[Cerebral ischemia: a complication in heart catheterization. An assessment in 2178 catheterizations].
Cardiac catheterization is highly recognized as the more definitive test in several cardiac diseases. However it has a small but definite risk. Cerebral ischemia is an unusual complication of this procedure; the main recognized physiopathological mechanism is thromboembolism. We present the analysis of 7 cases observed in 2178 consecutive cardiac catheterizations. In all cases the neurological dysfunction developed during the procedure or in the few minutes after it. One patient had a complete cerebral infarct. All cases of cerebral infarct were confirmed with computed tomography scan or magnetic resonance imaging. The clinical profile supported an embolic mechanism. The early recognition and management of this complication can influence the prognosis of these patients and therefore emphasize the importance of the monitoring of the neurological function in the hemodynamic department.
Méndez Domínguez
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A
Instituto Nacional de Cardiología Ignacio Chávez, Tlalpan, México, D.F.
Aguilera
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Martínez Ríos
M A
MA
D000328:Adult; D000368:Aged; D002545:Brain Ischemia / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000706:statistics & numerical data; D002544:Cerebral Infarction / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D012307:Risk Factors
Isquemia cerebral: una complicación del cateterismo cardiáco. Evaluación en 2,178 cateterismos.