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Management of cerebrovascular accidents during cardiac catheterization
Author(s) -
De Marco Federico,
Antonio FernandezDiaz José,
Lefèvre Thierry,
Balcells Jordi,
Araya Mario,
Routledge Helen,
Rosas Andrés,
Louvard Yves,
Dumas Pierre,
Morice MarieClaude
Publication year - 2007
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.21172
Subject(s) - medicine , thrombolysis , cardiac catheterization , complication , neuroimaging , angiography , radiology , cardiology , cerebral angiography , myocardial infarction , psychiatry
Ischemic cerebrovascular events are a rare complication of cardiac catheterization. Consequently a unique standard of management for these events is yet to be defined. Immediate cerebral angiography followed by local thrombolysis is an effective strategy and we report six cases for which this approach was successfully employed. In contrast the use of immediate neuroimaging by means of MRI or CT scan in two cases delayed the implementation of appropriate therapy. © 2007 Wiley‐Liss, Inc.