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Kul S, Tatlisu MA, Yilmaz Y, et al. Catheter-based management of a catheterization related stroke. North Clin Istanb. 2020;7(5):519-522doi: 10.14744/nci.2019.60476.
Kul, S., Tatlisu, M. A., Yilmaz, Y., Baycan, O. F., & Caliskan, M. (2020). Catheter-based management of a catheterization related stroke. Northern clinics of Istanbul, 7(5), 519-522. https://doi.org/10.14744/nci.2019.60476
Kul, Seref, et al. "Catheter-based management of a catheterization related stroke." Northern clinics of Istanbul vol. 7,5 (2020): 519-522. doi: https://doi.org/10.14744/nci.2019.60476
Kul S, Tatlisu MA, Yilmaz Y, Baycan OF, Caliskan M. Catheter-based management of a catheterization related stroke. North Clin Istanb. 2020 Aug 13;7(5):519-522. doi: 10.14744/nci.2019.60476. eCollection 2020. PMID: 33163892; PMCID: PMC7603843.
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North Clin Istanb. 2020 Aug 13;7(5):519-522. doi: 10.14744/nci.2019.60476. eCollection 2020.

Catheter-based management of a catheterization related stroke.

Northern clinics of Istanbul

Seref Kul, Mustafa Adem Tatlisu, Yusuf Yilmaz, Omer Faruk Baycan, Mustafa Caliskan

Affiliations

  1. Department of Cardiology, Istanbul Medeniyet University Faculty of Medicine, Istanbul, Turkey.

PMID: 33163892 PMCID: PMC7603843 DOI: 10.14744/nci.2019.60476

Abstract

Ischemic stroke is a rare and serious complication of coronary angiography and percutaneous coronary intervention, which has high morbidity and mortality. To our knowledge, there is no large-scale randomized controlled trial for the management of catheter-related ischemic stroke. In this case study, we presented a 46-year-old male with peri-procedural ischemic stroke during the coronary angiography (CAG). The CAG was terminated after the stroke and the left carotid artery was selectively cannulated, and digital subtraction angiography (DSA) revealed total occlusion (Modified Thrombolysis in Cerebral Infarction, mTICI, 0) of the M1 part of the left middle cerebral artery (MCA). A stent-assisted thrombectomy was performed and the DSA revealed restoration of flow to the left MCA with mTICI 3 flow in the distal branches. The next day, the neurological exam showed no sensory, motor deficits. The patient was discharged four days later. In the setting of catheter-related stroke, mechanical thrombectomy seems to be the least time-consuming and effective approach.

Copyright: © 2020 by Istanbul Northern Anatolian Association of Public Hospitals.

Keywords: Cardiac catheterization; ischemic stroke; stent-assisted thrombectomy

Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

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