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.
Kawamura
Akio
A
Department of Cardiovascular Medicine, Lahey Clinic Medical Center, Burlington, Massachusetts, USA.
Tilem
Mathew
M
Gossman
David E
DE
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*