Abstract
Coronary angiography is associated with several documented complications, and cardioembolic stroke following angiography is a rare occurrence. This letter presents a case involving thrombotic occlusion of the left middle cerebral artery (MCA) during coronary angiography. A 36-year-old female patient, presenting to the emergency department with chest pain, underwent coronary angiography due to non-ST-segment elevation myocardial infarction. While the responsible lesion underwent revascularization, the patient experienced new-onset motor deficits and aphasia. DSA imaging was conducted on the patient, whose diffusion magnetic resonance imaging and clinical findings were indicative of MCA infarction. Thrombectomy was performed on the patient with a left MCA infarction. Proficient management of neurological complications underscores the potential positive impact of interventional treatment strategies on mortality and morbidity. In this letter to the editor, the significance of early diagnosis, appropriate treatment, and multidisciplinary approach is emphasized.
Reference9 articles.
1. Koshy LM, Aberle LH, Krucoff MW, Hess CN, Mazzaferri Jr E, Jolly SS, Jacobs A, Gibson CM, Mehran R, Gilchrist IC (2017) Comparison of Radial Access, Guided Femoral Access, and Non-Guided Femoral Access Among Women Undergoing Percutaneous Coronary Intervention. The Journal of Invasive Cardiology 30:18-22
2. Spina R, Simon N, Markus R, Muller DW, Kathir K (2017) Contrast-induced encephalopathy following cardiac catheterization. Catheter Cardiovasc Interv 90:257-268. https://doi.org/10.1002/ccd.26871
3. Murphy SJ, Werring DJ (2020) Stroke: causes and clinical features. Medicine (Abingdon) 48:561-566. https://doi.org/10.1016/j.mpmed.2020.06.002
4. Chen Z, Venkat P, Seyfried D, Chopp M, Yan T, Chen J (2017) Brain-Heart Interaction: Cardiac Complications After Stroke. Circ Res 121:451-468. https://doi.org/10.1161/CIRCRESAHA.117.311170
5. Kutsuna F, Yamashita K, Kanamoto T, Kurohama H, Tateishi Y, Tsujino A (2021) [Nonrecanalization after mechanical thrombectomy in acute ischemic stroke due to infective endocarditis: an autopsy case]. Rinsho Shinkeigaku 61:671-675. https://doi.org/10.5692/clinicalneurol.cn-001616