests, CT, MRI, and kidney function tests.

2. Postoperative Care and Risks:
- Postoperatively, there is a risk of bleeding, infection, and thrombosis; report any abnormalities to a medical institution immediately.
- Regular follow-up and monitoring during the postoperative period are essential; attend all scheduled outpatient visits.

3. Lifestyle Precautions:
- After treatment, there may be restrictions on physical activities and daily habits; follow the doctor’s advice and engage in activities within safe limits.
- Adopt a healthy lifestyle, including smoking cessation and a balanced diet, to manage the risk of arteriosclerosis.

4. Hospitalization and Follow-Up Schedule:
- Confirm the duration of hospitalization and the schedule for follow-up visits and postoperative monitoring in advance.
- Regular follow-up and examinations are required even after discharge.

5. Emergency Response:
- After discharge, if you experience symptoms such as headache, nausea, visual disturbances, or paralysis, contact a medical institution immediately.
- Ensure that you are aware of the contact information for emergency medical facilities and the attending physician in case urgent action is needed.
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