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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.