Thromboembolic stroke complicating coronary intervention: acute evaluation and management in the cardiac catheterization laboratory.
A 68-yr-old female developed an acute embolic cerebrovascular event during a coronary bypass graft angioplasty. The patient was treated with microcatheter-directed, intra-arterial thrombolysis. The technique and a review of the literature for thrombolysis in cerebrovascular ischemic events are included.
Department of Cardiology, Good Samaritan Regional Medical Center, Phoenix, Arizona, USA.
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Sandoval
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Laufer
D000368:Aged; D000789:Angina, Unstable / Q000000981:diagnostic imaging / Q000601:surgery*; D015906:Angioplasty, Balloon, Coronary; D006328:Cardiac Catheterization; D002533:Cerebral Angiography; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000188:drug therapy; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000188:drug therapy; D015912:Thrombolytic Therapy; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage; D014680:Veins / Q000637:transplantation
D010959:Tissue Plasminogen Activator