title: Acute pontine infarction after percutaneous coronary intervention: a very rare but devastating complication.
abstract: A 64-year-old man suffering from an acute posterior wall myocardial infarction underwent primary percutaneous coronary intervention. After several aspiration attempts, tirofiban infusion and pre- and post-dilatation, a bare-metal stent was successfully implanted in the culprit right coronary artery. While the patient did not show any neurological symptoms before or during the procedure, he exhibited hemiplegia and loss of spontaneous speech. Additional magnetic resonance imaging showed an extensive brain stem infarction. This is the first report of a brain stem infarction as a complication of percutaneous coronary intervention.
authors.affiliation: Department of Cardiology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands, f.arslan@umcutrecht.nl.
authors.forename: F
authors.initials: F
authors.lastname: Arslan
authors.forename: J
authors.initials: J
authors.lastname: Mair
authors.forename: W-M
authors.initials: WM
authors.lastname: Franz
authors.forename: M
authors.initials: M
authors.lastname: Otten
authors.forename: L
authors.initials: L
authors.lastname: van Lelyveld