POSTERIOR CEREBROVASCULAR ACCIDENTS AFTER PERCUTANEOUS CORONARY INTERVENTION
Carlo Cosimo Quattrocchi, Andrea Maria Alexandre, Laura Scarciolla, Mario Tombini, Eliodoro Faiella, Filomena Occhicone and Bruno Beomonte Zobel
DOI : 10.3844/amjsp.2014.28.32
Current Research in Medicine
Volume 5, Issue 1
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.
© 2014 Carlo Cosimo Quattrocchi, Andrea Maria Alexandre, Laura Scarciolla, Mario Tombini, Eliodoro Faiella, Filomena Occhicone and Bruno Beomonte Zobel. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.