To improve the clinical care level introducing the nursing observation points of perioperative period of mechanical thrombectomy for patients with acute cerebral infarction.

The perioperative nursing experience of 48 patients with acute cerebral infarction who underwent mechanical thrombectomy at our hospital since 2016 was retrospectively summarized.

Among the 48 cases, 2 cases had unsuccessful thrombectomy because of the excessive flexion in the middle of the path, and the other 46 patients underwent stent thrombectomy successfully. After thrombectomy, angiography showed that 40 patients (83.33%) were re-canalized; and after 1 week’s treatment, 34 patients (70.83%) had obvious improvement in exercise and speech function, and six cases (12.50%) got no obvious clinical effect because of the severity. One patient had a brain hyperperfusion syndrome 2 days after the operation, but was cured and discharged. The overall treatment effect was satisfactory.

Acute cerebral infarction is acute and serious and has high mortality and disability rate. Mechanical thrombectomy and perioperative standard nursing, such as disease condition observation, preoperative preparation, appropriate position after thrombectomy, maintaining airway patency, blood pressure control, and prevention of intracranial hemorrhage, brain hyperperfusion, deep vein thrombosis of lower extremities, etc., can improve re-canalization rate and prognosis and reduce complications after thrombectomy.

Acute cerebral infarction; Mechanical thrombectomy; Perioperative period; Nursing care