Management of cerebrovascular accidents during cardiac catheterization: immediate cerebral angiography versus early neuroimaging strategy.
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.
De Marco
Federico
F
Institut Cardiovasculaire Paris Sud, Massy, France. federico.demarco@gmail.com
Antonio Fernandez-Diaz
José
J
Lefèvre
Thierry
T
Balcells
Jordi
J
Araya
Mario
M
Routledge
Helen
H
Rosas
Andrés
A
Louvard
Yves
Y
Dumas
Pierre
P
Morice
Marie-Claude
MC
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
D005343:Fibrinolytic Agents