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Updated: Jun 4, 2026
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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Endovascular therapy for cardiac catheterization associated strokes
Aitziber Aleu1, Muhammad Vbv S Hussain, Ridwan Lin
1Department of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Summary
Endovascular therapy for stroke after cardiac catheterization is safe and feasible, showing better outcomes than expected despite high mortality. Faster treatment implementation is crucial for these acute stroke patients.
Area of Science:
- Neurology
- Cardiology
- Interventional Radiology
Background:
- Stroke is a significant complication of cardiac catheterization.
- Endovascular therapy is effective for large-vessel occlusion strokes.
- Limited data exists on endovascular treatment for cardiac catheterization-associated strokes.
Purpose of the Study:
- To evaluate the safety and clinical outcomes of endovascular therapy for acute strokes occurring during or after cardiac catheterization.
Main Methods:
- Retrospective analysis of endovascular stroke treatment databases from two university hospitals (2006-2008).
- Identified 14 cases of stroke associated with cardiac catheterization from 419 interventions.
- Collected data on patient demographics, stroke severity, treatment times, and outcomes.
Main Results:
- 14 patients (3.34%) experienced stroke post-cardiac catheterization; mean age 71, 57.1% female.
- Mean NIH Stroke Scale was 17; median time to treatment was 240 minutes.
- 50% had a favorable outcome (mRS ≤ 2), with 42% in-patient mortality.
Conclusions:
- Multimodal endovascular therapy is safe and feasible for cardiac catheterization-associated strokes.
- Outcomes were more favorable than natural history, despite high mortality.
- Treatment delays were observed; faster recanalization therapy implementation is needed.
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