Immediate catheter‐directed reperfusion for acute stroke occurring during diagnostic cardiac catheterization | Zendy

Chan Albert W. | Zendy; Henderson Mark A. | Zendy

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Immediate catheter‐directed reperfusion for acute stroke occurring during diagnostic cardiac catheterization

Author(s) -

Chan Albert W.,

Henderson Mark A.

Publication year - 2006

Publication title -

catheterization and cardiovascular interventions

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.988

H-Index - 116

eISSN - 1522-726X

pISSN - 1522-1946

DOI - 10.1002/ccd.20605

Subject(s) - medicine , cardiac catheterization , thrombolysis , angioplasty , stroke (engine) , catheter , complication , acute stroke , balloon , interventional cardiology , cardiology , surgery , myocardial infarction , tissue plasminogen activator , mechanical engineering , engineering

Acute stroke is a rare but the most dreaded complication of cardiac catheterization. We report a case about the management of an acute stroke that occurred during a diagnostic cardiac catheterization procedure. Immediate catheter‐based intraarterial thrombolysis with adjunctive balloon angioplasty of the left middle cerebral artery was carried out. The patient recovered markedly within the first 2 hr and was discharged without neurological sequelae after 3 days. A clinical pathway for acute stroke management in the catheterization laboratory is discussed.© 2006 Wiley‐Liss, Inc.

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