Acute pontine infarction after percutaneous coronary intervention: a very rare but devastating complication

被引:1
作者
Arslan, F. [1 ,2 ]
Mair, J. [3 ]
Franz, W. -M. [3 ]
Otten, M. [4 ]
van Lelyveld, L. [4 ]
机构
[1] Univ Med Ctr Utrecht, Dept Cardiol, NL-3584 CX Utrecht, Netherlands
[2] Diakonessenhuis Utrecht, Dept Internal Med, Utrecht, Netherlands
[3] Med Univ Innsbruck, Dept Internal Med Cardiol & Angiol 3, A-6020 Innsbruck, Austria
[4] Diakonessenhuis Utrecht, Dept Intens Care Med, Utrecht, Netherlands
关键词
Embolic stroke; Percutaneous coronary intervention; Acute myocardial infarction; STROKE;
D O I
10.1007/s12471-015-0717-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 64-year-old man suffering from an acute posterior wall myocardial infarction underwent primary percutaneous coronary intervention. After several aspiration attempts, tirofiban infusion and pre- and post-dilatation, a bare-metal stent was successfully implanted in the culprit right coronary artery. While the patient did not show any neurological symptoms before or during the procedure, he exhibited hemiplegia and loss of spontaneous speech. Additional magnetic resonance imaging showed an extensive brain stem infarction. This is the first report of a brain stem infarction as a complication of percutaneous coronary intervention.
引用
收藏
页码:366 / 367
页数:2
相关论文
共 4 条
[1]   Characteristics of cerebrovascular accidents after percutaneous coronary interventions [J].
Dukkipati, S ;
O'Neill, WW ;
Harjai, KJ ;
Sanders, WP ;
Deo, D ;
Boura, JA ;
Bartholomew, BA ;
Yerkey, MW ;
Sadeghi, HM ;
Kahn, JK .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 43 (07) :1161-1167
[2]   Stroke complicating percutaneous coronary interventions - Incidence, predictors, and prognostic implications [J].
Fuchs, S ;
Stabile, E ;
Kinnaird, TD ;
Mintz, GS ;
Gruberg, L ;
Carlos, DA ;
Pinnow, EE ;
Kornowski, R ;
Suddath, WO ;
Satler, LF ;
Pichard, AD ;
Kent, KM ;
Weissman, NJ .
CIRCULATION, 2002, 106 (01) :86-91
[3]   Risk of Stroke With Coronary Artery Bypass Graft Surgery Compared With Percutaneous Coronary Intervention [J].
Palmerini, Tullio ;
Biondi-Zoccai, Giuseppe ;
Reggiani, Letizia Bacchi ;
Sangiorgi, Diego ;
Alessi, Laura ;
De Servi, Stefano ;
Branzi, Angelo ;
Stone, Gregg W. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2012, 60 (09) :798-805
[4]   Incidence and Clinical Impact of Stroke Complicating Percutaneous Coronary Intervention Results of the Euro Heart Survey Percutaneous Coronary Interventions Registry [J].
Werner, Nicolas ;
Bauer, Timm ;
Hochadel, Matthias ;
Zahn, Ralf ;
Weidinger, Franz ;
Marco, Jean ;
Hamm, Christian ;
Gitt, Anselm K. ;
Zeymer, Uwe .
CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2013, 6 (04) :362-369