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

被引:6
作者
Chan, AW [1 ]
Henderson, MA [1 ]
机构
[1] Royal Columbian Hosp, Cardiac Serv, New Westminster, BC, Canada
关键词
cardiac catheterization; catheter; stroke; fibrinolysis;
D O I
10.1002/ccd.20605
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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. (c) 2006 Wiley-Liss, Inc.
引用
收藏
页码:314 / 318
页数:5
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