Rheolytic thrombectomy for thromboembolic occlusion of the internal carotid artery complicating coronary intervention.
Stroke associated with percutaneous coronary intervention (PCI) is an infrequent, but devastating complication. Intra-arterial thrombolysis has been used with limited success, but there are no widely accepted strategies for acute ischemic stroke during PCI. We report a case in which the AngioJet rheolytic thrombectomy device was used in an attempt to re-establish patency of an occluded internal carotid artery in the setting of an acute stroke caused by thromboembolization from the right coronary artery during PCI.
Department of Cardiovascular Medicine, Lahey Clinic Medical Center, Burlington, Massachusetts, USA.
Akio
A
Kawamura
Mathew
M
Tilem
David E
DE
Gossman
D000208:Acute Disease; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery*; D002533:Cerebral Angiography; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D020521:Stroke / Q000209:etiology; D017131:Thrombectomy / Q000295:instrumentation / Q000379:methods*; D013923:Thromboembolism / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*