title: Immediate catheter-directed reperfusion for acute stroke occurring during diagnostic cardiac catheterization.
abstract: 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.
authors.affiliation: Cardiac Service, Royal Columbian Hospital, New Westminster, British Columbia, Canada. albertwchan@shaw.ca
authors.forename: Albert W
authors.initials: AW
authors.lastname: Chan
authors.forename: Mark A
authors.initials: MA
authors.lastname: Henderson
mesh_terms: D000328:Adult; D000800:Angioplasty, Balloon; D006328:Cardiac Catheterization / Q000009:adverse effects*; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D020768:Middle Cerebral Artery; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D015912:Thrombolytic Therapy / Q000379:methods