Eelco F.M. Wijdicks, MD; Kent R. Thielen, MD; Guy S. Reeder, MD
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Wijdicks EF, Thielen KR, Reeder GS. Immediate Cerebral Angiography and Mechanical Fragmentation of Cerebral Embolus after Percutaneous Myocardial Revascularization. Ann Intern Med. 2000;132:846-847. doi: 10.7326/0003-4819-132-10-200005160-00032
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Published: Ann Intern Med. 2000;132(10):846-847.
TO THE EDITOR:
Cardiac catheterization may be associated with complications, but ischemic stroke is rare (1, 2). With the recent availability of endovascular procedures and intra-arterial thrombolysis, treatment should be considered when a patient with ischemic stroke is encountered in an angiography suite. However, because of the risk for life-threatening bleeding, thrombolysis is probably contraindicated when the procedure involves laser techniques. We describe a patient with an acute middle cerebral artery occlusion who underwent immediate cerebral angiography after percutaneous myocardial revascularization and recovered fully after mechanical disruption of the embolus.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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