Open AccessStroke and spinal infarct caused by percutaneous coronary intervention
Author(s) -
Jeffrey Spindel,
Dipan Karmali,
Elizabeth Chen,
Shahab Ghafghazi
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2020-234804
Subject(s) - medicine , conventional pci , stroke (engine) , cardiology , percutaneous coronary intervention , myocardial infarction , cardiogenic shock , atrial fibrillation , incidence (geometry) , mechanical engineering , physics , optics , engineering
Acute ischaemic stroke is a known risk of percutaneous coronary intervention (PCI). The incidence of such complications has increased in frequency over the last decade due to higher comorbidity burden and increased complexity of PCI procedures. The overall incidence of post-PCI ischaemic stroke remains low at 0.56%, but some groups of patients have significantly higher risk. Risk factors include atherosclerotic plaques, atrial fibrillation, cardiogenic shock, older age and arterial disease. Although the overall incidence of acute ischaemic stroke following PCI is low, it can result in lifelong disability and is associated with high morbidity, mortality and significant costs. Spinal infarctions due to PCI are exceedingly rare. Here, we discuss a 71-year-old woman who presented with a non ST-elevation myocardial infarction and developed both stroke and spinal infarction post PCI due to a thromboembolic event resulting in long-term debility.