TY  - JOUR
AU  - Quattrocchi, Carlo Cosimo 
AU  - Alexandre, Andrea Maria 
AU  - Scarciolla, Laura 
AU  - Tombini, Mario 
AU  - Faiella, Eliodoro 
AU  - Occhicone, Filomena 
AU  - Zobel, Bruno Beomonte 
PY  - 2014
TI  - POSTERIOR CEREBROVASCULAR ACCIDENTS AFTER PERCUTANEOUS CORONARY INTERVENTION
JF  - Current Research in Medicine
VL  - 5
IS  - 1
DO  - 10.3844/amjsp.2014.28.32
UR  - https://thescipub.com/abstract/amjsp.2014.28.32
AB  - 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.