POSTERIOR CEREBROVASCULAR ACCIDENTS AFTER PERCUTANEOUS CORONARY INTERVENTION
Carlo Cosimo Quattrocchi1, Andrea Maria Alexandre2, Laura Scarciolla1, Mario Tombini1, Eliodoro Faiella1, Filomena Occhicone1 & Bruno Beomonte Zobel1 Show affiliations
- University Campus Bio-Medico of Rome, Italy
- Catholic University of Rome, Italy
Current Research in Medicine, Volume 5, Issue 1, pp. 28–32 · doi.org/10.3844/amjsp.2014.28.32
Abstract
Percutaneous Coronary Interventional procedures (PCIs) are recognised as gold standard treatment for high risks patients with diffuse coronary atherosclerosis. Neurologic complications are one of the most dreaded procedural outcomes, stroke after PCI affects mainly elderly and high-risk patients (age more than 80 years and use of intra-aortic balloon pump), with longer times of the procedure and angiographic complications, such as dissection, abrupt closure and no reflow. We report two consecutive cases of posterior CVAs after percutaneous coronary procedures involving the ponto-mesencephalon and the cerebellum. Especially when risk factors are present, careful attention should be devoted to the preparation of the patient and to minimize catheter manipulation and exchanges.
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Quattrocchi, C. C., Alexandre, A. M., Scarciolla, L., Tombini, M., Faiella, E., Occhicone, F. & Zobel, B. B. (2014). POSTERIOR CEREBROVASCULAR ACCIDENTS AFTER PERCUTANEOUS CORONARY INTERVENTION. Current Research in Medicine, 5(1), 28–32. https://doi.org/10.3844/amjsp.2014.28.32
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