EXPLORING THE INFLUENCING FACTORS OF STENT THROMBOSIS IN PATIENTS WITH INTRACRANIAL ANEURYSMS (IA) AFTER INTERVENTIONAL EMBOLIZATION AND THE CORRESPONDING NURSING INTERVENTION STRATEGIES

Abstract Objective To explore and analyze the influencing factors and nursing intervention strategies of stent thrombosis in patients with intracranial aneurysm (IA) after interventional embolization. Method A total of 112 patients with intracranial aneurysms were selected as research objects, and divided into thrombus group (n = 11) and non-thrombus group (n = 101) according to whether intra-stent thrombosis occurred after surgery. Firstly, univariate analysis was used to analyze the factors affecting intrastent thrombosis after interventional embolization of intracranial aneurysms. The assigned values of statistically significant factors were included in the Logistic regression equation to explore the high-risk factors affecting intracranial aneurysm thrombosis after interventional embolization, and formulate nursing intervention strategies for these influencing factors. Results Compared with the non-thrombotic group, the thrombus group had higher systolic blood pressure, longer operation time, higher proportion of diabetes mellitus, higher proportion of LEO stent type, stent diameter ≥ 3 mm, and higher proportion of postoperative inadequate anticoagulation, the differences were statistically significant (p<.05). The above indicators were included in the logistic regression analysis equation. It can be seen that stent type LEO, stent diameter < 3 mm, operation time ≥ 3 h, and inadequate anticoagulation therapy can be considered as the risk factors for inducing stent thrombosis. Conclusions The factors influencing the occurrence of stent thrombosis after interventional embolization in intracranial aneurysm patients include stent type, stent diameter, operation time, anticoagulation therapy, etc., and the corresponding nursing intervention strategies are formulated according to the above high-risk factors, so as to reduce the risk of postoperative stent thrombosis.