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Updated: Aug 13, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Immediate catheter-directed reperfusion for acute stroke occurring during diagnostic cardiac catheterization
Albert W Chan1, Mark A Henderson
1Cardiac Service, Royal Columbian Hospital, New Westminster, British Columbia, Canada. albertwchan@shaw.ca
Abstract:
Acute stroke is a rare but the most dreaded complication of cardiac catheterization. We report a case about the management of an acute stroke that occurred during a diagnostic cardiac catheterization procedure. Immediate catheter-based intraarterial thrombolysis with adjunctive balloon angioplasty of the left middle cerebral artery was carried out. The patient recovered markedly within the first 2 hr and was discharged without neurological sequelae after 3 days. A clinical pathway for acute stroke management in the catheterization laboratory is discussed.
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