title: Management of cerebrovascular accidents during cardiac catheterization: immediate cerebral angiography versus early neuroimaging strategy.
abstract: Ischemic cerebrovascular events are a rare complication of cardiac catheterization. Consequently a unique standard of management for these events is yet to be defined. Immediate cerebral angiography followed by local thrombolysis is an effective strategy and we report six cases for which this approach was successfully employed. In contrast the use of immediate neuroimaging by means of MRI or CT scan in two cases delayed the implementation of appropriate therapy.
authors: Institut Cardiovasculaire Paris Sud, Massy, France. federico.demarco@gmail.com
authors: Federico
authors: F
authors: De Marco
authors: José
authors: J
authors: Antonio Fernandez-Diaz
authors: Thierry
authors: T
authors: Lefèvre
authors: Jordi
authors: J
authors: Balcells
authors: Mario
authors: M
authors: Araya
authors: Helen
authors: H
authors: Routledge
authors: Andrés
authors: A
authors: Rosas
authors: Yves
authors: Y
authors: Louvard
authors: Pierre
authors: P
authors: Dumas
authors: Marie-Claude
authors: MC
authors: Morice
mesh_terms: D000328:Adult; D000368:Aged; D002545:Brain Ischemia / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology / Q000473:pathology; D006328:Cardiac Catheterization / Q000009:adverse effects*; D002533:Cerebral Angiography / Q000379:methods*; D003943:Diagnostic Techniques, Neurological; D004334:Drug Administration Schedule; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D020521:Stroke / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology / Q000473:pathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D005343:Fibrinolytic Agents