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Thromboembolic cerebral ischaemic attack complicating cardiac catheterization. Successful local thrombolytic therapy

M Krivokuca1, C Behrmann, M Sievert

  • 1Department of Medicine III, University Hospital, Martin-Luther-University Halle-Wittenberg, 06097 Halle, Germany. mirko.krivokuca@medizin.uni-halle.de

Zeitschrift Fur Kardiologie
|July 6, 2005
PubMed

Insights

Cerebral ischemia during cardiac catheterization can be treated. Local thrombolysis with reduced dose rt-PA successfully restored blood flow and resolved neurological symptoms in a patient.

Area of Science:

  • Neurology
  • Cardiology
  • Radiology

Background:

  • Cerebral ischemia is a potential complication of cardiac catheterization.
  • Thromboembolism can cause cerebral ischemia during these procedures.

Observation:

  • A patient experienced cerebral ischemia during cardiac catheterization.
  • Initial CT scan ruled out cerebral hemorrhage.

Findings:

  • Angiography revealed occlusion before the intracranial bifurcation of the right internal carotid artery.
  • Local thrombolysis with a reduced dose of 34 mg recombinant tissue plasminogen activator (rt-PA) was administered.
  • Post-thrombolysis angiography demonstrated restored perfusion and neurological symptom resolution.

Implications:

  • This case highlights a successful treatment strategy for cerebral ischemia post-cardiac catheterization.
  • Local thrombolysis with rt-PA is a viable option for managing such complications.
  • Prompt diagnosis and intervention are crucial for favorable outcomes.

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