On-table acute ischemic stroke during primary PCI-double intra-arterial thrombolysis in a young patient: Uncommon complication and “double-edged sword” management
Stroke is an unusual but possibly devastating complication of cardiac catheterization. We report a case where a patient developed transient hemiplegia secondary to the embolization of a thrombus following thromboaspiration in the setting of acute myocardial infarction. The recent American College of...
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doaj-236b184df85247238350c61e8128497f2021-06-02T07:05:16ZengWolters Kluwer Medknow PublicationsHeart and Mind2468-64762468-64842019-01-013312512810.4103/hm.hm_42_19On-table acute ischemic stroke during primary PCI-double intra-arterial thrombolysis in a young patient: Uncommon complication and “double-edged sword” managementPankaj JariwalaStroke is an unusual but possibly devastating complication of cardiac catheterization. We report a case where a patient developed transient hemiplegia secondary to the embolization of a thrombus following thromboaspiration in the setting of acute myocardial infarction. The recent American College of Cardiology/European Society of Cardiology guidelines have classified the routine use of thromboaspiration as a Class III indication, but in some special circumstances with large thrombus burden, can be executed with a caution. Preprocedure identification of the high-risk patient should be performed along with measures to avoid ischemic stroke. If stroke happens, the instant evaluation and intervention of the patient could minimize cerebral damage. Every catheterization laboratory should develop a predefined protocol for the management of periprocedural stroke. We have discussed the management of periprocedural stroke with its review of literature.http://www.heartmindjournal.org/article.asp?issn=2468-6476;year=2019;volume=3;issue=3;spage=125;epage=128;aulast=Jariwalaacute cerebrovascular accidentacute myocardial infarctioncardioembolismthrombolytic therapy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Pankaj Jariwala |
spellingShingle |
Pankaj Jariwala On-table acute ischemic stroke during primary PCI-double intra-arterial thrombolysis in a young patient: Uncommon complication and “double-edged sword” management Heart and Mind acute cerebrovascular accident acute myocardial infarction cardioembolism thrombolytic therapy |
author_facet |
Pankaj Jariwala |
author_sort |
Pankaj Jariwala |
title |
On-table acute ischemic stroke during primary PCI-double intra-arterial thrombolysis in a young patient: Uncommon complication and “double-edged sword” management |
title_short |
On-table acute ischemic stroke during primary PCI-double intra-arterial thrombolysis in a young patient: Uncommon complication and “double-edged sword” management |
title_full |
On-table acute ischemic stroke during primary PCI-double intra-arterial thrombolysis in a young patient: Uncommon complication and “double-edged sword” management |
title_fullStr |
On-table acute ischemic stroke during primary PCI-double intra-arterial thrombolysis in a young patient: Uncommon complication and “double-edged sword” management |
title_full_unstemmed |
On-table acute ischemic stroke during primary PCI-double intra-arterial thrombolysis in a young patient: Uncommon complication and “double-edged sword” management |
title_sort |
on-table acute ischemic stroke during primary pci-double intra-arterial thrombolysis in a young patient: uncommon complication and “double-edged sword” management |
publisher |
Wolters Kluwer Medknow Publications |
series |
Heart and Mind |
issn |
2468-6476 2468-6484 |
publishDate |
2019-01-01 |
description |
Stroke is an unusual but possibly devastating complication of cardiac catheterization. We report a case where a patient developed transient hemiplegia secondary to the embolization of a thrombus following thromboaspiration in the setting of acute myocardial infarction. The recent American College of Cardiology/European Society of Cardiology guidelines have classified the routine use of thromboaspiration as a Class III indication, but in some special circumstances with large thrombus burden, can be executed with a caution. Preprocedure identification of the high-risk patient should be performed along with measures to avoid ischemic stroke. If stroke happens, the instant evaluation and intervention of the patient could minimize cerebral damage. Every catheterization laboratory should develop a predefined protocol for the management of periprocedural stroke. We have discussed the management of periprocedural stroke with its review of literature. |
topic |
acute cerebrovascular accident acute myocardial infarction cardioembolism thrombolytic therapy |
url |
http://www.heartmindjournal.org/article.asp?issn=2468-6476;year=2019;volume=3;issue=3;spage=125;epage=128;aulast=Jariwala |
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