Emergent basilar artery and bilateral posterior cerebral artery angioplasty, urokinase thrombolysis, and stenting for acute basilar artery occlusion secondary to diagnostic cardiac catheterization: case presentation.
This case presentation describes the use of emergent neurointerventional procedures to revascularize a patient who developed a symptomatic stroke during coronary artery angiography. Rapid identification of a neurologic deficit in the coronary angiography suite and notification of a skilled neurointerventionalist permit for early revascularization and improved patient outcomes.
Horowitz
Michael
M
University of Pittsburgh Medical Center, Suite B 400, Presbyterian University Hospital, 200 Lothrop Street, Pittsburgh, PA 15213, USA. horowitzmb@upmc.edu
Jovin
Tudor
T
Levy
Elad
E
Anderson
William
W
D000208:Acute Disease; D000368:Aged; D000800:Angioplasty, Balloon; D001488:Basilar Artery; D006328:Cardiac Catheterization / Q000009:adverse effects*; D002533:Cerebral Angiography; D017023:Coronary Angiography / Q000009:adverse effects; D004630:Emergencies; D005260:Female; D006801:Humans; D020766:Intracranial Embolism / Q000000981:diagnostic imaging / Q000628:therapy*; D020769:Posterior Cerebral Artery; D015607:Stents; D015912:Thrombolytic Therapy; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use*
D014568:Urokinase-Type Plasminogen Activator