Brain embolization of a healthy artery fragment as a complication of a cardiac catheterization - 23/11/18

Doi : 10.1016/j.neurad.2018.10.006

L. Martín-Aguilar ^a,^⁎ , M. Hernández-Pérez ^a, A. Planas-Ballvé ^a, J. Broto ^a, C. Llibre ^b, E. Fernández-Nofrerias ^b, C. Castaño ^c, S. Remollo ^c, J.-L. Subirats ^d, L. Dorado ^a, M. Millán ^a
^a Department of Neurosciences, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain
^b Department of Cardiology, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain
^c Department of Interventional Neuroradiology, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain
^d Department of Pathological Anatomy, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain

^⁎Corresponding author at: Department of Neurosciences, Hospital Universitari Germans Trias i Pujol. Carretera del Canyet s/n. 08916. Badalona, Barcelona, Spain.Department of Neurosciences, Hospital Universitari Germans Trias i Pujol. Carretera del Canyet s/nBadalonaBarcelona08916Spain

En prensa. Pruebas corregidas por el autor. Disponible en línea desde el Friday 23 November 2018
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Abstract

Ischemic stroke is the most common neurological complication of cardiac catheterization resulting in a high morbidity and mortality. We present a 44-year-old man admitted for vasospastic angina that suffered a right middle cerebral artery (MCA) occlusion after a cardiac catheterization. Mechanical thrombectomy was indicated and complete arterial recanalization was achieved. The material obtained showed a fragment of a healthy artery. Partial radial endarterectomy and cerebral embolization may be a rare complication of cardiac catheterization.

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Keywords : Stroke, Cardiac catheterization, Mechanical thrombectomy